From the Internal Medicine Residency Program, University of Pittsburgh - UPMC Pinnacle Hospitals, Medical Center Pinnacle, Harrisburg.
South Med J. 2022 Jun;115(6):389-393. doi: 10.14423/SMJ.0000000000001401.
For resident wellness, it is important to understand and discern the relative contributions of each factor to resident stress.
After institutional review board approval, a 20-question survey instrument was provided to 90 residents across four specialties (Internal Medicine, Emergency Medicine, General Surgery, and Orthopedic Surgery) at a university-affiliated health system. The survey was completed from October through November 2020 by 63 residents for a 70% participation rate. Qualitative and quantitative analyses were used.
The results showed a mean change in status in either direction of 2.66 points on an 11-point scale. Status changes were both positive (less stress) and negative (more stress). Related to the source of change in stress levels, 8 items were seen as predominantly influenced by residency training and 11 factors were predominantly influenced by the pandemic. One item was equally influenced by both. No item was primarily influenced by the sociopolitical climate. For 16 of the 20 items, changes in a negative direction were statistically greater than in a positive direction.
Both positive and negative changes in resident stress status occurred during the pandemic period. Traditional residency stressors remained and because all of the factors were affected by both the pandemic and residency training, efforts to mitigate the negative effects of both need to continue.
为了居民的健康，了解并辨别每个因素对居民压力的相对贡献是很重要的。
在机构审查委员会批准后，向一个大学附属医院系统的四个专业（内科、急诊医学、普通外科和骨科）的 90 名住院医师发放了一份 20 个问题的调查工具。该调查于 2020 年 10 月至 11 月期间由 63 名住院医师完成，参与率为 70%。采用定性和定量分析。
结果显示，在 11 分制上，状态的平均变化在两个方向上都是 2.66 分。状态的变化既有积极的（压力减轻），也有消极的（压力增加）。与压力水平变化的来源有关，有 8 项被认为主要受住院医师培训的影响，11 项因素主要受大流行的影响。有 1 项受两者的影响相同。没有一项主要受社会政治气候的影响。在 20 个项目中的 16 个中，负向变化在统计学上大于正向变化。
在大流行期间，住院医师的压力状态都发生了积极和消极的变化。传统的住院医师压力源仍然存在，由于所有因素都受到大流行和住院医师培训的影响，需要继续努力减轻两者的负面影响。
