促进美国外科医生行为改变以提高个人幸福感的互动式个体化干预。
An interactive individualized intervention to promote behavioral change to increase personal well-being in US surgeons.
机构信息
*Mayo Clinic, Rochester, MN †University of California, San Francisco Fresno; and ‡University of Washington, Seattle.
出版信息
Ann Surg. 2014 Jan;259(1):82-8. doi: 10.1097/SLA.0b013e3182a58fa4.
OBJECTIVE
Evaluate the utility of a computer-based, interactive, and individualized intervention for promoting well-being in US surgeons.
BACKGROUND
Distress and burnout are common among US surgeons. Surgeons experiencing distress are unlikely to seek help on their own initiative. A belief that distress and burnout are a normal part of being a physician and lack of awareness of distress level relative to colleagues may contribute to this problem.
METHODS
Surgeons who were members of the American College of Surgeons were invited to participate in an intervention study. Participating surgeons completed a 3-step, interactive, electronic intervention. First, surgeons subjectively assessed their well-being relative to colleagues. Second, surgeons completed the 7-item Mayo Clinic Physician Well-Being Index and received objective, individualized feedback about their well-being relative to national physician norms. Third, surgeons evaluated the usefulness of the feedback and whether they intended to make specific changes as a result.
RESULTS
A total of 1150 US surgeons volunteered to participate in the study. Surgeons' subjective assessment of their well-being relative to colleagues was poor. A majority of surgeons (89.2%) believed that their well-being was at or above average, including 70.5% with scores in the bottom 30% relative to national norms. After receiving objective, individualized feedback based on the Mayo Clinic Physician Well-Being Index score, 46.6% of surgeons indicated that they intended to make specific changes as a result. Surgeons with lower well-being scores were more likely to make changes in each dimension assessed (all Ps<0.001).
CONCLUSIONS
US surgeons do not reliably calibrate their level of distress. After self-assessment and individualized feedback using the Mayo Clinic Physician Well-Being Index, half of participating surgeons reported that they were contemplating behavioral changes to improve personal well-being.
目的
评估基于计算机的互动式个性化干预措施在美国外科医生中促进幸福感的效用。
背景
美国外科医生中普遍存在痛苦和倦怠感。有压力的外科医生不太可能主动寻求帮助。他们可能认为痛苦和倦怠是成为医生的正常组成部分，并且相对于同事而言，他们对自己的压力水平缺乏认识，这可能导致了这个问题。
方法
邀请美国外科医师学院的外科医生参加干预研究。参与的外科医生完成了一个 3 步的互动式电子干预措施。首先，外科医生主观地评估自己相对于同事的幸福感。其次，外科医生完成了 7 项梅奥诊所医师幸福感指数，并收到了有关其相对于全国医生标准的幸福感的客观、个性化反馈。第三，外科医生评估了反馈的有用性，以及他们是否打算因此做出具体改变。
结果
共有 1150 名美国外科医生自愿参加了这项研究。外科医生对自己相对于同事的幸福感的主观评估很差。大多数外科医生（89.2%）认为自己的幸福感处于或高于平均水平，其中 70.5%的人相对于全国标准，得分处于倒数 30%。根据梅奥诊所医师幸福感指数得分收到客观的个性化反馈后，46.6%的外科医生表示他们打算因此做出具体改变。幸福感得分较低的外科医生在每个评估维度上更有可能做出改变（均 P<0.001）。
结论
美国外科医生无法可靠地调整自己的压力水平。在使用梅奥诊所医师幸福感指数进行自我评估和个性化反馈后，一半的参与外科医生表示他们正在考虑采取行为改变来提高个人幸福感。
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