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新冠疫情期间韩国大学附属医院急诊医生的倦怠与韧性:一项横断面分析。

Burnout and Resilience among Emergency Physicians at Korean University Hospitals during the COVID-19 Pandemic: A Cross-Sectional Analysis.

机构信息

Department of Emergency Medicine, Chung-Ang University College of Medicine, Seoul, Korea.

Department of Medical Education, Yonsei University Wonju College of Medicine, Wonju, Korea.

出版信息

Yonsei Med J. 2022 Apr;63(4):372-379. doi: 10.3349/ymj.2022.63.4.372.

Abstract

PURPOSE

This study aimed to investigate burnout and resilience among emergency physicians (EPs) at university teaching hospitals during the coronavirus disease (COVID-19) pandemic.

MATERIALS AND METHODS

In April to May 2021, a survey was administered to 331 and 309 emergency medicine specialists and residents, respectively, from 31 university teaching hospitals in Korea. Data on the respondents' age, sex, designation, working area, experience with treating COVID-19 patients, and personal experience with COVID-19 were collected. Based on the participants' characteristics, quality of life (compassion satisfaction, burnout, and secondary traumatic stress), resilience, emotional content, and self-image were analyzed.

RESULTS

A total of 247 responses were analyzed. Compared to specialists, compassion satisfaction and resilience in residents were not good, burnout was severe, and emotional content and self-image were less positive. Experiences with treating COVID-19 patients did not cause any difference in quality of life, resilience, emotional content, and self-image among participant subgroups. Personal COVID-19 experiences were associated with poor compassion satisfaction, resilience, less positive emotional content and self-image, and severe burnout. Compassion satisfaction, secondary traumatic stress, and resilience can definitively affect burnout.

CONCLUSION

The quality of life and resilience of EPs in university teaching hospitals in Korea during the COVID-19 pandemic have been low. Supportive measures to improve resilience can prevent burnout among emergency staff, particularly residents and EPs, with personal experiences related to COVID-19.

摘要

目的

本研究旨在调查新冠疫情期间大学教学医院的急诊医师(EP)的倦怠和韧性。

材料与方法

2021 年 4 月至 5 月,对来自韩国 31 所大学教学医院的 331 名急诊专科医生和 309 名住院医师进行了调查。收集了受访者的年龄、性别、职称、工作领域、治疗新冠患者的经验以及个人感染新冠的经验等数据。根据参与者的特征,分析了生活质量(同情心满足感、倦怠和二次创伤压力)、韧性、情绪内容和自我形象。

结果

共分析了 247 份回复。与专科医生相比,住院医师的同情心满足感和韧性较差,倦怠感严重,情绪内容和自我形象不那么积极。治疗新冠患者的经验并没有在生活质量、韧性、情绪内容和自我形象方面对各亚组参与者造成差异。个人新冠经历与同情心满足感差、韧性差、情绪内容和自我形象不积极以及倦怠感严重有关。同情心满足感、二次创伤压力和韧性可以明确影响倦怠感。

结论

新冠疫情期间韩国大学教学医院的 EP 生活质量和韧性较低。采取支持措施提高韧性可以预防与新冠相关的个人经历的急诊人员,尤其是住院医师和 EP 的倦怠。

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