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夹心一代中的移植外科医生职业倦怠与婚姻困扰:呼吁在家庭生活中提供组织支持

Transplant Surgeon Burnout and Marital Distress in the Sandwich Generation: The Call for Organizational Support in Family Life.

作者信息

Jesse M T, Shkokani L, Eshelman A, De Reyck C, Abouljoud M, Lerut J

机构信息

Transplant Institute, Henry Ford Health System, Detroit, MI, United States; Consultation-Liaison Psychiatry, Behavioral Health, Henry Ford Health System, Detroit, MI, United States; Center for Health Policy & Health Services Research, Henry Ford Health System, Detroit, MI, United States.

Transplant Institute, Henry Ford Health System, Detroit, MI, United States.

出版信息

Transplant Proc. 2018 Dec;50(10):2899-2904. doi: 10.1016/j.transproceed.2018.01.053. Epub 2018 Mar 9.

Abstract

UNLABELLED

Burnout (emotional exhaustion, depersonalization, and low personal accomplishment) is the enervation an individual experiences from a chronically taxing work environment. Little research has examined the demands of the sandwich generation (both children and older adults in the home) on burnout and marital satisfaction.

METHODS

This is a cross-sectional survey of American and European transplant surgeons on the effects of sandwich generation-related demands on burnout and marital satisfaction, covarying for transplant surgeon age.

RESULTS

A total of 286 married or partnered transplant surgeons were included. Presence (vs absence) of children in the home did not impact burnout, but those with children who reported difficulties with flexible childcare reported greater emotional exhaustion (P = .03) and depersonalization (P = .02) than those without difficulties. A total of 38.5% of married transplant surgeons reported marital distress. European transplant surgeons reported lower marital satisfaction than those from the United States (P < .01). Having an older adult in the home may also negatively impact transplant surgeons' marital satisfaction (P = .048).

DISCUSSION

As health care organizations move forward with programs aimed at creating a sustainable workforce, providing professional environments supportive of important family-related demands is imperative.

摘要

未标注

职业倦怠(情绪耗竭、去个性化和低个人成就感)是个体在长期繁重的工作环境中所经历的精力耗尽。很少有研究探讨夹心一代(家中既有孩子又有老年人)的需求对职业倦怠和婚姻满意度的影响。

方法

这是一项针对美国和欧洲移植外科医生的横断面调查,研究夹心一代相关需求对职业倦怠和婚姻满意度的影响,并将移植外科医生的年龄作为协变量。

结果

共纳入286名已婚或有伴侣的移植外科医生。家中有孩子(与没有孩子相比)并不会影响职业倦怠,但那些孩子存在灵活照顾困难的医生比没有困难的医生报告了更高的情绪耗竭(P = 0.03)和去个性化(P = 0.02)。共有38.5%的已婚移植外科医生报告有婚姻困扰。欧洲移植外科医生报告的婚姻满意度低于美国医生(P < 0.01)。家中有老年人也可能对移植外科医生的婚姻满意度产生负面影响(P = 0.048)。

讨论

随着医疗保健组织推进旨在打造可持续劳动力的项目,提供支持重要家庭相关需求的专业环境势在必行。

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