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英国全科医生的职业倦怠、心理健康与肌肉骨骼问题:一项观察性研究。

Burnout, psychological wellbeing, and musculoskeletal complaints in UK GPs: an observational study.

作者信息

Biddle Gregory Jh, Thomas Nicholas, Edwardson Charlotte L, Clemes Stacy A, Daley Amanda J

机构信息

The Centre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Science, Loughborough University, Loughborough, UK

Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.

出版信息

BJGP Open. 2023 Dec 19;7(4). doi: 10.3399/BJGPO.2023.0007. Print 2023 Dec.

Abstract

BACKGROUND

Healthcare systems are under unprecedented pressure. GPs are crucial to the health of the population, yet their own health and wellbeing is often overlooked.

AIM

To investigate feelings of burnout, psychological wellbeing, and musculoskeletal complaints in GPs across the UK and to examine whether these health outcomes vary according to the time GPs spent sitting, their participation in physical activity each day, and the time spent working per day or week.

DESIGN & SETTING: Observational study involving GPs located across the UK.

METHOD

An online survey was emailed to working members of the Royal College of General Practitioners and shared on social media between October and December 2020. The survey included questions on burnout, psychological wellbeing, musculoskeletal complaints, sitting time, physical activity, and time spent working. Mean differences were examined for burnout, psychological wellbeing, and musculoskeletal complaints.

RESULTS

Data from 406 GPs showed a high level of burnout (35.5%) and musculoskeletal complaints (neck, shoulder and back: 81.8%; arms: 28.3%; and legs: 49.8%). Psychological wellbeing was low in 22.9% of GPs. Burnout was lower in GPs who met current physical activity guidelines, while psychological wellbeing was higher in those with >2 breaks in sitting per hour. Musculoskeletal complaints were higher in those spending >50% of sitting time in prolonged bouts (≥30 minutes).

CONCLUSION

A high proportion of GPs reported experiencing burnout and musculoskeletal complaints, but these health concerns were less evident in GPs who spent less time in prolonged sitting, took more breaks in sitting, and who were more physically active.

摘要

背景

医疗保健系统正面临前所未有的压力。全科医生对民众的健康至关重要,但他们自身的健康和幸福却常常被忽视。

目的

调查英国全科医生的职业倦怠感、心理健康状况和肌肉骨骼问题,并研究这些健康结果是否因全科医生的久坐时间、每日体育活动参与情况以及每日或每周工作时长的不同而有所差异。

设计与设置

对英国各地的全科医生进行观察性研究。

方法

于2020年10月至12月间,通过电子邮件向皇家全科医师学院的在职成员发送在线调查问卷,并在社交媒体上分享。该调查包括有关职业倦怠、心理健康、肌肉骨骼问题、久坐时间、体育活动和工作时长的问题。对职业倦怠、心理健康和肌肉骨骼问题的平均差异进行了研究。

结果

406名全科医生的数据显示,职业倦怠水平较高(35.5%),肌肉骨骼问题也较为普遍(颈部、肩部和背部:81.8%;手臂:28.3%;腿部:49.8%)。22.9%的全科医生心理健康状况不佳。符合当前体育活动指南的全科医生职业倦怠程度较低,而每小时久坐休息次数超过两次的全科医生心理健康状况较好。久坐时间超过50%为长时间(≥30分钟)的人肌肉骨骼问题更多。

结论

很大一部分全科医生报告存在职业倦怠和肌肉骨骼问题,但这些健康问题在久坐时间较短、久坐休息次数较多且体育活动较多的全科医生中不太明显。

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