加拿大儿科住院医师及其项目主任的健康状况。
Wellness in Canadian paediatric residents and their program directors.
作者信息
Nolan Kathleen J, Writer Hilary, Ladhani Moyez
机构信息
Department of Pediatrics, McMaster University, Hamilton, Ontario.
Department of Pediatrics, Queen's University, Kingston, Ontario.
出版信息
Paediatr Child Health. 2017 Jul;22(4):199-202. doi: 10.1093/pch/pxx050. Epub 2017 May 5.
PURPOSE
This study aimed to explore the prevalence of and identify risk factors for depression and burnout in paediatric residents and paediatric program directors (PDs) in Canada.
METHODS
Residents and PDs completed separate anonymous online surveys consisting of demographic questions, the Maslach Burnout Inventory and the Patient Health Questionnaire-2, which screens for risk of depression.
RESULTS
A total of 166 paediatric residents completed the survey representing 14/17 Canadian paediatric residency programs. Participants were 74% female. Twenty-four (14%) were at risk of depression and 69 (42%) met criteria for burnout. Burnout was associated with year of residency (P=0.03), with third year residents at highest risk. Residents who reported unhelpful wellness curricula were at risk of burnout (81.3%) compared with those with no wellness curricula (51.1%) or curricula reported as helpful (29.1%, P=0.01). More than 79% of residents at risk of depression also met criteria for burnout (P=0.01). No associations were identified for risk of depression.Seventeen of 21 Canadian PDs completed the survey. No PDs were identified as at risk for depression. Five PDs (29%) met criteria for burnout.
CONCLUSIONS
Paediatric PDs in Canada have relatively low rates of burnout and depression. In contrast, a large number of Canadian paediatric residents met criteria for burnout. Residents in programs with wellness curricula described as helpful are at lowest risk of burnout. Future research should include identifying features that define helpful wellness curricula and exploring interventions to help residents at risk of burnout and depression.
目的
本研究旨在探讨加拿大儿科住院医师和儿科项目主任（PD）中抑郁症和职业倦怠的患病率，并确定其风险因素。
方法
住院医师和项目主任分别完成了匿名在线调查，内容包括人口统计学问题、马氏职业倦怠量表和患者健康问卷-2（用于筛查抑郁症风险）。
结果
共有166名儿科住院医师完成了调查，代表了加拿大17个儿科住院医师培训项目中的14个。参与者中74%为女性。24人（14%）有抑郁症风险，69人（42%）符合职业倦怠标准。职业倦怠与住院年限相关（P=0.03），三年级住院医师风险最高。报告健康促进课程无用的住院医师有职业倦怠风险（81.3%），而没有健康促进课程的住院医师这一比例为（51.1%），报告课程有用的住院医师这一比例为（29.1%，P=0.01）。超过79%有抑郁症风险的住院医师也符合职业倦怠标准（P=0.01）。未发现抑郁症风险的相关因素。21名加拿大项目主任中有17人完成了调查。未发现项目主任有抑郁症风险。5名项目主任（29%）符合职业倦怠标准。
结论
加拿大儿科项目主任的职业倦怠和抑郁症发生率相对较低。相比之下，大量加拿大儿科住院医师符合职业倦怠标准。在被描述为有用的健康促进课程项目中的住院医师职业倦怠风险最低。未来的研究应包括确定定义有用的健康促进课程的特征，并探索帮助有职业倦怠和抑郁症风险的住院医师的干预措施。
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