团队运动参与可预防神经外科培训期间的倦怠：横断面调查研究。

Team Sport Participation Protects Against Burnout During Neurosurgery Training: Cross-Sectional Survey Study.

机构信息

Department of Neurological Surgery, Vanderbilt University Medical Center, Medical Center North, Nashville, Tennessee, USA.

出版信息

World Neurosurg. 2021 Dec;156:e104-e110. doi: 10.1016/j.wneu.2021.08.146. Epub 2021 Sep 7.

DOI:10.1016/j.wneu.2021.08.146

PMID:34506980

Abstract

OBJECTIVE

Burnout is experienced by up to two thirds of neurosurgery residents. Team sport participation as an adolescent protects against adverse mental health outcomes in adulthood. The objective of this study was to determine whether high school or collegiate team sport participation is associated with improved psychological well-being during neurosurgery residency.

METHODS

A cross-sectional survey study of U.S. neurosurgery residents was conducted between June 2020 and February 2021. Outcomes included self-ratings of sadness, anxiety, stress, burnout, optimism, and fulfillment, on 100-point scales, which were averaged into a "Burnout Composite Score" (BCS). Respondents were grouped and compared according to their prior self-reported participation in team sports (participants vs. nonparticipants). A 3-way analysis of variance tested the effects of resident level, exercise days, and team sport participation on BCS.

RESULTS

Of 229 submitted responses, 228 (99.5%) provided complete data and 185 (81.1%) residents participated in team sports. Days/week of exercise was similar across groups (2.5 ± 1.8 vs. 2.1 ± 1.8, P = 0.20). The team sport group reported lower mean BCS (37.1 vs. 43.6 P = 0.030, Cohen d = 0.369). There was a significant interaction between prior team sport participation and exercise regimen on BCS (F [3, 211] = 3.39, P = 0.019, n = 0.046), such that more exercise days per week was associated with decreased BCS for prior team sport athletes (F [3, 211] = 11.10, P < 0.0005), but not for nonparticipants (F [3, 211] = 0.476, P = 0.699). The positive impact of prior team sport participation was more pronounced for senior residents (-11.5 points, P = 0.016) than junior residents (-4.3 points, P = 0.29).

CONCLUSIONS

Prior team sport participation was associated with lower BCS among neurosurgery residents, an effect more pronounced during senior residency. Lessons imparted during early team sport experience may have profound impacts on reducing burnout throughout a 7-year neurosurgery residency.

摘要

目的

多达三分之二的神经外科住院医师经历过倦怠。青少年时期参与团队运动可预防成年后出现不良心理健康后果。本研究的目的是确定高中或大学团队运动的参与是否与神经外科住院医师培训期间的心理幸福感提高有关。

方法

2020 年 6 月至 2021 年 2 月期间，对美国神经外科住院医师进行了横断面调查研究。结果包括通过 100 分制自我评估悲伤、焦虑、压力、倦怠、乐观和成就感，将其平均为“倦怠综合评分”（BCS）。根据先前自我报告的团队运动参与情况（参与者与非参与者）对受访者进行分组和比较。3 因素方差分析测试了住院医师水平、运动天数和团队运动参与对 BCS 的影响。

结果

在提交的 229 份回复中，有 228 份（99.5%）提供了完整的数据，有 185 名（81.1%）住院医师参加了团队运动。各小组的每周运动天数相似（2.5 ± 1.8 与 2.1 ± 1.8，P = 0.20）。团队运动组报告的 BCS 平均值较低（37.1 与 43.6，P = 0.030，Cohen d = 0.369）。先前的团队运动参与和运动方案对 BCS 有显著的交互作用（F [3, 211] = 3.39，P = 0.019，n = 0.046），即每周运动天数越多，对以前参加过团队运动的运动员的 BCS 降低的影响越大（F [3, 211] = 11.10，P <0.0005），但对非参与者则没有影响（F [3, 211] = 0.476，P = 0.699）。对于高级住院医师（-11.5 分，P = 0.016），而不是初级住院医师（-4.3 分，P = 0.29），以前参加过团队运动的影响更为明显。在早期团队运动经验中传授的经验教训可能会对减少为期 7 年的神经外科住院医师培训中的倦怠产生深远影响。