沙特阿拉伯医科学生的职业倦怠及其与课外活动的关联。
Burnout and its association with extracurricular activities among medical students in Saudi Arabia.
作者信息
Almalki Sami A, Almojali Abdullah I, Alothman Ali S, Masuadi Emad M, Alaqeel Meshal K
机构信息
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Department of Medical Education, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
出版信息
Int J Med Educ. 2017 Apr 26;8:144-150. doi: 10.5116/ijme.58e3.ca8a.
OBJECTIVES
To assess levels of burnout in medical students, and to explore the influence of extracurricular activities on burnout at a medical school in Saudi Arabia.
METHODS
This cross-sectional study was conducted with first to fourth year medical students at King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) in Riyadh, Saudi Arabia. Socio-demographic, burnout level (the Maslach Burnout Inventory-Student Survey, MBI-SS) and participation in extracurricular activities data were collected using a self-administered questionnaire. Statistical analyses were performed using the Pearson's chi-square test and binary logistic regression.
RESULTS
From the 306 medical students approached, 249 (81.4%) completed the questionnaire. The level of high burnout was 67.1% (n=167). The study revealed that the majority (62.3%, n=155) of students had high levels of cynicism, 58.6% (n=146) had high levels of emotional exhaustion, and 60.2% (n=150) had low levels of professional efficacy. Most of the students (73.5%, n=183) participated in extracurricular activities, and 112 (45%) students were organizers of extracurricular activities. No significant association was found between burnout levels and the frequency of involvement in extracurricular activities (χ=2.2, df=2, p=0.333). However, students who were organizing extracurricular activities were less likely to have low professional efficacy (OR=0.51, 95% CI: 0.27- 0.96).
CONCLUSIONS
High levels of burnout were reported at this medical school. Although the burnout level is not significantly associated with the frequency of involvement in extracurricular activities, leading and organizing extracurricular activities might result in lower levels of burnout. Therefore, improving the students' leadership skills should be considered in curriculum planning, and greater emphasis should be placed on the quality of involvement in extracurricular activities rather than the quantity.
目的
评估医学生的倦怠水平，并探讨课外活动对沙特阿拉伯一所医学院校学生倦怠的影响。
方法
本横断面研究在沙特阿拉伯利雅得的沙特国王阿卜杜勒阿齐兹卫生科学大学（KSAU - HS）对一至四年级医学生开展。使用自填式问卷收集社会人口学信息、倦怠水平（马氏倦怠量表 - 学生版，MBI - SS）以及参与课外活动的数据。采用Pearson卡方检验和二元逻辑回归进行统计分析。
结果
在306名受访医学生中，249名（81.4%）完成了问卷。高倦怠水平者占67.1%（n = 167）。研究显示，大多数学生（62.3%，n = 155）玩世不恭程度高，58.6%（n = 146）情感耗竭程度高，60.2%（n = 150）职业效能感低。大多数学生（73.5%，n = 183）参与了课外活动，112名（45%）学生是课外活动组织者。倦怠水平与参与课外活动的频率之间未发现显著关联（χ = 2.2，自由度 = 2，p = 0.333）。然而，组织课外活动的学生职业效能感低的可能性较小（比值比 = 0.51，95%置信区间：0.27 - 0.96）。
结论
该医学院校报告了较高的倦怠水平。虽然倦怠水平与参与课外活动的频率无显著关联，但领导和组织课外活动可能会降低倦怠水平。因此，在课程规划中应考虑提高学生的领导能力，并且应更加强调参与课外活动的质量而非数量。
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