Axisa Carmen, Nash Louise, Kelly Patrick, Willcock Simon
Lecturer, Faculty of Health, University of Technology Sydney, Sydney, NSW, and; PhD Candidate, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia.
Associate Professor and Associate Director Teaching and Learning, Brain and Mind Centre, The University of Sydney, NSW, and; Sydney Local Health District, Sydney, NSW, Australia.
Australas Psychiatry. 2019 Jun;27(3):255-261. doi: 10.1177/1039856219833793. Epub 2019 Mar 11.
To evaluate the effectiveness of a workshop intervention to promote wellbeing for Australian physician trainees using a randomized-controlled design.
Participants were randomly assigned into intervention and control groups. The intervention group attended a half-day workshop. Outcome measures included depression anxiety stress scale, professional quality of life scale and alcohol use disorders identification test. Demographic and work/life factors were measured. Measurements were recorded at baseline, 3 and 6 months, and the workshop was evaluated by participants.
High rates of burnout (76%) and secondary traumatic stress (91%) were detected among study participants and around half met screening criteria for depression (52%), anxiety (46%) and stress (50%) at baseline. Workshop evaluations showed that participants agreed that the training was relevant to their needs (96%) and met their expectations (92%). There was a small reduction in alcohol use, depression and burnout in the intervention group compared with the control group at 6 months, but these changes did not reach statistical significance.
High rates of psychological morbidity detected in the study suggest that physician trainees are a vulnerable group who may benefit from initiatives that promote wellbeing and changes in the workplace to reduce distress.
采用随机对照设计评估一个工作坊干预措施对促进澳大利亚实习医生健康状况的有效性。
参与者被随机分为干预组和对照组。干预组参加了一个为期半天的工作坊。结果测量指标包括抑郁焦虑压力量表、职业生活质量量表和酒精使用障碍识别测试。收集了人口统计学和工作/生活因素数据。在基线、3个月和6个月时进行测量，并让参与者对工作坊进行评价。
研究参与者中倦怠率（76%）和继发性创伤压力发生率（91%）较高，基线时约半数符合抑郁（52%）、焦虑（46%）和压力（50%）的筛查标准。工作坊评价显示，参与者认为培训与他们的需求相关（96%）且符合他们的期望（92%）。与对照组相比，干预组在6个月时酒精使用、抑郁和倦怠情况有小幅改善，但这些变化未达到统计学显著性。
研究中检测到的高心理发病率表明，实习医生是一个弱势群体，可能会从促进健康和改变工作场所以减轻痛苦的举措中受益。
