Parr Justin M, Pinto Nigel, Hanson Martin, Meehan Ashlea, Moore Peter T
School of Medicine, University of Queensland, Brisbane, Queensland, Australia ; Junior Doctor Society, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
Resident Medical Officer Society, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Ochsner J. 2016 Spring;16(1):22-6.
Burnout among junior doctors can affect patient care. We conducted a longitudinal cohort study designed to explore the incidence of burnout in medical interns and to examine the changes in burnout during the course of the intern year.
Interns were recruited at two tertiary hospitals in Brisbane, Australia (n=180). Participants completed surveys at four time points during their internship year. All interns (100%) completed the baseline survey during their orientation. Response rates were 85%, 88%, and 79%, respectively, at 5-week, 6-month, and 12-month follow-up.
Interns reported high levels of personal and work-related burnout throughout the year that peaked at 6 months with mean scores of 42.53 and 41.81, respectively. Increases of 5.1 points (confidence interval [CI] 2.5,7.7; P=0.0001) and 3.5 points (CI 1.3,5.6; P=0.0015) were seen at 6 months for personal and work-related burnout, respectively. The mean score for patient-related burnout at 12 months was 25.57, and this number had increased significantly by 5.8 points (CI 3.2,8.5; P<0.0001) throughout the year. Correlation with demographic variables (age, sex) were found. The total incidence of burnout was 55.9%.
Our study showed that burnout is a common problem among interns. The high incidence of burnout demonstrates the need for appropriate strategies to prevent adverse effects on doctors' quality of life and on the quality of care patients receive.
初级医生的职业倦怠会影响患者护理。我们进行了一项纵向队列研究，旨在探讨医学实习生职业倦怠的发生率，并研究实习期间职业倦怠的变化情况。
在澳大利亚布里斯班的两家三级医院招募实习生（n = 180）。参与者在实习年度的四个时间点完成调查。所有实习生（100%）在入职培训期间完成了基线调查。在5周、6个月和12个月随访时的回复率分别为85%、88%和79%。
实习生报告称，全年个人和工作相关的职业倦怠程度都很高，在6个月时达到峰值，平均得分分别为42.53和41.81。6个月时，个人和工作相关的职业倦怠分别增加了5.1分（置信区间[CI] 2.5,7.7；P = 0.0001）和3.5分（CI 1.3,5.6；P = 0.0015）。12个月时与患者相关的职业倦怠平均得分为25.57，全年显著增加了5.8分（CI 3.2,8.5；P < 0.0001）。发现与人口统计学变量（年龄、性别）存在相关性。职业倦怠的总发生率为55.9%。
我们的研究表明，职业倦怠是实习生中的常见问题。职业倦怠的高发生率表明需要采取适当策略，以防止对医生的生活质量和患者接受的护理质量产生不利影响。
