Division of General Surgery, Stanford Hospital & Clinics, 300 Pasteur Drive, MC H3591, Palo Alto, CA 94305, USA; Stanford University Graduate School of Education, Stanford, CA, USA.
Stanford University Graduate School of Education, Stanford, CA, USA.
Am J Surg. 2014 Feb;207(2):251-4. doi: 10.1016/j.amjsurg.2013.09.006. Epub 2013 Oct 23.
The well-being of residents in general surgery is an important factor in their success within training programs. Consequently, it is important to identify individuals at risk for burnout and low levels of well-being as early as possible. The aim of this study was to test the hypothesis that resident well-being may be related to grit, a psychological factor defined as perseverance and passion for long-term goals.
One hundred forty-one residents across 9 surgical specialties at 1 academic medical center were surveyed; the response rate was 84%. Perseverance was measured using the Short Grit Scale. Resident well-being was measured with (1) burnout using the Maslach Burnout Inventory and (2) psychological well-being using the Dupuy Psychological General Well-Being Scale.
Grit was predictive of later psychological well-being both as measured by the Maslach Burnout Inventory (B = -.20, P = .05) and as measured by the Psychological General Well-Being Scale (B = .27, P < .01).
Measuring grit may identify those who are at greatest risk for poor psychological well-being in the future. These residents may benefit from counseling to provide support and improve coping skills.
普通外科住院医师的幸福感是其在培训计划中取得成功的重要因素。因此，尽早识别有倦怠和幸福感低风险的个体非常重要。本研究旨在验证一个假设，即住院医师的幸福感可能与坚毅有关，坚毅是一种心理因素，定义为对长期目标的毅力和热情。
在 1 家学术医疗中心的 9 个外科专业中调查了 141 名住院医师；回应率为 84%。使用简短坚毅量表来衡量毅力。使用（1）职业倦怠量表（Maslach Burnout Inventory）和（2）杜普伊心理一般幸福感量表（Dupuy Psychological General Well-Being Scale）来衡量住院医师的幸福感。
坚毅与后来的心理幸福感呈正相关，既可以通过职业倦怠量表（B = -.20，P =.05），也可以通过心理一般幸福感量表（B =.27，P <.01）来衡量。
衡量坚毅程度可能会识别出那些未来心理幸福感最差的人。这些住院医师可能需要接受咨询，以获得支持和提高应对技能。
