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实地记录:忙碌门诊工作后医生注意力容量和情绪状态的变化

Notes From the Field: Changes in the Attentional Capacity and Emotional State of Physicians After Working at Busy Outpatient Clinics.

作者信息

Lee Yeon Joo, Choi Sun Mi, Park Ju Hee, Yim Jae-Joon

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, Republic of Korea.

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.

出版信息

Eval Health Prof. 2015 Sep;38(3):423-8. doi: 10.1177/0163278715589346. Epub 2015 May 29.

Abstract

To examine changes in the performance of physicians after working in busy outpatient clinics, we conducted a prospective study, involving full-time clinicians who held morning and afternoon outpatient clinics on the same day. The participants completed three measures of attention, the psychomotor vigilance task, two-back test, and trail-making test, and a measure of emotion, the State-Trait Anger Expression Inventory (STAXI), before and after the two clinic sessions. The physicians saw a mean of 91.3 patients in the two outpatient clinics on the day of testing. Overall, performance in the attention test did not deteriorate after the two successive outpatient sessions. However, we observed an increased STAXI score in 24 (54.3%) participants and saw a significant overall increase in STAXI scores. Our results indicate that busy outpatient sessions may increase physicians' anger although their attentional capacity appears to be maintained.

摘要

为了研究医生在繁忙门诊工作后的表现变化,我们进行了一项前瞻性研究,研究对象为同一天上午和下午都开设门诊的全职临床医生。参与者在两次门诊前后分别完成了三项注意力测试,即心理运动警觉任务、双任务测试和连线测试,以及一项情绪测试,即状态-特质愤怒表达量表(STAXI)。在测试当天,医生们在两次门诊中平均接待了91.3名患者。总体而言,在连续两次门诊后,注意力测试的表现并未恶化。然而,我们观察到24名(54.3%)参与者的STAXI得分有所增加,且STAXI总分显著上升。我们的结果表明,繁忙的门诊工作可能会增加医生的愤怒情绪,尽管他们的注意力能力似乎得以维持。

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