Center for Trauma and Injury Prevention Research, University of California, Irvine School of Medicine, Irvine, CA, USA.
Occup Med (Lond). 2014 Jan;64(1):45-8. doi: 10.1093/occmed/kqt139. Epub 2013 Dec 4.
Emergency medicine (EM) residents are exposed to many work-related stressors, which affect them both physically and emotionally. It is unknown, however, how EM residents perceive the effect of these stressors on their well-being and how often they use unhealthy coping mechanisms to manage stress.
To evaluate EM residents' perceptions of stressors related to their overall well-being and the prevalence of various coping mechanisms.
An online survey instrument was developed to gauge resident stress, satisfaction with current lifestyle, stress coping mechanisms and demographics. A stratified random sample of EM residents from three postgraduate years (PGY-I, PGY-II and PGY-III) was obtained. Descriptive statistics and one-way analysis of variance were used to compare residents across PGY level.
There were 120 potential participants in each of the three PGYs. The overall response rate was 30% (109) with mean age of 30 and 61% were male. On a 0-4 scale (0 = completely dissatisfied), respondents in PGY-I reported significantly less satisfaction with lifestyle than those in PGY-II and III (mean rating: 1.29, 1.66 and 1.70, respectively; P < 0.001). There were no significant differences in mean ratings between PGYs on each of the other stress categories: work relationships (1.37), work environment (1.10) and response to patients (1.08). Residents reported exercise (94%), hobbies (89%) and use of alcohol (71%) as coping methods.
Residents reported low satisfaction with current lifestyle. This dissatisfaction was unrelated to perceived work-related stress. Some undesirable coping methods were prevalent, suggesting that training programs could focus on promotion of healthy group activities.
急诊医学（EM）住院医师面临许多与工作相关的压力源，这些压力源对他们的身体和情绪都有影响。然而，目前尚不清楚 EM 住院医师如何感知这些压力源对他们的幸福感的影响，以及他们经常使用何种不健康的应对机制来应对压力。
评估 EM 住院医师对与整体幸福感相关的压力源的感知，以及各种应对机制的流行程度。
开发了一种在线调查工具，以衡量住院医师的压力、对当前生活方式的满意度、压力应对机制和人口统计学特征。从三个研究生年级（PGY-I、PGY-II 和 PGY-III）中抽取 EM 住院医师的分层随机样本。使用描述性统计和单因素方差分析比较不同 PGY 水平的住院医师。
每个 PGY 中有 120 名潜在参与者。总体回复率为 30%（109 人），平均年龄为 30 岁，61%为男性。在 0-4 分制（0 = 完全不满意）中，PGY-I 的受访者对生活方式的满意度明显低于 PGY-II 和 PGY-III（平均评分分别为 1.29、1.66 和 1.70；P < 0.001）。在每个其他压力类别中，PGY 之间的平均评分均无显著差异：工作关系（1.37）、工作环境（1.10）和对患者的反应（1.08）。受访者报告了锻炼（94%）、爱好（89%）和饮酒（71%）作为应对方法。
住院医师报告对当前生活方式的满意度较低。这种不满与感知到的工作相关压力无关。一些不良的应对方法很普遍，这表明培训计划可以侧重于促进健康的集体活动。
