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[全科医生实习生的职业倦怠与心理困扰]

[Burnout and psychological distress among trainee General Practitioners].

作者信息

Ovejas-López Aida, Izquierdo Fernanda, Rodríguez-Barragán María, Rodríguez-Benítez Jaume, Garcia-Batanero Mireia, Alonso-Martínez Maria, Alonso-Masanas Cristina

机构信息

Centre d'Atenció Primària Poblenou. Gerència Territorial de Barcelona, Institut Català de la Salut, Barcelona, España.

Centre d'Atenció Primària Poblenou. Gerència Territorial de Barcelona, Institut Català de la Salut, Barcelona, España.

出版信息

Aten Primaria. 2020 Nov;52(9):608-616. doi: 10.1016/j.aprim.2020.02.014. Epub 2020 Jun 23.

Abstract

OBJECTIVE

To estimate the prevalence of burnout and psychological distress among trainee General Practitioners of two training placements and its relationship with the year of residence, lifestyle and working conditions.

DESIGN

Cross-sectional study.

LOCATION

Primary Care.

PARTICIPANTS

On-site surveys for all trainees of two training placements (n = 278), including all trainees of the sample. The response percentage is 76.9%.

MAIN MEASUREMENTS

Prevalence of burnout using the Maslach Burnout Inventory (MBI) scale and prevalence of psychological distress using the General Health Questionnaire-12 scale (GHQ-12). Also variables on lifestyles, labor organization and drug use.

OUTCOMES

72% of participants are women. The prevalence of burnout is 33.8% (CI 95% 27.0-40.6), being 25.6% (CI 95% 19.5-31.7) emotional exhaustion, 37.9% (CI 95% 31.0-44.7)depersonalization and 52.9% (CI 95% 45.9-59.9) the low personal accomplishment. Prevalence increases significantly in all dimensions after the second year of training, except in personal accomplishment. The prevalence of emotional distress is 40.4% (CI 95% 33.5-47.3), without significant differences according to year of training. In the group of trainees with psychological distress, 50.0% also have burnout, while this percentage is 22.1% among those who do not present psychological distress.

CONCLUSIONS

The prevalence of emotional distress and burnout (especially in low personal accomplishment) is high in trainee General Practitioners. The prevalence in higher than the described in previous studies for other groups of health professionals and should be taken into account to develop preventive measures.

摘要

目的

评估两个培训地点的全科医生培训学员职业倦怠和心理困扰的患病率及其与居住年限、生活方式和工作条件的关系。

设计

横断面研究。

地点

初级保健机构。

参与者

对两个培训地点的所有学员(n = 278)进行现场调查,包括样本中的所有学员。应答率为76.9%。

主要测量指标

使用马氏职业倦怠量表(MBI)评估职业倦怠患病率,使用一般健康问卷-12量表(GHQ-12)评估心理困扰患病率。还包括生活方式、劳动组织和药物使用方面的变量。

结果

72%的参与者为女性。职业倦怠患病率为33.8%(95%置信区间27.0 - 40.6),其中情感耗竭为25.6%(95%置信区间19.5 - 31.7),去个性化为37.9%(95%置信区间31.0 - 44.7),个人成就感低落为52.9%(95%置信区间45.9 - 59.9)。培训第二年之后,除个人成就感外,所有维度的患病率均显著增加。心理困扰患病率为40.4%(95%置信区间33.5 - 47.3),根据培训年份无显著差异。在有心理困扰的学员组中,50.0%也有职业倦怠,而在无心理困扰的学员组中这一比例为22.1%。

结论

全科医生培训学员的心理困扰和职业倦怠(尤其是个人成就感低落)患病率较高。该患病率高于先前针对其他卫生专业人员群体的研究报道,在制定预防措施时应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecfd/7713465/7291e8f41ab2/fx1.jpg

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