Chen Fei, Isaak Robert, Afroze Farzana, Mulaikal Teresa A, Licatino Lauren K, Ladlie Beth, Jain Ankit, Willie Chelsea, Bairde Emily, Hayes Blair H, Carter Tekuila, Zisblatt Lara, Diachun Carol, Martin Timothy W, Marshall Julie M, Huffmyer Julie, Hindle Anna K, Stahl David L, Liu Yutong, Martinelli Susan M
Department of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill, USA.
Department of Anesthesiology, Albany Medical Center, Albany, USA.
Cureus. 2023 Feb 8;15(2):e34782. doi: 10.7759/cureus.34782. eCollection 2023 Feb.
At the onset of the coronavirus disease 2019 (COVID-19) pandemic, anesthesiology residency programs were impacted differently due to various factors such as the local severity of COVID-19, exposure to patient suffering, and inability to complete rotations. We sought to investigate the impact of local-level pandemic severity on the well-being of anesthesiology residents.
This multi-site study surveyed postgraduate year two residents from 15 United States (US) anesthesiology programs using the Perceived Stress Scale, Mini-Z, Patient Health Questionnaire-9,WHO-5 Well-Being Index,and the Multidimensional Scale of Perceived Social Support before the pandemic (baseline survey) and during the first COVID-19 surge (post survey).
A total of 144 (65%) residents responded to the initial baseline survey; 73 (33%) responded to the post survey, and 49 (22%) completed both surveys. There was not a statistically significant difference in any well-being outcomes of participants between the surveys, nor was there a significant difference based on the severity of COVID-19 impact at the program's hospital. Male participants had higher perceived stress scores (β = 4.05, 95%CI: 0.42, 7.67, P = 0.03) and lower social support from family (β = -6.57, 95%CI: -11.64, -1.51, P = 0.01) at the post survey compared to female participants after controlling for baseline scores. Additionally, married participants or those with domestic partners reported higher perceived social support in the post survey (β = 5.79, 95%CI: -0.65, 12.23, P = 0.03).
The local COVID-19 severity at a residency program did not disproportionately impact well-being scores among anesthesiology residents. Those most vulnerable to diminished well-being appeared to be male and single participants. As a result, targeted well-being interventions, including those aiming to increase social support, to higher-risk resident groups may be indicated. Future work is needed to assess the longstanding COVID-19 pandemic impacts on resident well-being.
在2019年冠状病毒病（COVID-19）大流行开始时，麻醉学住院医师培训项目受到了不同程度的影响，原因包括COVID-19在当地的严重程度、接触患者痛苦以及无法完成轮转等各种因素。我们试图研究当地大流行严重程度对麻醉学住院医师幸福感的影响。
这项多中心研究在大流行之前（基线调查）和第一次COVID-19激增期间（调查后），使用感知压力量表、Mini-Z、患者健康问卷-9、世界卫生组织-5幸福感指数和多维感知社会支持量表，对来自美国15个麻醉学项目的二年级研究生进行了调查。
共有144名（65%）住院医师回复了初始基线调查；73名（33%）回复了调查后问卷，49名（22%）完成了两次调查。两次调查之间，参与者的任何幸福感指标均无统计学显著差异，且根据项目所在医院的COVID-19影响严重程度也无显著差异。在控制基线分数后，与女性参与者相比，男性参与者在调查后有更高的感知压力得分（β = 4.05，95%置信区间：0.42，7.67，P = 0.03）和更低的来自家庭的社会支持（β = -6.57，95%置信区间：-11.64，-1.51，P = 0.01）。此外，已婚参与者或有同居伴侣的参与者在调查后报告了更高的感知社会支持（β = 5.79，95%置信区间：-0.65，12.23，P = 0.03）。
住院医师培训项目所在地的当地COVID-19严重程度并未对麻醉学住院医师的幸福感得分产生不成比例的影响。幸福感最易降低的似乎是男性和单身参与者。因此，可能需要针对高风险住院医师群体开展有针对性的幸福感干预措施，包括旨在增加社会支持的措施。未来需要开展工作来评估COVID-19长期大流行对住院医师幸福感的影响。
