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临床前医学生的压力、职业倦怠与应对策略

Stress, Burnout and Coping Strategies in Preclinical Medical Students.

作者信息

Fares Jawad, Al Tabosh Hayat, Saadeddin Zein, El Mouhayyar Christopher, Aridi Hussam

机构信息

Faculty of Medicine, American University of Beirut, Beirut, Lebanon; Neuroscience Research Center, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.

Faculty of Medicine, American University of Beirut, Beirut, Lebanon.

出版信息

N Am J Med Sci. 2016 Feb;8(2):75-81. doi: 10.4103/1947-2714.177299.

Abstract

It is acknowledged that physicians do not seek the same expert aid for themselves as they would offer their patients. In their preclinical years, medical students appear to espouse comparable behavior. To many, medicine is described as a never-ending path that places the student under heavy stress and burnout from the beginning, leaving him/her vulnerable and with insufficient coping methods. Hence, the objective of this study is to 1) explore the prevalence of stress and burnout among preclinical medical students, and 2) propose solutions to decrease stress and burnout and improve medical education in the preclinical years. A detailed scholarly research strategy using Google Scholar, Scopus, Embase, MEDLINE and PubMed was implemented to highlight key themes that are relevant to preclinical medical students' stress and burnout. Stress varied among different samples of medical students and ranged between 20.9% and 90%. Conversely, burnout ranged between 27% and 75%. Methods that help in reducing the incidence of stress and burnout by promoting strategies that focus on personal engagement, extracurricular activities, positive reinterpretation and expression of emotion, student-led mentorship programs, evaluation systems, career counseling and life coaching should be adopted.

摘要

人们认识到,医生在为自己寻求专家帮助时,与他们为患者提供的帮助并不相同。在临床前阶段,医学生似乎也表现出类似的行为。对许多人来说,医学被描述为一条永无止境的道路,从一开始就让学生承受巨大的压力和倦怠,使他/她变得脆弱且应对方法不足。因此,本研究的目的是:1)探讨临床前医学生中压力和倦怠的普遍程度;2)提出减少压力和倦怠以及改善临床前阶段医学教育的解决方案。实施了一项详细的学术研究策略,利用谷歌学术、Scopus、Embase、MEDLINE和PubMed来突出与临床前医学生的压力和倦怠相关的关键主题。医学生不同样本中的压力各不相同,范围在20.9%至90%之间。相反,倦怠率在27%至75%之间。应采用通过推广关注个人参与、课外活动、积极重新诠释和情绪表达、学生主导的辅导计划、评估系统、职业咨询和生活指导等策略来帮助降低压力和倦怠发生率的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c88/4791902/836ba51c0223/NAJMS-8-75-g001.jpg

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