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兽医住院医师幸福感评估的初步研究。

A preliminary study on assessment of wellbeing among veterinary medical house officers.

机构信息

Department of Veterinary Medicine and Epidemiology, School of Veterinary Medicine, University of California Davis, Davis, California, United States of America.

Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California Davis, Davis, California, United States of America.

出版信息

PLoS One. 2021 Jun 24;16(6):e0253111. doi: 10.1371/journal.pone.0253111. eCollection 2021.

Abstract

Mental wellness is an important topic among practicing veterinarians. Peer reviewed studies focusing on veterinary house officers' wellbeing are lacking in veterinary medicine. The aim of this study was to assess wellbeing of house officers using validated surveys for anxiety, burnout, depression, and quality of life. A cross-sectional survey of 103 house officers (residents, interns, and fellows) was performed. Respondents were invited to voluntarily complete the online surveys. Anxiety, burnout, depression, and quality of life were assessed using the Generalized Anxiety Disorder (GAD-7), Maslach Burnout Inventory (MBI), Patient Health Questionnaire (PHQ-9), and Short Form-8 (SF-8), respectively. Descriptive statistics were calculated. For qualitative analysis, respondents were requested to rate their perception of the level of stress regarding various work-related stressors. The first survey was completed in 2017 with 60 respondents of which 51 (85%) identified as females and nine (15%) identified as males. The second survey was completed in 2018 with 43 respondents of which 35 (81.4%) identified as females and 8 (18.6%) identified as males. Respondents reported high levels of burnout characterized by high levels of emotional exhaustion and lack of personal accomplishment but reported mild levels of anxiety and depression. The mental component of their quality of life score was lower than the general US population, whereas the physical component score was consistent with the general US population. Respondents indicated moderate scores of stress for concerns regarding patient management, research, teaching, work-life balance, relationships, organizational skills, time management, finances, and the mental and emotional impact of the work environment. The high levels of burnout, and low mental quality of life in house officers require specific intervention programs to improve wellbeing.

摘要

精神健康是执业兽医关注的一个重要话题。兽医领域缺乏针对兽医住院医师幸福感的同行评审研究。本研究旨在使用经过验证的焦虑、倦怠、抑郁和生活质量调查评估住院医师的幸福感。对 103 名住院医师(住院医师、实习医师和研究员)进行了横断面调查。邀请受访者自愿完成在线调查。使用广泛性焦虑症 (GAD-7)、马斯拉赫倦怠量表 (MBI)、患者健康问卷 (PHQ-9) 和简短形式-8 (SF-8) 分别评估焦虑、倦怠、抑郁和生活质量。计算描述性统计数据。对于定性分析,要求受访者对各种与工作相关的压力源的压力感知程度进行评分。第一次调查于 2017 年完成,有 60 名受访者参加,其中 51 名(85%)为女性,9 名(15%)为男性。第二次调查于 2018 年完成,有 43 名受访者参加,其中 35 名(81.4%)为女性,8 名(18.6%)为男性。受访者报告称,倦怠程度较高,表现为情绪疲惫和缺乏个人成就感,但焦虑和抑郁程度较轻。他们的生活质量心理成分评分低于一般美国人群,而身体成分评分与一般美国人群一致。受访者表示,对患者管理、研究、教学、工作-生活平衡、人际关系、组织能力、时间管理、财务以及工作环境的心理和情绪影响等方面存在中度压力。住院医师倦怠程度高,心理健康质量低,需要专门的干预计划来提高幸福感。

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