Huang Lei, Harsh Jennifer, Cui Haisong, Wu Jiaxin, Thai Jessica, Zhang Xu, Cheng Liming, Wu Wenyuan
Department of Psychiatry, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
Medical Education Division, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
Front Psychiatry. 2020 Feb 11;10:957. doi: 10.3389/fpsyt.2019.00957. eCollection 2019.
Burnout is highly prevalent among residents and is associated with negative outcomes for patients, organizations, and physicians. Balint groups have been shown to be an effective strategy to alleviate physicians' burnout. The purpose of this study was to examine the effectiveness and feasibility of Balint groups in preventing burnout among residents in training programs in China.
36 resident physicians in their first year of residency at a comprehensive hospital in China were randomly assigned to two groups. Physicians in the intervention group participated in 2 lectures and 10 Balint sessions for 6 months, while participants in the control group were placed on a waitlist for future Balint sessions. All 36 participants completed burnout and job satisfaction measures pre and post-intervention.
The mean burnout subscale scores for EE and DP decreased, and the scores for PA and job satisfaction increased after Balint group participation. However, paired t-test results revealed there were no statistically significant differences between pre and post-test scores for EE (t = -1.323, = 0.203), DP (t = -0.727, = 0.477), PA (t = 0.716, = 0.484, and job satisfaction (t = 0.282, = 0.781) for the intervention group. For the control group, the burnout subscale scores for EE (t = 2.312, = 0.034) and DP (t = 2.898, = 0.019) increased, and there were statistically significant differences between pre and post-test. PA (t = -0.717, = 0.483) and job satisfaction (t = -0.241, = 0.812) scores decreased although there were no significant differences seen between the pre and post-test. Independent t-test results demonstrated statistically significant differences in scores for EE (t = -2.662, = 0.013) and DP (t = -2.433, = 0.020) between intervention and control group. However, there were not statistically significant differences between groups for scores in PA (t = 1.013, = 0.318) and job satisfaction (t = 0.367, = 0.716). All 18 participants in the intervention group reported that Balint groups were helpful and that they would be willing to attend future sessions. Overall satisfaction with the Balint group program was over 80%.
Balint groups are an efficacious, feasible, standardized method of preventing resident burnout. Residents in China may benefit from Balint group implementation in residency training programs.
职业倦怠在住院医师中非常普遍，并且与对患者、机构和医生的负面结果相关。巴林特小组已被证明是缓解医生职业倦怠的有效策略。本研究的目的是检验巴林特小组在中国住院医师培训项目中预防职业倦怠的有效性和可行性。
在中国一家综合医院第一年参加住院医师培训的36名住院医师被随机分为两组。干预组的医生参加了为期6个月的2次讲座和10次巴林特小组会议，而对照组的参与者则被列入等待未来巴林特小组会议的名单。所有36名参与者在干预前后都完成了职业倦怠和工作满意度测量。
参加巴林特小组后，情感耗竭（EE）和去人格化（DP）的平均职业倦怠分量表得分下降，而个人成就感（PA）和工作满意度得分上升。然而，配对t检验结果显示，干预组EE（t = -1.323，P = 0.203）、DP（t = -0.727，P = 0.477）、PA（t = 0.716，P = 0.484）和工作满意度（t = 0.282，P = 0.781）的前后测得分之间没有统计学上的显著差异。对于对照组，EE（t = 2.312，P = 0.034）和DP（t = 2.898，P = 0.019）的职业倦怠分量表得分增加，前后测之间存在统计学上的显著差异。PA（t = -0.717，P = 0.483）和工作满意度（t = -0.241，P = 0.812）得分下降，尽管前后测之间没有显著差异。独立t检验结果显示，干预组和对照组在EE（t = -2.662，P = 0.013）和DP（t = -2.433，P = 0.020）得分上存在统计学上的显著差异。然而，两组在PA（t = 1.013，P = 0.318）和工作满意度（t = 0.367，P = 0.716）得分上没有统计学上的显著差异。干预组的所有18名参与者都报告说巴林特小组很有帮助，并且他们愿意参加未来的会议。对巴林特小组项目的总体满意度超过80%。
巴林特小组是预防住院医师职业倦怠的一种有效、可行、标准化的方法。中国的住院医师可能会从住院医师培训项目中实施巴林特小组中受益。
