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沙特阿拉伯麦地那家庭医学住院医师职业倦怠的患病率及相关因素

Prevalence and associated factors of burnout among family medicine residents in Al Madina, Saudi Arabia.

作者信息

Aldubai Sami A R, Aljohani Abdullah M, Alghamdi Abdulwahab G, Alghamdi Khalid S, Ganasegeran Kurubaran, Yenbaawi Ayman M

机构信息

Joint Program of Family Medicine Postgraduate Studies, Al Madina Almunawara, Saudi Arabia.

Saudi Board of Preventive Medicine, Ministry of Health, Al Madina Almunawara, Saudi Arabia.

出版信息

J Family Med Prim Care. 2019 Feb;8(2):657-662. doi: 10.4103/jfmpc.jfmpc_268_18.

Abstract

BACKGROUND AND AIM

Burnout is a common problem for interns and residents. It has been associated with physical and mental health of health care providers as well as low job satisfaction and medical errors. Few studies have investigated this problem among residents. This study aimed to determine the prevalence of burnout and its associated factors among family residents in Al Madina city, Saudi Arabia.

MATERIALS AND METHODS

This cross-sectional study was conducted among 75 residents in the family medicine residency programs in Al Madina, Saudi Arabia. A self-administered questionnaire was used that includes questions on sociodemographic characteristics and sources of stress and burnout. test, analysis of variance (ANOVA) test, and multiple linear regression analysis were employed.

RESULTS

Majority were female (54.7%) and aged 26 to 30 years (84.0%). The significant predictors of burnout in the final model were "tests/examinations" ( = 0.014), "large amount of content to be learnt" ( = 0.016), "unfair assessment from superiors" ( = 0.001), "work demands affect personal/home life" ( = 0.001), and "lack of support from superiors" ( = 0.006).

CONCLUSION

Burnout is present among family medicine residents at a relatively high percentage. This situation is strongly triggered by work-related stressors, organizational attributes, and system-related attributes, but not socio-demographics of the respondents. Systemic changes to relieve the workload of family medicine residents are recommended to promote effective management of burnout.

摘要

背景与目的

职业倦怠是实习生和住院医师面临的常见问题。它与医疗服务提供者的身心健康、低工作满意度以及医疗差错有关。很少有研究调查住院医师中的这一问题。本研究旨在确定沙特阿拉伯麦地那市家庭医学住院医师中职业倦怠的患病率及其相关因素。

材料与方法

本横断面研究在沙特阿拉伯麦地那家庭医学住院医师培训项目的75名住院医师中进行。使用了一份自填式问卷,其中包括关于社会人口学特征以及压力和职业倦怠来源的问题。采用t检验、方差分析(ANOVA)以及多元线性回归分析。

结果

大多数为女性(54.7%),年龄在26至30岁之间(84.0%)。最终模型中职业倦怠的显著预测因素为“考试”(P = 0.014)、“大量需要学习的内容”(P = 0.016)、 “上级的不公平评估”(P = 0.001)、“工作需求影响个人/家庭生活”(P = 0.001)以及“缺乏上级支持”(P = 0.006)。

结论

家庭医学住院医师中存在较高比例的职业倦怠。这种情况主要由与工作相关的压力源、组织属性和系统相关属性引发,而非受访者的社会人口学特征。建议进行系统性变革以减轻家庭医学住院医师的工作量,从而有效管理职业倦怠。

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