COVID-19 大流行对家庭医学住院医师心理健康和住院医师培训的影响：来自土耳其全国横断面调查的结果。

The impacts of the COVID-19 pandemic on the mental health and residency training of family medicine residents: findings from a nationwide cross-sectional survey in Turkey.

机构信息

Çankaya District Health Directorate, Hacettepe Mah. Talatpaşa Blv. No: 44 Altındağ, Ankara, Turkey.

Family Medicine Department, Ankara University Medical School, Ankara, Turkey.

出版信息

BMC Fam Pract. 2021 Nov 15;22(1):226. doi: 10.1186/s12875-021-01576-9.

DOI:10.1186/s12875-021-01576-9

PMID:34781878

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8591155/

Abstract

BACKGROUND

The COVID-19 pandemic has had a negative impact on resident training in different branches and affected the physical and mental health of frontline residents adversely. This nationwide cross-sectional survey aimed to investigate the effects of the COVID-19 pandemic on family medicine residents in Turkey, including the levels of depression and burnout.

METHODS

An anonymous online survey was distributed to all family medicine residents via e-mail and a web link between 28.11.2020 and 12.12.2020. Information on sociodemographic data and the residency programme were evaluated, and factors associated with depression and burnout were examined using the Patient Health Questionnaire-9 (PHQ-9) and the Burnout Measure-Short Version (BMS) respectively.

RESULTS

Although the weekly average working hours of the 477 respondents increased significantly during the pandemic (p < 0.05), the average weekly working time in the Family Medicine (FM) outpatient clinic decreased. The greatest concern of 58.3% of the residents was fear of transmitting COVID-19 to their family members. 90.2% of the residents stated that training programmes were negatively or very negatively affected. According to PHQ-9 scores, 15.7% of residents had moderately severe, and 14.9% severe depression. The BMS scores of the residents demonstrated that 24.1% had a very severe burnout problem, and 23.3% should seek professional help as soon as possible. Being single, having no children, female gender, lack of personal protective equipments and increased contact time with COVID-19 patients were associated with higher scores in the depression and burnout scales (p < 0.05).

CONCLUSIONS

The COVID-19 pandemic has had a negative impact on training programmes for FM residents, who are at the forefront of the pandemic in Turkey, and this situation is closely related to depression and burnout. Due to the unpredictability of the pandemic, long-term plans should be made for the training needs of residents in order to protect their physical and mental health.

摘要

背景

COVID-19 大流行对不同科室住院医师培训产生了负面影响，使一线住院医师的身心健康受到不利影响。本项全国性横断面调查旨在调查 COVID-19 大流行对土耳其家庭医学住院医师的影响，包括抑郁和倦怠水平。

方法

于 2020 年 11 月 28 日至 12 月 12 日期间，通过电子邮件和网络链接向所有家庭医学住院医师分发匿名在线调查。评估了社会人口统计学数据和住院医师培训计划，并分别使用患者健康问卷-9（PHQ-9）和倦怠量表-简短版（BMS）检查与抑郁和倦怠相关的因素。

结果

尽管 477 名受访者的每周平均工作时间在大流行期间显著增加（p<0.05），但家庭医学（FM）门诊的每周平均工作时间却减少了。58.3%的住院医师最担心的是将 COVID-19 传染给家人。90.2%的住院医师表示培训计划受到负面影响或非常负面影响。根据 PHQ-9 评分，15.7%的住院医师患有中度严重，14.9%的住院医师患有严重抑郁。住院医师的 BMS 评分表明，24.1%的人存在严重的倦怠问题，23.3%的人应尽快寻求专业帮助。单身、无子女、女性、缺乏个人防护设备以及与 COVID-19 患者接触时间增加与抑郁和倦怠量表评分较高有关（p<0.05）。