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住院医师培训期间的职业倦怠综合征

Burnout Syndrome During Residency.

作者信息

Turgut Namigar, Karacalar Serap, Polat Cengiz, Kıran Özlem, Gültop Fethi, Kalyon Seray Türkmen, Sinoğlu Betül, Zincirci Mehmet, Kaya Ender

机构信息

Clinic of Anaesthesiology and Reanimation, Ministry of Health Okmeydanı Training and Research Hospital, İstanbul, Turkey.

Clinic of Psychiatry, Ministry of Health Okmeydanı Training and Research Hospital, İstanbul, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2016 Oct;44(5):258-264. doi: 10.5152/TJAR.2016.28000. Epub 2016 Oct 1.

Abstract

OBJECTIVE

The aim of this study is identified the degree of Burnout Syndrome (BOS) and find out its correlation with years of recidency and sociodemograpfic chareacteristics, training, sleeping habits, such as smoking and alcohol consumption.

METHODS

After approval from the Hospital Ethics Committee and obtaining informed consent, First, second, third, fourth and fifth year of recidency staff (n=127) working in our hospital were involved in this study. The standardized Maslach Burnout Inventory (MBI) was used in this study.

RESULTS

Fifty six male (44.1%) and seventy one female (55.9%) residents were enroled in this study (Coranbach Alfa(α)=0.873). 57% of the first year residents smokes cigaret and 54% of them use alcohol. 2% of them gets one day off after hospital night shift, 61% of them suffers from disturbed sleep. 60% of them had been stated that they willingly selected their profession. 61% of them prefers talking to friends and 32% of them prefers shopping to overcome stress. There were statistical difference acording to years of recidency in MBI, Emotional Burnout (EB) and desensitisation scale (DS) points. EB scale points of the second year of residency group was statisticaly higher than fourth year of residency group. DS points of second year of residency group was also statisticaly higher than the third and fourth year of residency group. There was no statistical difference between any groups in Personal Success.

CONCLUSION

BOS is a frequent problem during residency in anaesthesia. Appropriate definition and awareness are the first important steps to prevent this syndrome. Further administrative approaches should be evaluated with regard to their effects.

摘要

目的

本研究旨在确定职业倦怠综合征(BOS)的程度,并找出其与住院医师年限、社会人口学特征、培训、睡眠习惯(如吸烟和饮酒)之间的相关性。

方法

经医院伦理委员会批准并获得知情同意后,本研究纳入了我院工作的住院医师第一年、第二年、第三年、第四年和第五年的工作人员(n = 127)。本研究使用了标准化的马氏职业倦怠量表(MBI)。

结果

本研究纳入了56名男性(44.1%)和71名女性(55.9%)住院医师(科隆巴赫阿尔法系数(α)= 0.873)。第一年住院医师中有57%吸烟,54%饮酒。其中2%的人在医院值夜班后能休息一天,61%的人睡眠受到干扰。其中60%的人表示他们是自愿选择自己的职业。61%的人更喜欢与朋友交谈,32%的人更喜欢通过购物来缓解压力。在MBI、情感倦怠(EB)和脱敏量表(DS)得分方面,根据住院医师年限存在统计学差异。住院医师第二年组的EB量表得分在统计学上高于第四年组。住院医师第二年组的DS得分在统计学上也高于第三年和第四年组。在个人成就感方面,各组之间没有统计学差异。

结论

BOS是麻醉住院医师培训期间常见的问题。正确的定义和认识是预防该综合征的首要重要步骤。应评估进一步的管理方法及其效果。

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