骨科医生的个人健康习惯、健康和倦怠情况调查——我们是否关注自身健康？
A Survey of Personal Health Habits, Wellness, and Burnout in Practicing Orthopaedic Surgeons-Are We Taking Care of Ourselves?
机构信息
From the Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL.
出版信息
J Am Acad Orthop Surg Glob Res Rev. 2023 May 9;7(5). doi: 10.5435/JAAOSGlobal-D-22-00099. eCollection 2023 May 1.
INTRODUCTION
The personality traits of those who become orthopaedic surgeons may also lead to overwork, work-life balance issues, and burnout. Health and wellness practices of orthopaedic surgeons have not been widely explored. This study evaluated the personal health habits, wellness, and burnout of practicing orthopaedic surgeons in the United States.
METHODS
An anonymous self-assessment survey was completed by 234 practicing orthopaedic surgeon alumni from two large residency programs. The survey assessed exercise habits according to Centers for Disease Control and Prevention recommendations, compliance with preventive medical care practices according to the United States Preventive Services Task Force, prioritization of occupational wellness strategies, and the presence of burnout via an adapted Maslach Burnout Inventory. Survey responders' mean age was 52 years, 88% were male, and 93% had a body mass index <30 kg/m2. Surgeons were stratified according to practice type, years in practice, and subspecialty.
RESULTS
Among orthopaedic surgeons, compliance with aerobic and strength exercise recommendations was 31%. Surgeons in academic practice were significantly (P = 0.007) less compliant with exercise recommendations (18%) compared with private (34%) or employed (43%) practicing surgeons. Most (71%) had seen their primary care provider within 2 years and were up to date on age-appropriate health care screening including a cholesterol check within 5 years (79%), colonoscopy (89%), and mammogram (92%). Protecting time away from work for family/friends and finding meaning in work were the most important wellness strategies. The overall burnout rate was 15% and remained not significantly different (P > 0.3) regardless of years in practice, practice type, or subspecialty.
CONCLUSION
This survey study identifies practicing orthopaedic surgeons' health habits and wellness strategies, including limited compliance with aerobic and strength exercise recommendations. Orthopaedic surgeons should be aware of areas of diminished personal wellness to improve quality of life and avoid burnout.
简介
成为骨科医生的人的个性特征也可能导致过度工作、工作与生活平衡问题和倦怠。骨科医生的健康和保健实践尚未得到广泛探讨。本研究评估了美国执业骨科医生的个人健康习惯、健康和倦怠情况。
方法
来自两个大型住院医师培训计划的 234 名执业骨科医生校友完成了匿名自我评估调查。该调查根据疾病控制与预防中心的建议评估了运动习惯、根据美国预防服务工作组的建议评估了预防医疗保健实践的遵守情况、根据职业健康策略的优先级评估了职业健康策略，以及通过改编的 Maslach 倦怠量表评估了倦怠的存在。调查响应者的平均年龄为 52 岁，88%为男性，93%的身体质量指数（BMI）<30kg/m2。根据手术类型、从业年限和亚专科对医生进行分层。
结果
在骨科医生中，遵守有氧运动和力量运动建议的比例为 31%。在学术实践中的医生明显（P=0.007）不遵守运动建议（18%），而私人（34%）或受雇（43%）实践医生则遵守运动建议。大多数（71%）在过去 2 年内看过初级保健提供者，并及时进行了年龄相关的健康检查，包括 5 年内胆固醇检查（79%）、结肠镜检查（89%）和乳房 X 光检查（92%）。保护工作时间不被家庭/朋友占用和在工作中找到意义是最重要的健康策略。总体倦怠率为 15%，无论从业年限、手术类型或亚专科如何，都没有显著差异（P>0.3）。
结论
本调查研究确定了执业骨科医生的健康习惯和健康策略，包括对有氧运动和力量运动建议的遵守程度有限。骨科医生应该意识到个人健康状况不佳的领域，以提高生活质量并避免倦怠。
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