Psiquiatría de Enlace, Clínica CardioVID, Medellín, Colombia.
Mente Plena, Medellín, Colombia.
Rev Colomb Psiquiatr (Engl Ed). 2023 Jan-Mar;52(1):20-28. doi: 10.1016/j.rcpeng.2021.02.006. Epub 2023 Apr 6.
One of the most important moments in a doctor's life occurs when they do a medical residency. This period imposes stress and academic demands, which, together with the educational environment, allows for greater or lesser mental wellbeing. The objective of this study was to determine how the educational environment and mental wellbeing of medical residents are related.
Analytical cross-sectional study, in residents of clinical-surgical specialties. The educational environment was assessed using the Postgraduate Hospital Educational Environment Measure (PHEEM), and mental wellbeing was assessed with the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS). Pearson's linear correlation was determined. Informed consent and approval by the university ethics committee were obtained.
The study population comprised 131 students, 43.8% male, with a median age of 28 years (interquartile range 4). In total, 87.9% of residents answered the survey. Of these, 65.9% were doing medical residencies and 34.1% surgical residencies. The mean PHEEM score was 107.96 ± 18.88, the positive emotions subscale was 29.32 ± 5.18 and positive functioning 23.61 ± 3.57, with a mean total mental wellbeing of 52.96 ± 8.44. A positive and moderate correlation was found between the total PHEEM score and each of the two mental wellbeing subscales (p < 0.001).
A positive correlation was found between a better perception of the educational environment and mental wellbeing by residents of clinical and surgical specialties with greater mental wellbeing.
医生生涯中最重要的时刻之一是他们进行住院医师实习的时候。这段时期会带来压力和学术要求，再加上教育环境，可以让他们的心理健康状况更好或更差。本研究的目的是确定医学住院医师的教育环境和心理健康状况之间的关系。
这是一项临床-外科专业住院医师的分析性横断面研究。使用住院后医院教育环境测量（PHEEM）评估教育环境，使用华威-爱丁堡心理健康量表（WEMWBS）评估心理健康。确定了皮尔逊线性相关性。获得了知情同意书，并得到了大学伦理委员会的批准。
研究人群包括 131 名学生，其中 43.8%为男性，中位数年龄为 28 岁（四分位间距为 4）。共有 87.9%的住院医师回答了调查。其中，65.9%的人在做医学住院医师，34.1%的人在做外科住院医师。平均 PHEEM 得分为 107.96±18.88，积极情绪分量表为 29.32±5.18，积极功能为 23.61±3.57，平均总心理健康得分为 52.96±8.44。PHEEM 总分与两个心理健康分量表中的每一个都呈正相关（p<0.001）。
临床和外科专业住院医师对教育环境的感知越好，心理健康状况越好，两者之间存在正相关。
