Grover Sandeep, Sahoo Swapnajeet, Bhalla Ashish, Avasthi Ajit
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Psychiatry. 2018 Apr-Jun;60(2):175-188. doi: 10.4103/psychiatry.IndianJPsychiatry_254_17.
There is a growing evidence of increased prevalence of psychological problems (stress, depression, anxiety, and substance abuse) and feelings of burnout among medical professionals all over the world and this has been shown to be associated with lapses in patient care. Data from India in this regard are limited.
To assess the various psychological problems (depression, perceived stress, and burnout) among medical professionals working in a government-funded tertiary care institute of India.
An online e-mail survey was carried out among resident doctors and faculty members (a total of 1721 doctors). A total of 445 doctors (response rate-27.69%) responded to the survey. The survey included Patient Health Questionnaire-9 (PHQ-9), Cohen's Perceived Stress Scale, and Maslach Burnout Inventory.
Of the eligible 1607 participants, 445 responders, 376 (77.75%) were resident doctors and 69 (15.5%) were faculty. As per the PHQ-9, 30.1% of participants were found to have depression and 16.7% of participants reported suicidal ideations. About two-thirds of the sample experienced moderate level of stress (67.2%) and another 13% of participants reported high level of stress. More than 90% of the participants reported some level of burnout. Compared to faculty, higher proportion of the residents reported stress, depression, and burnout. Presence of depression, stress, or burnout was associated with lower indulgence in recreational activities, experiencing verbal or physical abuse in the hand of patients/caregivers, feelings that seniors do not show empathy toward patients, and seniors do not show empathy toward them.
The present study suggests that a significantly higher proportion of doctors in Indian setting experience stress, depression, and burnout. The presence of stress, depression, and burnout is associated with long working hours and negative patient-related outcomes, adverse doctor-patient interactions, and interpersonal interactions among the colleagues.
全球范围内，越来越多的证据表明医学专业人员出现心理问题（压力、抑郁、焦虑和药物滥用）以及职业倦怠感的患病率在上升，并且这已被证明与患者护理失误有关。印度在这方面的数据有限。
评估在印度一家政府资助的三级医疗机构工作的医学专业人员中存在的各种心理问题（抑郁、感知压力和职业倦怠）。
对住院医生和教职员工（共1721名医生）进行了在线电子邮件调查。共有445名医生（回复率 - 27.69%）回复了调查。该调查包括患者健康问卷 - 9（PHQ - 9）、科恩感知压力量表和马氏职业倦怠量表。
在符合条件的1607名参与者中，445名回复者中，376名（77.75%）是住院医生，69名（15.5%）是教职员工。根据PHQ - 9，发现30.1%的参与者患有抑郁症，16.7%的参与者报告有自杀意念。约三分之二的样本经历中度压力水平（67.2%），另有13%的参与者报告有高度压力。超过90%的参与者报告有一定程度的职业倦怠。与教职员工相比，住院医生中报告有压力、抑郁和职业倦怠的比例更高。抑郁、压力或职业倦怠的存在与较少参与娱乐活动、在患者/照顾者手中遭受言语或身体虐待、感觉上级对患者缺乏同理心以及上级对他们缺乏同理心有关。
本研究表明，在印度环境中，相当高比例的医生经历压力、抑郁和职业倦怠。压力、抑郁和职业倦怠的存在与长时间工作以及与患者相关的负面结果、不良医患互动和同事间的人际互动有关。
