法国消化外科住院医师职业倦怠的相关因素：一项针对328名住院医师和研究员的全国性调查结果
Factors associated With burnout among French digestive surgeons in training: results of a national survey on 328 residents and fellows.
作者信息
Chati Rachid, Huet Emmanuel, Grimberg Lucie, Schwarz Lilian, Tuech Jean-Jacques, Bridoux Valérie
机构信息
Department of Digestive Surgery, Rouen University Hospital, 76031 Rouen Cedex, France.
Department of Digestive Surgery, Rouen University Hospital, 76031 Rouen Cedex, France.
出版信息
Am J Surg. 2017 Apr;213(4):754-762. doi: 10.1016/j.amjsurg.2016.08.003. Epub 2016 Aug 31.
BACKGROUND
Digestive surgery training is notoriously difficult and medical students choose this path less and less often leading to a veritable demographic crisis for this specialty in France. The aim of this study was to evaluate the working conditions to measure the prevalence of burnout syndrome (BOS) and to identify potential risk factors to implement preventive measures and appropriate support.
METHODS
This was a multicenter, cross-sectional study. An anonymous questionnaire was sent by e-mail to 500 French digestive surgeons in training (residents and fellows).
RESULTS
The response rate was 65.6%. The mean working week was 75.7 hours (±12) and the mean number of night shifts was 5.3 (±1.6)/month. Sixty-seven percent of respondents had trouble sleeping and 12% reported suicidal thoughts. High-emotional exhaustion, depersonalization, and personal accomplishment low scores were observed respectively in 24.7%, 44.6%, and 47%, corresponding to a high score of BOS in 52%.
CONCLUSIONS
This study showed a high rate of BOS in French digestive surgeons in training and a worrying rate of suicide ideation.
背景
消化外科培训难度极高，医学生选择这条道路的频率越来越低，这在法国导致该专业出现了名副其实的人口危机。本研究旨在评估工作条件，以衡量职业倦怠综合征（BOS）的患病率，并识别潜在风险因素，以便实施预防措施和提供适当支持。
方法
这是一项多中心横断面研究。通过电子邮件向500名法国消化外科住院医师（住院医生和研究员）发送了一份匿名问卷。
结果
回复率为65.6%。平均工作周时长为75.7小时（±12），平均每月夜班次数为5.3次（±1.6）。67%的受访者存在睡眠问题，12%报告有自杀念头。分别有24.7%、44.6%和47%的人出现高情感耗竭、去人格化和低个人成就感，52%的人BOS得分较高。
结论
本研究表明，法国消化外科住院医师中BOS发生率很高，自杀意念发生率令人担忧。
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