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外科住院医师和非外科住院医师之间的倦怠和心理困扰。

Burnout and psychological distress between surgical and non-surgical residents.

机构信息

Department of Medical and Surgical Sciences-DIMEC, S.Orsola-Malpighi Hospital, Alma Mater Studiorum-University of Bologna, Bologna, Italy.

Department of Experimental, Diagnostic and Specialty Medicine-DIMES, Alma Mater Studiorum-University of Bologna, Bologna, Italy.

出版信息

Updates Surg. 2019 Jun;71(2):323-330. doi: 10.1007/s13304-019-00653-0. Epub 2019 Apr 2.

Abstract

Surgical training is considered to be very stressful among residents and medical students choose less often surgery for their career. Our aim was to assess the prevalence of burnout and psychological distress in residents attending surgical specialties (SS) compared to non-surgical specialties (NSS). Residents from the University of Bologna were asked to participate in an anonymous online survey. The residents completed a set of questions regarding their training schedule and three standardized questionnaires: (1) the Maslach Burnout Inventory, assessing the three dimensions of burnout: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA); (2) the Zung Self-Rating Depression Scale; (3) the Psychosomatic Problems Scale. One-hundred and ninety residents completed the survey. Overall, the prevalence of burnout was 73% in the SS group and 56.3% in the NSS group (P = 0.026). More specifically, SS reported higher levels of EE and DP compared to NSS. No significant differences between SS and NSS emerged for PA, depression, or somatic problems. The present findings indicate that burnout is more prevalent in surgical residents than in residents attending non-surgical specialties. ClinicalTrials.gov identifier: NCT03668080.

摘要

外科培训被认为是住院医师非常紧张的,医学生选择手术作为职业的频率较低。我们的目的是评估与非外科专业(NSS)相比,外科专业(SS)住院医师的倦怠和心理困扰的发生率。博洛尼亚大学的住院医师被要求参与一项匿名在线调查。住院医师填写了一份关于其培训计划的问题集和三份标准化问卷:(1)马斯拉赫倦怠量表,评估倦怠的三个维度:情绪衰竭(EE)、去人性化(DP)和个人成就感(PA);(2)宗氏自评抑郁量表;(3)身心问题量表。共有 190 名住院医师完成了调查。总的来说,SS 组的倦怠发生率为 73%,NSS 组为 56.3%(P=0.026)。更具体地说,SS 组报告的 EE 和 DP 水平高于 NSS 组。SS 和 NSS 组在 PA、抑郁或躯体问题方面没有显著差异。目前的研究结果表明,外科住院医师的倦怠比非外科专业的住院医师更为普遍。临床试验注册号:NCT03668080。

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