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家庭医学住院医师职业倦怠的相关因素。

Correlates of burnout among family practice residents.

作者信息

Lemkau J P, Purdy R R, Rafferty J P, Rudisill J R

机构信息

Department of Family Practice, Wright State University School of Medicine, Dayton, Ohio.

出版信息

J Med Educ. 1988 Sep;63(9):682-91. doi: 10.1097/00001888-198809000-00003.

Abstract

Burnout among 67 residents in four family practice training programs was explored. The residents' scores on the emotional exhaustion, depersonalization, and lack of accomplishment subscales of the Maslach Burnout Inventory were used to assess burnout. These scores were examined in relation to situational and background measures, two personality instruments (the Millon Clinical Multiaxial Inventory and the Myers-Briggs Type Indicator), and to regrets about career decisions. Few significant relationships were found between the background and situational factors and the burnout scores, but numerous relationships were found among personality measures, burnout scores, and measures of regret. The pattern of these relationships indicates the importance of interpersonal comfort and skills in mitigating burnout. Although personality factors were more predictive than demographic and situational variables of the variability in burnout among residents in the sample, the variables shared across the sample--long hours, little time for leisure activities and social contact, and compulsive personality characteristics--may contribute to the moderate level of burnout shared by these residents.

摘要

对四个家庭医疗培训项目中的67名住院医师的职业倦怠情况进行了探究。使用住院医师在马氏职业倦怠量表的情感耗竭、去人格化和成就感低落分量表上的得分来评估职业倦怠。这些得分与情境和背景指标、两种人格测评工具(米隆临床多轴量表和迈尔斯-布里格斯性格分类指标)以及职业决策遗憾进行了对照研究。在背景和情境因素与职业倦怠得分之间几乎未发现显著关系,但在人格测评、职业倦怠得分和遗憾测评之间发现了许多关系。这些关系模式表明人际舒适度和技能在缓解职业倦怠方面的重要性。虽然在样本中,人格因素比人口统计学和情境变量更能预测住院医师职业倦怠的变异性,但样本中共同存在的变量——长时间工作、休闲活动和社交接触时间少以及强迫性人格特征——可能导致这些住院医师普遍存在中度职业倦怠。

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