[专科医院中伴有和不伴有焦虑情绪的住院医师的认知情况]

[Cognition in medical residents with and without anxiety in a specialist training hospital].

作者信息

Ramírez-Mendoza Janeth, García-Galicia Arturo, Aréchiga-Santamaría Alejandra, Montiel-Jarquín Álvaro José, Jiménez-Luna Ingrid, Maldonado-Castañeda Sandra, Loría-Castellanos Jorge

机构信息

Instituto Mexicano del Seguro Social, Centro Médico Nacional "Gral. de Div. Manuel Ávila Camacho", Hospital de Especialidades de Puebla, Dirección de Educación e Investigación en Salud. Puebla, Puebla, México.

Centro de Atención Integral GARE, Servicio de Psicología Infantil. Puebla, Puebla, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2023 Mar 1;61(2):147-154.

PMID:37201185

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10396004/

Abstract

BACKGROUND

The resident doctor plays an important role in people's health care.

OBJECTIVE

To compare the cognition of medical residents with/without anxiety in a specialist training hospital.

MATERIAL AND METHODS

Comparative, prospective, cross-sectional study. Medical residents of any grade and specialty were included, who signed informed consent. Those with a diagnosis of cognitive impairment were excluded, and who did not complete the tests were eliminated. AMAS-A test was applied to assess anxiety and NEUROPSI: Attention and memory test for cognitive characteristics. Mann-Whitney's U and Spearman's rho were used, p≤0.05 was considered significant.

RESULTS

155 residents were evaluated, 55.5% men, mean age 32.4 years. Internal Medicine was the predominant specialty (25.2%). AMAS-A identified 94.19% residents with anxiety. NEUROPSI reported Attention and memory domain (38.7%) in normal classification, Memory (34.2%) in high normal, and Attention and executive functions (32.3%) in severe alteration as predominant assessments. Only Memory showed a significant difference between residents with and without anxiety (p=0.015). Attention and executive functions-Physiological anxiety (r=-0.21, p=0.009) and Attention and memory-Social concern (r=-0.268, p=0.001) correlations were significant.

CONCLUSIONS

The percentage of anxiety and cognitive alterations in residents physicians is high. Anxiety decisively affects memory capacity in these medical doctors.

摘要

背景

住院医生在人们的医疗保健中发挥着重要作用。

目的

比较专科医院中有/无焦虑情绪的住院医生的认知情况。

材料与方法

比较性、前瞻性、横断面研究。纳入所有年级和专业的住院医生，他们签署了知情同意书。排除诊断为认知障碍的患者，以及未完成测试的患者。应用AMAS - A测试评估焦虑情况，应用NEUROPSI：认知特征的注意力和记忆测试。使用曼 - 惠特尼U检验和斯皮尔曼等级相关系数，p≤0.05被认为具有统计学意义。

结果

共评估了155名住院医生，男性占55.5%，平均年龄32.4岁。内科是主要专业（25.2%）。AMAS - A测试发现94.19%的住院医生存在焦虑情绪。NEUROPSI报告中，注意力和记忆领域（38.7%）为正常分类，记忆（34.2%）为高正常，注意力和执行功能（32.3%）为严重改变是主要评估结果。只有记忆在有焦虑和无焦虑的住院医生之间存在显著差异（p = 0.015）。注意力和执行功能与生理焦虑（r = -0.21，p = 0.009）以及注意力和记忆与社会关注（r = -0.268，p = 0.001）的相关性显著。