Ratnakaran B, Prabhakaran A, Karunakaran V
Department of Psychiatry, Government Medical College, Thiruvananthapuram, Kerala, India.
J Postgrad Med. 2016 Jul-Sep;62(3):157-61. doi: 10.4103/0022-3859.184274.
Residents work in emotionally demanding environments with multiple stressors. The risk for burnout is high in them and it has significant negative consequences for their career. Burnout is also associated with consequences in terms of physical and mental health including insomnia, cardiovascular disease, depression and suicidal ideation. Thus, the study aimed to study the prevalence of burn out and its correlates among interns and residents at Government Medical College, Thiruvananthapuram, Kerala, India.
Cross Sectional Study at Government Medical College, Thiruvananthapuram, Kerala, India.
It was a cross Sectional study of 558 interns and residents of Government Medical College, Thiruvananthapuram, Kerala, India. Data was collected which included the Copenhagen Burnout Inventory [CBI]which assesses burnout in the dimensions of Personal burnout, Work burnout and Patient related burnout, with a cut off score of 50 for each dimension. Age, sex, year of study, department the resident belonged to, or an intern, junior resident or a super speciality senior resident (resident doing super speciality course after their post graduate masters degree) were the correlates assessed.
Univariate analysis.
More than one third of the participants were found to have burnout in one or another dimension of the CBI. Burnout was found to be the highest among the interns in the domains of personal burnout (64.05 %) and patient related burnout (68.62 %) and in junior residents for work related burnout (40%). Super specialty senior residents had the least prevalence of burnout in all three dimensions. Among the residents, Non Medical/Non Surgical residents had the least prevalence of burnout in all three dimensions, whereas surgical speciality residents had the highest of personal burnout (57.92 %) and Medical speciality residents had the highest patient related burnout (27.13%). Both medical and surgical specialty residents had equal prevalence of work burnout. The study also showed that as the number of years of residency increased, the burnout also increased in all three dimensions. A between gender difference in burnout was not noticed in our study.
Burnout was found to be present in a large number of residents in our study. Nationwide studies and assessment of more correlates will be needed to understand this phenomenon and also for formulating measures for preventing and managing it.
住院医师在情绪要求高且存在多种压力源的环境中工作。他们出现职业倦怠的风险很高，这对其职业生涯有重大负面影响。职业倦怠还与身心健康方面的后果相关，包括失眠、心血管疾病、抑郁和自杀念头。因此，本研究旨在调查印度喀拉拉邦特里凡得琅政府医学院实习医生和住院医师的职业倦怠患病率及其相关因素。
在印度喀拉拉邦特里凡得琅政府医学院进行的横断面研究。
对印度喀拉拉邦特里凡得琅政府医学院的558名实习医生和住院医师进行横断面研究。收集的数据包括哥本哈根职业倦怠量表（CBI），该量表从个人倦怠、工作倦怠和与患者相关的倦怠三个维度评估职业倦怠，每个维度的临界值为50分。评估的相关因素包括年龄、性别、学习年份、住院医师所属科室（或实习医生、初级住院医师或超级专科高级住院医师，即完成研究生硕士学位后攻读超级专科课程的住院医师）。
单因素分析。
超过三分之一的参与者在CBI的一个或多个维度上存在职业倦怠。在个人倦怠（64.05%）和与患者相关的倦怠（68.62%）方面，实习医生中的职业倦怠率最高；在工作相关倦怠方面，初级住院医师的职业倦怠率最高（40%）。超级专科高级住院医师在所有三个维度上的职业倦怠患病率最低。在住院医师中，非医学/非外科住院医师在所有三个维度上的职业倦怠患病率最低，而外科专科住院医师的个人倦怠率最高（57.92%），医学专科住院医师的与患者相关的倦怠率最高（27.13%）。医学和外科专科住院医师的工作倦怠患病率相同。研究还表明，随着住院年限的增加，所有三个维度的职业倦怠率也会增加。在我们的研究中未发现职业倦怠存在性别差异。
在我们的研究中发现大量住院医师存在职业倦怠。需要进行全国性研究并评估更多相关因素，以了解这一现象，并制定预防和管理措施。
