Nutting Ruth, Grant Justin T, Ofei-Dodoo Samuel, Runde Matthew S, Staab Kethlyn A, Richard Barret R
Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS.
Family Medicine Residency Program at Ascension Via Christi, University of Kansas School of Medicine-Wichita, Wichita, KS.
Kans J Med. 2020 Sep 11;13:228-234. eCollection 2020.
Healthcare professionals who participate in regular exercise better manage job related stressors, utilize fewer sick days, and discuss fitness with patients at increased rates. Although resident physicians are aware of the health benefits of exercise their rates of exercise are much lower than among medical trainees and practicing physicians. Resident physicians have reported lack of time for traditional structured workouts as one of the greatest barriers to fitness. This study sought to increase resident physician well-being by providing brief workouts through a motivational fitness curriculum.
This pilot study utilized a nonexperimental design; a pre-/post-intervention consisted of a 10-month motivational fitness curriculum. Thirteen family medicine residents at a training program in the midwestern United States participated in this study. The Depression Anxiety Stress Scale-21 (DASS-21) and the Abbreviated Maslach Burnout Inventory (MBI-9) were used to measure the participants' well-being, pre- and post-curriculum. Standard descriptive statistics and paired samples t-test were used to analyze the data.
Twenty-eight percent (13/36) of eligible first-year and second-year family medicine resident physicians participated in the study. On the DASS-21, study participants displayed an improvement in depression, anxiety, and stress scores post-curriculum. On the MBI-9, the participants reported decreased score in emotional exhaustion, but there were no changes in depersonalization and personal accomplishment scores over time.
A motivational fitness curriculum may be a convenient way to support well-being among resident physicians. These findings were salient, as graduate medical education programs can implement similar initiatives to support resident physicians' psychological and physical well-being.
定期锻炼的医疗保健专业人员能更好地应对与工作相关的压力源,减少病假天数,并更频繁地与患者讨论健身问题。尽管住院医师意识到锻炼对健康有益,但其锻炼率远低于医学实习生和执业医师。住院医师报告称,缺乏时间进行传统的结构化锻炼是健身的最大障碍之一。本研究旨在通过提供简短的健身课程来提高住院医师的幸福感。
本试点研究采用非实验设计;干预前后包括一个为期10个月的激励性健身课程。美国中西部一个培训项目的13名家庭医学住院医师参与了本研究。使用抑郁焦虑压力量表21(DASS - 21)和简化版马氏倦怠量表(MBI - 9)在课程前后测量参与者的幸福感。采用标准描述性统计和配对样本t检验进行数据分析。
符合条件的一、二年级家庭医学住院医师中有28%(13/36)参与了该研究。在DASS - 21量表上,研究参与者在课程结束后抑郁、焦虑和压力得分有所改善。在MBI - 9量表上,参与者报告情感耗竭得分降低,但随着时间推移,去个性化和个人成就感得分没有变化。
激励性健身课程可能是支持住院医师幸福感的一种便捷方式。这些发现很重要,因为毕业后医学教育项目可以实施类似举措来支持住院医师的心理和身体健康。