大流行 COVID-19 期间医学和健康科学专业学生的倦怠感降低 - 匈牙利单机构的后续研究。
Reduced burnout in medical and health science students during the pandemic COVID-19 - a follow-up study of a single institution in Hungary.
机构信息
Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Szent Imre street 14/B, Kaposvár, 7400, Hungary.
Radiation Oncology, Research, and Teaching Center, Dr. József Baka Diagnostic, "Moritz Kaposi" Teaching Hospital, Guba Sándor street 40, Kaposvár, 7400, Hungary.
出版信息
BMC Med Educ. 2023 Nov 22;23(1):893. doi: 10.1186/s12909-023-04867-0.
BACKGROUND
The coronavirus pandemic has significantly impacted lives worldwide, especially of medical and health science students. In Hungary, education has been relegated to the online space, with a substantial proportion of students having to attend medical secondments. Increased stress, uncertainty, and the presence of medical secondments can have an impact on students' premature burnout.
METHODS
In 2021, we conducted a follow-up survey among students of the University of Pécs studying medicine and health sciences in two data collection periods (from March to May and September to November). Our online questionnaire consisted of the Maslach Burnout Inventory General Survey for Students and our self-designed questionnaire. We used descriptive and paired two-sample t-tests for data analysis at a 95% confidence interval (p ≤ 0.05).
RESULTS
We excluded from our survey respondents whose data we could not follow-up; finally, 183 students' responses were analyzed. The majority of students were female (n = 148; 80.9%). Overall, there was a significant decrease in both exhaustion (EX) and cynicism (CY) scores (p = 0.001; p = 0.004). Female respondents had higher EX scores, but a significant decrease was observed for both genders (p ≤ 0.05). Excluding paramedic students, a significant decrease in EX scores was observed for the specialties we studied (p ≤ 0.05). General medicine students' CY scores decreased; physiotherapy students' profesisonal efficacy (PE) scores increased significantly (p ≤ 0.05). Students who were on medical secondments (n = 127; 69. 4%) were found to be more affected by burnout, but in all cases, these scores significantly improved (p ≤ 0.05). Students serving in the National Ambulance Service (n = 76; 41.5%), Hospitals (n = 44; 24.0%), or both (n = 7; 3.8%) had a significant decrease in their burnout score (p ≤ 0.05). Students who served in either a hospital or a hospital and National Ambulance Service had significantly improved CY and PE scores (p ≤ 0.05). Students concerned about their health had elevated EX and CY scores, which also improved (p ≤ 0.05).
CONCLUSIONS
In conclusion, medical secondments positively affected student burnout scores for medicine and health sciences students at our institution. This fact implies that it is necessary to have more internships in real-life settings during the training.
TRIAL REGISTRATION
Our survey has been approved by the Medical Research Council (Case No IV/4573-1/2021/ECU).
背景
冠状病毒大流行对全球的生活产生了重大影响，尤其是对医学和健康科学专业的学生。在匈牙利，教育已转移到线上，很大一部分学生不得不参加医学实习。增加的压力、不确定性以及医学实习的存在会对学生的过早倦怠产生影响。
方法
2021 年，我们在两个数据收集期（3 月至 5 月和 9 月至 11 月）对佩奇大学学习医学和健康科学的学生进行了后续调查。我们的在线问卷由 Maslach 倦怠量表学生通用量表和我们自己设计的问卷组成。我们在 95%置信区间（p≤0.05）下使用描述性和配对两样本 t 检验进行数据分析。
结果
我们排除了无法跟踪数据的调查对象；最终，分析了 183 名学生的回答。大多数学生是女性（n=148；80.9%）。总体而言，无论是倦怠总分（EX）还是玩世不恭总分（CY）都显著降低（p=0.001；p=0.004）。女性受访者的 EX 分数较高，但两种性别都观察到显著下降（p≤0.05）。不包括护理学生，我们研究的专业倦怠总分（EX）明显下降（p≤0.05）。医学专业学生的 CY 分数下降，物理治疗学生的职业效能（PE）分数显著增加（p≤0.05）。有医学实习经历的学生（n=127；69.4%）被认为更容易受到倦怠的影响，但在所有情况下，这些分数都显著改善（p≤0.05）。在国家急救中心（n=76；41.5%）、医院（n=44；24.0%）或两者都服务的学生（n=7；3.8%）的倦怠得分显著降低（p≤0.05）。在医院或医院和国家急救中心服务的学生的 CY 和 PE 分数显著提高（p≤0.05）。对健康状况表示担忧的学生的 EX 和 CY 分数升高，也有所改善（p≤0.05）。
结论
总之，医学实习对我院医学和健康科学专业学生的学生倦怠分数产生了积极影响。这一事实意味着在培训期间有必要在现实环境中增加更多的实习机会。
试验注册
我们的调查已获得医学研究委员会的批准（案件号 IV/4573-1/2021/ECU）。
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