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贝尔格莱德兽医学生 burnout 预测因素:一项横断面研究。

Predictors of burnout among Belgrade veterinary students: A cross-sectional study.

机构信息

Institute of Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Department of Physiology and Biochemistry, Faculty of Veterinary Medicine, University of Belgrade, Belgrade, Serbia.

出版信息

PLoS One. 2020 Mar 24;15(3):e0230685. doi: 10.1371/journal.pone.0230685. eCollection 2020.

DOI:10.1371/journal.pone.0230685
PMID:32208464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7092987/
Abstract

BACKGROUND

To the best of our knowledge, studies are lacking on burnout among veterinary students in Serbia, and this is the first study trying to address such a problem. Therefore, the aim of this cross-sectional study was to investigate the predictors of burnout among Belgrade veterinary students.

METHODS

Maslach Burnout Inventory (MBI) and anonymous structured questionnaire addressed to personal data, health habits and stressful influence of educational process were applied among 496 respondents from a total of 1113 students from all grades in spring semester 2014 (response rate 44.6%).

RESULTS

The prevalence of burnout was 43.3%. High scores on depersonalization and emotional exhaustion scales of MBI were found among 79.4% and 45.0% students, respectively; low personal accomplishment was reported by 50.5% students. Female students reported higher levels of emotional exhaustion compared to males (p = 0.012). A low score on personal achievement scale of MBI was least frequent among the freshmen and most frequent among sophomores (41.1% and 65.3%, respectively; p = 0.986). There were more students with burnout who considered their health as a worsened vs. pre-study period compared to students with no burnout, both concerning mental (61.4% vs. 38.6%) and physical health (61.1% vs. 38.9%; both p<0.001). There were more smokers among students who suffered from burnout compared to students who did not (52.0% vs. 48.0%; p = 0.013). A multiple regression revealed an independent dose-response effect of perceived stress at exams on the onset of burnout (moderate stress OR = 2.164 and high stress OR = 3.878). Also, students with the moderate and high stressful effect of communication with teaching staff, as well as, those with worse self-perceived physical and mental health had more than two times higher presence of burnout.

CONCLUSIONS

The prevalence of burnout among Belgrade veterinary students is relatively high. Primary prevention should be focused on the revealed predictors of burnout.

摘要

背景

据我们所知,塞尔维亚兽医学生的倦怠研究还很缺乏,这是首次尝试解决这一问题的研究。因此,本横断面研究的目的是调查贝尔格莱德兽医学生倦怠的预测因素。

方法

在 2014 年春季学期,我们对来自所有年级的 1113 名学生中的 496 名学生(回应率为 44.6%)应用了 Maslach 倦怠量表(MBI)和针对个人数据、健康习惯和教育过程应激影响的匿名结构问卷。

结果

倦怠的发生率为 43.3%。MBI 的去人格化和情绪衰竭量表的高分分别见于 79.4%和 45.0%的学生;50.5%的学生报告低个人成就感。与男性相比,女性学生报告的情绪衰竭水平更高(p = 0.012)。MBI 个人成就量表的低分在新生中最不常见,在大二学生中最常见(分别为 41.1%和 65.3%;p = 0.986)。与没有倦怠的学生相比,认为自己的健康状况比学习前更差的学生中,有更多的学生患有倦怠,无论是心理健康(61.4%对 38.6%)还是身体健康(61.1%对 38.9%;均 p<0.001)。与没有倦怠的学生相比,患有倦怠的学生中吸烟者更多(52.0%对 48.0%;p = 0.013)。多元回归显示,考试中感知到的压力对倦怠的发生有独立的剂量反应效应(中度压力 OR = 2.164,高度压力 OR = 3.878)。此外,与教学人员沟通时感受到中度和高度压力的学生,以及自我感知身心健康较差的学生,倦怠的发生率高出两倍以上。

结论

贝尔格莱德兽医学生的倦怠发生率相对较高。初级预防应侧重于发现的倦怠预测因素。