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美国一所医学院的一年级医学生 burnout 及其应对策略。

First Year Burnout and Coping in One US Medical School.

机构信息

Florida International University, Miami, FL, USA.

出版信息

Acad Psychiatry. 2020 Aug;44(4):394-398. doi: 10.1007/s40596-020-01198-w. Epub 2020 Mar 4.

DOI:10.1007/s40596-020-01198-w
PMID:32130687
Abstract

OBJECTIVE

Physician burnout is increasingly recognized as important for patient safety and physician wellness. Though several studies have examined burnout among medical students, few studies have examined the relationships between coping strategies and burnout. We hoped to preliminarily examine these relationships among first year medical students.

METHODS

This cross-sectional study administered to first year medical students uses validated psychologic assessment tools including the COPE inventory and the MIB-HS inventory to assess correlations between the results. Standard correlational statistic methods were used to analyze the data in reaching our conclusions.

RESULTS

A total of 167 students participated, including 53% females. The adaptive coping strategy of planning was significantly associated with decreased levels of emotional exhaustion and a preserved sense of personal accomplishment on the burnout assessment survey. Additionally, the adaptive coping strategy of positive reinterpretation/growth was also significantly associated with preservation of the sense of personal accomplishment.

CONCLUSION

These results highlight the benefit of using adaptive coping strategies to prevent burnout. These data emphasize the importance of providing students programming during early medical training that encourages students to develop and enhance these strategies to promote wellness while in training and beyond.

摘要

目的

医生倦怠日益受到重视,因为它不仅关乎患者安全,也关乎医生的健康。尽管有几项研究调查了医学生的倦怠情况,但很少有研究探讨应对策略与倦怠之间的关系。我们希望初步调查一年级医学生的这些关系。

方法

本横断面研究对一年级医学生进行了调查,使用经过验证的心理评估工具,包括 COPE 量表和 MIB-HS 量表,评估结果之间的相关性。使用标准相关统计方法分析数据,得出结论。

结果

共有 167 名学生参与了研究,其中 53%为女性。在倦怠评估调查中,计划性的适应性应对策略与情绪衰竭程度降低和个人成就感保持有关。此外,积极重新解释/成长的适应性应对策略也与个人成就感的保持显著相关。

结论

这些结果强调了使用适应性应对策略预防倦怠的益处。这些数据强调了在早期医学培训中为学生提供鼓励学生发展和增强这些策略的课程的重要性,以促进他们在培训期间和培训后保持健康。

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