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沙特阿拉伯西部地区医科和牙科学生的职业倦怠、压力与兴奋剂滥用:一项分析研究。

Burnout, Stress, and Stimulant Abuse among Medical and Dental Students in the Western Region of Saudi Arabia: An Analytical Study.

作者信息

Bahlaq Mohannad A, Ramadan Iman K, Abalkhail Bahaa, Mirza Ahmad A, Ahmed Malak K, Alraddadi Khalid S, Kadi Mai

机构信息

Department of Preventive Medicine, General Directorate of Health Affairs - Madinah Region, Madinah, Saudi Arabia.

Department of Community Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Saudi J Med Med Sci. 2023 Jan-Mar;11(1):44-53. doi: 10.4103/sjmms.sjmms_98_22. Epub 2023 Jan 14.

Abstract

BACKGROUND

High levels of burnout, stress, and stimulant abuse have been reported among medical and dental students worldwide, with country-specific factors being contributors. The association, risk factors, and predictors of these three variables have not sufficiently been reported from Saudi Arabia, especially from the Western region.

OBJECTIVE

To determine the prevalence, association, and predictors of burnout, stress, and stimulant abuse among medical and dental students in the Western region of Saudi Arabia.

METHODS

This cross-sectional study included all second to sixth year medical and dental students enrolled at Taibah University, Madinah, Saudi Arabia, during the 2019-2020 academic year. A self-administered, closed online questionnaire was administered. Data regarding stress were elicited using Cohen's 10-item Self-Perceived Stress Scale and regarding burnout using the Oldenburg Burnout Inventory Student Version questionnaire. Multiple logistic regression model to identify the risk of burnout was conducted, and univariate and multiple linear regression models were carried out to identify the predictors of stress.

RESULTS

Of 1016 eligible students, 732 responded (medical: 511; dental: 221). About half of the students experienced burnout (51.5%), with both high disengagement (49%) and exhaustion (45%). Most participants (90.3%) experienced moderate levels of stress. Eight (1.1%) respondents had experienced stimulant abuse; there was a no significant association between stimulant abuse and burnout in the multivariate analysis. Stress, age, gender, body mass index, GPA, study field, smoking, family income, and birth order were significant predictors of burnout, while burnout, age, gender, GPA, and physical exercise were significant predictors of stress.

CONCLUSION

The findings in this study highlight the need for policymakers to devise strategies that target early identification as well as reduction of the high levels of burnout and stress.

摘要

背景

据报道,全球范围内的医科和牙科学生中存在高水平的职业倦怠、压力和兴奋剂滥用现象,特定国家的因素是其中的促成因素。沙特阿拉伯,尤其是西部地区,尚未充分报道这三个变量之间的关联、风险因素和预测因素。

目的

确定沙特阿拉伯西部地区医科和牙科学生中职业倦怠、压力和兴奋剂滥用的患病率、关联及预测因素。

方法

这项横断面研究纳入了2019 - 2020学年在沙特阿拉伯麦地那的泰巴大学就读的所有二至六年级医科和牙科学生。采用自行填写的封闭式在线问卷进行调查。使用科恩10项自我感知压力量表收集压力数据,使用奥尔登堡职业倦怠量表学生版问卷收集职业倦怠数据。进行多因素逻辑回归模型以确定职业倦怠的风险,并进行单因素和多因素线性回归模型以确定压力的预测因素。

结果

在1016名符合条件的学生中,732人做出了回应(医学专业:511人;牙科专业:221人)。约一半的学生经历过职业倦怠(51.5%),其中高脱离工作状态(49%)和精力耗竭(45%)的情况都存在。大多数参与者(90.3%)经历过中度压力。8名(1.1%)受访者曾有过兴奋剂滥用经历;在多因素分析中,兴奋剂滥用与职业倦怠之间无显著关联。压力、年龄、性别、体重指数、平均绩点、学习领域、吸烟、家庭收入和出生顺序是职业倦怠的显著预测因素,而职业倦怠、年龄、性别、平均绩点和体育锻炼是压力的显著预测因素。

结论

本研究结果强调政策制定者需要制定策略,以实现早期识别并降低高水平的职业倦怠和压力。

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