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客观测量的活动、睡眠、值班职责与住院医师人群 burnout 之间的关联。

The association between objectively-measured activity, sleep, call responsibilities, and burnout in a resident cohort.

机构信息

Department of Surgery, Hennepin Healthcare, 701 Park Ave Minneapolis, Hennepin, MN, 55415, USA.

Chronic Disease Research Group, Minneapolis Medical Research Foundation, Minneapolis, MN, USA.

出版信息

BMC Med Educ. 2019 May 21;19(1):158. doi: 10.1186/s12909-019-1592-0.

Abstract

BACKGROUND

When compared to the general US working population, physicians are more likely to experience burnout and dissatisfaction with work-life balance. Our aim was to examine the association of objectively-measured sleep, activity, call load, and gender with reported resident burnout and wellness factors.

METHODS

Residents were recruited to wear activity tracker bands and complete interval blinded surveys.

RESULTS

Of the 30 residents recruited, 28 (93%) completed the study. Based on survey results, residents who reported high amounts of call reported equivalent levels of wellness factors to those who reported low call loads. There was no association between amount of call on training satisfaction, emotional exhaustion, self-reported burnout, or sleep quality. Analysis of sleep tracker data showed that there was no significant association with time in bed, time asleep, times awakened or sleep latency and call load or self-reported burnout. Female gender, however, was found to be associated with self-reported burnout. No significant associations were found between objectively-measured activity and burnout.

CONCLUSIONS

Based on the results of our study, there was no association with burnout and objectively-measured sleep, call volume, or activity. Increased call demands had no negative association with training satisfaction or professional fulfillment. This would suggest that more hours worked does not necessarily equate to increased burnout.

摘要

背景

与普通美国劳动人口相比,医生更有可能经历职业倦怠和工作与生活平衡的不满。我们的目的是研究客观测量的睡眠、活动、呼叫量和性别与报告的居民倦怠和健康因素之间的关联。

方法

招募居民佩戴活动追踪带并完成间隔盲法调查。

结果

在招募的 30 名居民中,有 28 名(93%)完成了这项研究。根据调查结果,报告大量呼叫的居民与报告低呼叫量的居民的健康因素水平相当。呼叫量与培训满意度、情绪耗竭、自我报告的倦怠或睡眠质量之间没有关联。对睡眠跟踪器数据的分析表明,睡眠时间、入睡时间、醒来次数或睡眠潜伏期与呼叫量或自我报告的倦怠之间没有显著关联。然而,女性性别与自我报告的倦怠有关。客观测量的活动与倦怠之间没有显著关联。

结论

根据我们研究的结果,与倦怠以及客观测量的睡眠、呼叫量或活动之间没有关联。呼叫需求的增加与培训满意度或专业满意度没有负面关联。这表明,工作时间的增加并不一定等同于倦怠的增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd89/6528316/5d1283714e48/12909_2019_1592_Fig1_HTML.jpg

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