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巴基斯坦卡拉奇私立部门教学医院内科和外科住院医师培训项目中的压力、工作满意度和工作时长

Stress, job satisfaction and work hours in medical and surgical residency programmes in private sector teaching hospitals of Karachi, Pakistan.

作者信息

Kumar Rohail, Siddiqui Nabeel, Shahid Zain, Syed Sadia, Kadir Masood

机构信息

Department of Community Health Sciences, Aga Khan University Hospital, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2012 Oct;62(10):1109-12.

Abstract

OBJECTIVE

To assess stress levels, job satisfaction and working hours of the residents in Medicine and Surgery and to explore a correlation among the three factors.

METHODS

The questionnaire-based. Cross-sectional study was conducted in 2011 at two tertiary level teaching hospitals in Karachi, Pakistan (Ziauddin University Hospital and Aga Khan University Hospital, Karachi, Pakistan). The study population comprised 176 residents, General Health Questionnaire-12 was used to assess the mental health of the residents and a standardised Job Satisfaction Survey tool was used to assess their work satisfaction.

RESULTS

A total of 176 residents participated in the study; 115 (65%) from Medicine, and 61 (35%) from surgery. Of the total residents, 99 (56.3%) were under stress, and there was no significant difference in stress between Medicine and Surgery residents. Besides, 133 (75.6%) residents reported to be satisfied with their jobs. There was a statistically significant difference in job satisfaction between Medicine and Surgery residents (p < 0.001). Mean number of working hours per week reported by Medicine and Surgery residents were 74.82 +/- 15.95 and 92.07 +/- 15.91 respectively (p < 0.001). A positive correlation of mean working hours with both stress (p = 0.009) and job satisfaction (p = 0.029) was found.

CONCLUSIONS

Medicine and Surgery residents tend to differ on mean working hours and job satisfaction. The greater mean working hours of the residents could be a possible reason for increased stress and decreased job satisfaction among the residents.

摘要

目的

评估内科和外科住院医师的压力水平、工作满意度及工作时长,并探讨这三个因素之间的相关性。

方法

2011年在巴基斯坦卡拉奇的两家三级教学医院(巴基斯坦卡拉奇的齐亚丁大学医院和阿迦汗大学医院)进行了基于问卷调查的横断面研究。研究对象包括176名住院医师,使用一般健康问卷-12评估住院医师的心理健康状况,并使用标准化的工作满意度调查工具评估他们的工作满意度。

结果

共有176名住院医师参与了研究;其中115名(65%)来自内科,61名(35%)来自外科。在所有住院医师中,99名(56.3%)处于压力之下,内科和外科住院医师的压力水平无显著差异。此外,133名(75.6%)住院医师表示对工作满意。内科和外科住院医师的工作满意度存在统计学显著差异(p<0.001)。内科和外科住院医师每周报告的平均工作时长分别为74.82±15.95小时和92.07±15.91小时(p<0.001)。发现平均工作时长与压力(p=0.009)和工作满意度(p=0.029)均呈正相关。

结论

内科和外科住院医师在平均工作时长和工作满意度方面存在差异。住院医师较长的平均工作时长可能是导致其压力增加和工作满意度降低的一个可能原因。

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