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印度南部一所私立医学院学生的职业倦怠与应对策略:一项横断面研究。

Burnout and coping strategies among residents of a private medical college in South India: A cross-sectional study.

作者信息

Sreelatha P, Premlal Liji, Ryali V S S R

机构信息

PES Institute of Medical Sciences and Research, Kuppam, Andhra Pradesh, India.

出版信息

Ind Psychiatry J. 2018 Jul-Dec;27(2):213-218. doi: 10.4103/ipj.ipj_53_18.

Abstract

BACKGROUND

Burnout is evident in various professions increasingly so in the health-care field, where doctors are involved with direct interactions with dependent patients. Burnout is evident even in residents due to working in demanding and testing conditions which has a negative influence not only on their profession, but also patient care.

AIMS

(1) To measure the levels of burnout among the residents and (2) to assess the relationship between severity of burnout and coping strategies.

SETTINGS AND DESIGN

It is cross-sectional observational study set in a private medical college with residency program.

MATERIALS AND METHODS

Online self-administered questionnaire was sent to all residents, out of these, 100 residents consented and completely filled the questionnaires and were included in the analysis with a response rate of 55.6%. The questionnaire consisted of sociodemographic variables, Maslach Burnout Inventory, and Brief COPE.

RESULTS

Residents who reported burnout as high in two dimensions of emotional exhaustion and depersonalization are 31.82%. The 2 year residents scored high on burnout measures when compared to 1 and 3 year residents. It was observed that as the degree of emotional exhaustion and depersonalization increased from low to high, the frequency of the maladaptive coping strategies also increased.

CONCLUSION

Based on these findings it can be concluded that burnout is frequent in residents. Further research is essential to identify the factors that contribute to burnout in residents.

摘要

背景

职业倦怠在各种职业中都很明显,在医疗保健领域更是如此,因为医生需要与依赖他们的患者进行直接互动。由于工作条件苛刻且具有挑战性,住院医师中也存在职业倦怠现象,这不仅对他们的职业产生负面影响,也对患者护理产生负面影响。

目的

(1)测量住院医师的职业倦怠水平;(2)评估职业倦怠严重程度与应对策略之间的关系。

设置与设计

这是一项在一所设有住院医师培训项目的私立医学院进行的横断面观察性研究。

材料与方法

向所有住院医师发送了在线自填问卷,其中100名住院医师同意并完整填写了问卷,纳入分析,回复率为55.6%。问卷包括社会人口统计学变量、马氏职业倦怠量表和简易应对方式问卷。

结果

在情感衰竭和去人格化这两个维度上报告职业倦怠程度高的住院医师占31.82%。与1年和3年住院医师相比,2年住院医师在职业倦怠测量方面得分较高。研究发现,随着情感衰竭和去人格化程度从低到高增加,适应不良应对策略的频率也增加。

结论

基于这些发现,可以得出结论,住院医师中职业倦怠现象很常见。进一步的研究对于确定导致住院医师职业倦怠的因素至关重要。

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