Cecil Jo, McHale Calum, Hart Jo, Laidlaw Anita
School of Medicine, University of St Andrews, St Andrews, UK.
Manchester Medical School, University of Manchester, Manchester, UK.
Med Educ Online. 2014 Aug 25;19:25209. doi: 10.3402/meo.v19.25209. eCollection 2014.
Burnout is prevalent in doctors and can impact on job dissatisfaction and patient care. In medical students, burnout is associated with poorer self-rated health; however, it is unclear what factors influence its development. This study investigated whether health behaviours predict burnout in medical students.
Medical students (n=356) at the Universities of St Andrews and Manchester completed an online questionnaire assessing: emotional exhaustion (EE), depersonalisation (DP), personal accomplishment (PA), alcohol use, physical activity, diet, and smoking.
Approximately 55% (54.8%) of students reported high levels of EE, 34% reported high levels of DP, and 46.6% reported low levels of PA. Linear regression analysis revealed that year of study, physical activity, and smoking status significantly predicted EE whilst gender, year of study, and institution significantly predicted DP. PA was significantly predicted by alcohol binge score, year of study, gender, and physical activity.
Burnout is present in undergraduate medical students in the United Kingdom, and health behaviours, particularly physical activity, predict components of burnout. Gender, year of study, and institution also appear to influence the prevalence of burnout. Encouraging medical students to make healthier lifestyle choices early in their medical training may reduce the likelihood of the development of burnout.
职业倦怠在医生中很普遍,会影响工作满意度和患者护理。在医学生中,职业倦怠与自我评估的健康状况较差有关;然而,尚不清楚哪些因素会影响其发展。本研究调查了健康行为是否能预测医学生的职业倦怠。
圣安德鲁斯大学和曼彻斯特大学的医学生(n = 356)完成了一份在线问卷,评估内容包括:情感耗竭(EE)、去个性化(DP)、个人成就感(PA)、饮酒、体育活动、饮食和吸烟情况。
约55%(54.8%)的学生报告情感耗竭程度较高,34%报告去个性化程度较高,46.6%报告体育活动水平较低。线性回归分析显示,学年、体育活动和吸烟状况显著预测情感耗竭,而性别、学年和学校显著预测去个性化。酒精狂饮得分、学年、性别和体育活动显著预测体育活动水平。
英国本科医学生中存在职业倦怠,健康行为,尤其是体育活动,可预测职业倦怠的构成因素。性别、学年和学校似乎也会影响职业倦怠的患病率。鼓励医学生在医学培训早期做出更健康的生活方式选择,可能会降低职业倦怠发生的可能性。