Alosaimi Fahad D, Kazim Sana N, Almufleh Auroabah S, Aladwani Bandar S, Alsubaie Abdullah S
Department of Psychiatry, King Khalid University Hospital, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2015 May;36(5):605-12. doi: 10.15537/smj.2015.5.10814.
To examine perceived stress among residents in Saudi Arabia and its associated risk factors.
A cross-sectional study of all residents registered at the Saudi Commission for Health Specialties, Riyadh, Saudi Arabia, was conducted between May and October 2012. We assessed the likelihood of stress using the perceived stress scale (PSS).
Out of the 4000 residents contacted, 1035 responded and 938 were included. The mean (±standard deviation) PSS score was 22.0±5.1 (median 22 and inter-quartile range of 18-25). With the exception of gender and nationality, no significant associations were found between stress and socio-demographic or behavioral factors. Stress was associated with higher workload, sleep deprivation, dissatisfaction with colleagues and the program, and harmful ideations. Stressors included work-related, academic, and homesickness stressors. In multivariate analysis, the following were independently associated with stress: Saudi nationality, facing homesick stressor, facing work-related stressor, dissatisfaction with relationships with colleagues, and frequent thoughts of quitting the medical profession.
Residents in Saudi Arabia are at comparable or slightly higher risk of perceived stress than that reported among residents worldwide. Unfortunately, most of the participants never received stress management, which highlights the need for stress management programs during residency.
研究沙特阿拉伯住院医师的感知压力及其相关危险因素。
2012年5月至10月，对沙特阿拉伯利雅得沙特卫生专业委员会登记的所有住院医师进行了一项横断面研究。我们使用感知压力量表（PSS）评估压力发生的可能性。
在联系的4000名住院医师中，1035人做出回应，938人被纳入研究。PSS评分的均值（±标准差）为22.0±5.1（中位数为22，四分位间距为18 - 25）。除性别和国籍外，未发现压力与社会人口统计学或行为因素之间存在显著关联。压力与工作量大、睡眠不足、对同事和培训项目不满意以及有害想法有关。压力源包括工作相关、学业和思乡方面的压力源。在多变量分析中，以下因素与压力独立相关：沙特国籍、面临思乡压力源、面临工作相关压力源、对同事关系不满意以及频繁有放弃医学职业的想法。
沙特阿拉伯住院医师感知压力的风险与全球住院医师报告的风险相当或略高。不幸的是，大多数参与者从未接受过压力管理，这凸显了住院医师培训期间开展压力管理项目的必要性。
