Gandhi K, Sahni N, Padhy S K, Mathew P J
Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India.
Department of Psychiatry, PGIMER, Chandigarh, India.
J Postgrad Med. 2018 Jul-Sep;64(3):145-149. doi: 10.4103/jpgm.JPGM_81_17.
The residents undergoing training at hospitals in our country face challenges in terms of infrastructure and high workload with undefined working hours. The aim of the study was to compare the stress and burnout levels in trainee doctors doing residency in surgical fields and anesthesia at a tertiary care academic center in North India.
A comparative, observational study was conducted in a tertiary care teaching hospital in North India. After Ethics Committee approval, 200 residents (100 each from surgical branches and anesthesia) were required to fill a questionnaire with information about age, sex, year of residency, marital status, and the Perceived Stress Scale-10, and Burnout Clinical Subtype Questionnaire-12. Burnout and perceived stress were compared between residents of anesthesia and surgical specialties.
Residents of both surgical and anesthesia branches scored high in perceived stress, namely 21 and 18, respectively. The score was significantly higher in surgical residents (P = 0.03) and increased progressively with the year of residency. The majority of residents (90% surgical, 80% anesthesia) felt that they were being overloaded with work. However, only 20%-30% of respondents felt that there was lack of development of individual skills and still fewer (<10%) reported giving up in view of difficulties.
There is high level of stress and overload dimension of burnout among the residents of anesthesia and surgical branches at our tertiary care academic institution and the surgical residents score marginally higher than anesthesia residents.
我国医院的住院医师培训面临基础设施和高工作量以及工作时间不明确等挑战。本研究的目的是比较印度北部一家三级医疗学术中心从事外科领域和麻醉专业住院医师培训的医生的压力和倦怠水平。
在印度北部一家三级医疗教学医院进行了一项比较性观察研究。经伦理委员会批准,200名住院医师(外科分支和麻醉专业各100名)被要求填写一份问卷,内容包括年龄、性别、住院年份、婚姻状况、感知压力量表-10和倦怠临床亚型问卷-12。比较麻醉和外科专业住院医师的倦怠和感知压力情况。
外科和麻醉专业的住院医师感知压力得分都很高,分别为21分和18分。外科住院医师的得分显著更高(P = 0.03),且随住院年份逐渐增加。大多数住院医师(外科90%,麻醉80%)觉得自己工作负担过重。然而,只有20%-30%的受访者觉得个人技能缺乏发展,鉴于困难而放弃的报告更少(<10%)。
在我们的三级医疗学术机构中,麻醉和外科分支的住院医师存在高水平的压力和倦怠的超负荷维度,外科住院医师的得分略高于麻醉住院医师。