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探讨放射科培训过程中倦怠的各个子成分之间的关系。

Exploration of the Relationship Between the Subcomponents of Burnout Throughout Radiology Training.

机构信息

UF Health Jacksonville, Jacksonville, Florida.

Rochester General Hospital, Rochester, New York.

出版信息

J Am Coll Radiol. 2021 May;18(5):647-653. doi: 10.1016/j.jacr.2021.02.025. Epub 2021 Mar 26.

Abstract

PURPOSE

The aim of this study was to investigate the relationship between the subcomponents of burnout and year of training among radiology residents.

METHODS

In this cross-sectional analysis, the Maslach Burnout Inventory Human Services Survey for Medical Personnel (MBI-HSS [MP]) was distributed to eligible United States (US) radiology residents. Primary outcomes included the MBI-HSS (MP) subcomponents: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Multivariate analysis of variance, tests of between-subjects effects, and Tukey post hoc analysis with 95% confidence interval were conducted.

RESULTS

A total of 770 of 2,823 residents (27.3%) responded, with 488 of 770 completing the MBI-HSS (MP). There was a statistically significant difference in subcomponent scores between cohorts based on year of training (P < .005) and a statistically significant effect between year of training and EE (P < .05) and DP (P < .005), but not PA. Third-year (R3) residents reported a higher frequency of EE than first-year (R1) residents and a higher frequency of DP than R1 and second-year (R2) residents. Fourth-year (R4) residents reported more DP than R1 residents.

CONCLUSIONS

This analysis shows variation in burnout subcomponents during training, with the highest recorded EE and DP means and lowest recorded PA means among R3 residents. Although these findings demonstrate evidence of burnout among radiology residents, mean subcomponent scores for EE (21.3) and DP (8.4) were lower and for PA (35.1) was higher for all trainees than in previous studies assessing radiology residents, which correlates with less burnout. DP was the only subcomponent that remained statistically elevated between matriculating R1 and graduating R4 residents.

摘要

目的

本研究旨在探讨放射科住院医师 burnout 亚成分与培训年限之间的关系。

方法

在这项横断面分析中,向符合条件的美国放射科住院医师发放了 Maslach 职业倦怠量表人力服务调查(MBI-HSS [MP])。主要结局包括 MBI-HSS(MP)亚成分:情绪衰竭(EE)、去人格化(DP)和个人成就感(PA)。进行了多变量方差分析、受试者间效应检验和 Tukey 事后检验,置信区间为 95%。

结果

共有 2823 名住院医师中的 770 名(27.3%)做出了回应,其中 770 名中的 488 名完成了 MBI-HSS(MP)。基于培训年限,亚成分评分在队列之间存在统计学显著差异(P <.005),并且在 EE(P <.05)和 DP(P <.005)之间存在统计学显著的培训年限效应,但在 PA 方面则没有。三年级(R3)住院医师报告的 EE 频率高于一年级(R1)住院医师,DP 频率高于 R1 和二年级(R2)住院医师。四年级(R4)住院医师报告的 DP 频率高于 R1 住院医师。

结论

这项分析显示,在培训过程中 burnout 的亚成分存在差异,R3 住院医师的 EE 和 DP 平均值最高,PA 平均值最低。尽管这些发现表明放射科住院医师存在倦怠现象,但 EE(21.3)和 DP(8.4)的平均亚成分评分以及所有受训者的 PA(35.1)评分均低于先前评估放射科住院医师的研究,这与倦怠程度较低相关。DP 是 R1 新生和 R4 毕业住院医师之间唯一统计学上仍升高的亚成分。

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