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墨西哥住院医师职业倦怠和心理健康水平的社会人口学和工作相关变量的调节作用。

The moderating role of sociodemographic and work-related variables in burnout and mental health levels of Mexican medical residents.

机构信息

Psychology Department, Universidad Iberoamericana, Mexico City, Mexico.

SEDESA, Dirección de Formación, Actualización Médica e Investigación, Secretaria de Salud, Mexico City, Mexico.

出版信息

PLoS One. 2022 Sep 16;17(9):e0274322. doi: 10.1371/journal.pone.0274322. eCollection 2022.

Abstract

OBJECTIVE

To explore the moderating effects of sociodemographic and work-related variables on levels of burnout and mental health among medical residents.

METHOD

A cross-sectional online survey was administered at the beginning of the second wave of COVID-19 at different public teaching hospitals where medical residents practiced in Mexico City. A total of 201 medical residents of different years completed the survey.

RESULTS

Different univariate inferential analyses on the level of burnout and mental health indices showed significant differences between sex, marital status, previous reports of physical illness or psychological conditions, and residency ranking. However, the effect sizes of those differences were of low to medium size. A predictive path analysis revealed that the three stages of burnout (emotional exhaustion, depersonalization, and achievement dissatisfaction) negatively affect psychological wellbeing and positively affect psychological distress. Finally, even though sociodemographic variables showed some significant variation, the effect sizes were small and did not moderate the direct effect of burnout on mental health indices.

CONCLUSIONS

Medical residents deling with every day medical situations, will be exposed to stressors that might increase the probability to experience emotional exhaustion. This would negatively affect levels of wellbeing and positively affect distress, despite their sociodemographic characteristics.

摘要

目的

探讨社会人口学和工作相关变量对墨西哥城不同公立教学医院接受医学住院医师培训的住院医师的倦怠和心理健康水平的调节作用。

方法

在 COVID-19 第二波开始时,在不同的公立教学医院通过在线调查的方式对医学住院医师进行了横断面调查。共有 201 名不同年级的住院医师完成了调查。

结果

不同的单变量推断分析表明,在性别、婚姻状况、以前的身体疾病或心理状况报告以及住院医师排名方面,倦怠和心理健康指标的水平存在显著差异。然而,这些差异的效应大小属于低到中等。预测路径分析表明,倦怠的三个阶段(情绪衰竭、去人性化和成就感不足)会对心理健康产生负面影响,对心理困扰产生积极影响。最后,尽管社会人口学变量显示出一些显著的差异,但效应大小较小,且不能调节倦怠对心理健康指标的直接影响。

结论

每天都要处理医疗情况的医学住院医师可能会接触到增加情绪衰竭可能性的压力源。这将对幸福感水平产生负面影响,对困扰产生积极影响,而不论其社会人口学特征如何。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552e/9481024/2413251d7268/pone.0274322.g001.jpg

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