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低收入和中等收入国家外科住院医师的职业倦怠——我们有何不同?

Burnout among surgical residents in a lower-middle income country - Are we any different?

作者信息

Malik Awais Amjad, Bhatti Samiullah, Shafiq Abubakar, Khan Romaisa Shamim, Butt Usman Ismat, Bilal Syed Muhammad, Khan Huma Sabir, Kashif Malik Muhammad, Ayyaz Mahmood

机构信息

Department of Surgery, Services Hospital, Jail Road, Lahore, Pakistan.

出版信息

Ann Med Surg (Lond). 2016 Jun 11;9:28-32. doi: 10.1016/j.amsu.2016.05.012. eCollection 2016 Aug.

DOI:10.1016/j.amsu.2016.05.012
PMID:27358730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4917488/
Abstract

OBJECTIVE

To assess the presence of burnout among surgical residents working at various public sector hospitals in Pakistan.

DESIGN

A survey based on MBI was used to assess the presence of burnout. Residents were grouped into Group A (Burn out) or Group B (No burn out). Pearson Test was used to see any correlation between different variables and burn out. A p value of <0.05 was taken as significant.

SETTING/PARTICIPANTS: A cross sectional survey of all the surgical residents at various public sector hospitals in Lahore was done.

RESULTS

A total of 133 residents responded to our questionnaire. 74% respondents were male and 26% were female. All residents showed a very high level of burnout. 50.4% residents had high levels of burn out on the EE category, 49.6% in the DP category and 53.4% residents had low levels on the PA scale. When assessed for overall burn out 57.9% residents had overall burnout. Males were more prone to develop burnout. Job dissatisfaction was the most prevalent reason for burn out. Owning a smartphone was significantly associated with development of burnout. Awareness regarding the burnout syndrome and having children were two factors which had a protective effect against burnout syndrome. Marriage, working hours, financial conditions, smoking and consumption of coffee/tea had no effect on development of burnout syndrome.

CONCLUSION

There is high prevalence of burnout among the surgical residents in our hospitals. Unsatisfactory training is the number one reason for development of this syndrome.

摘要

目的

评估在巴基斯坦各公立医院工作的外科住院医师职业倦怠情况。

设计

采用基于职业倦怠量表(MBI)的调查来评估职业倦怠情况。住院医师被分为A组(倦怠)或B组(无倦怠)。使用皮尔逊检验来观察不同变量与倦怠之间的相关性。p值<0.05被视为具有显著性。

地点/参与者:对拉合尔各公立医院的所有外科住院医师进行了横断面调查。

结果

共有133名住院医师回复了我们的问卷。74%的受访者为男性,26%为女性。所有住院医师均表现出非常高的职业倦怠水平。在情感耗竭(EE)类别中,50.4%的住院医师有高水平的倦怠,去个性化(DP)类别中为49.6%,在个人成就感(PA)量表上53.4%的住院医师得分较低。在评估总体倦怠时,57.9%的住院医师存在总体倦怠。男性更容易出现职业倦怠。工作不满意是职业倦怠最普遍的原因。拥有智能手机与职业倦怠的发生显著相关。对职业倦怠综合征的认知以及有孩子是对职业倦怠综合征有保护作用的两个因素。婚姻、工作时长、经济状况、吸烟和饮用咖啡/茶对职业倦怠综合征的发生没有影响。

结论

我们医院的外科住院医师中职业倦怠的患病率很高。培训不满意是该综合征发生的首要原因。

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