Division of Health Sciences Education, Faculty of Health Sciences, University of the Free State, Bloemfontein.
S Afr Fam Pract (2004). 2023 Dec 15;65(1):e1-e7. doi: 10.4102/safp.v65i1.5788.
Burnout among doctors has been linked with decreased quality of patient care. The coronavirus disease 2019 (COVID-19) pandemic highlighted the need to protect doctors' mental health and well-being. This study aimed to investigate burnout, resilience and coping strategies among registrars in the MMed programme of the University of the Free State (UFS) in 2020.
In this quantitative, cross-sectional study, a link to an online anonymous self-administered questionnaire with socio-demographic questions, perceived stress, Copenhagen Burnout Inventory (CBI), Connor-Davidson Resilience Scale and Brief Cope was emailed to all 278 registrars.
Sixty registrars responded (response rate 21.6%). More than half (55.0%) were male and 73.3% were married. There were 28.3% second- and third-year students, respectively. Most (58.3%) had 5-10 years' work experience. The CBI personal scale had the highest median value (58.3; interquartile range [IQR]: 43.3; 70.8) with 70% scoring ≥ 50. The median score for resilience was 78 of 100 (IQR: 69; 84). There were weak negative correlations between resilience and burnout scores (r = -0.31 to r = -0.37). Planning, positive reframing and acceptance were the most frequently used adaptive coping mechanisms; self-distraction was the most frequently used maladaptive coping mechanism. There was no association between gender and burnout and resilience scores.
Registrars were resilient with low levels of patient- and work-related burnout, and higher personal burnout, using mostly positive coping strategies.Contribution: This study gives insight into the well-being of registrars at the UFS during COVID-19. Continuous monitoring and support for this population are essential to foster mental health and well-being.
医生的倦怠与患者护理质量下降有关。2019 年冠状病毒病（COVID-19）大流行凸显了保护医生心理健康和福祉的必要性。本研究旨在调查 2020 年南非自由州大学医学硕士（MMed）课程住院医师的倦怠、韧性和应对策略。
在这项定量的、横断面研究中，向所有 278 名住院医师发送了一封电子邮件，链接到一个在线匿名自我管理问卷，其中包括社会人口学问题、感知压力、哥本哈根倦怠量表（CBI）、Connor-Davidson 韧性量表和Brief Cope。
有 60 名住院医师（回应率 21.6%）做出了回应。超过一半（55.0%）是男性，73.3%已婚。分别有 28.3%是第二年和第三年的学生。大多数（58.3%）有 5-10 年的工作经验。CBI 个人量表的中位数最高（58.3；四分位距[IQR]：43.3；70.8），有 70%的评分≥50。韧性的中位数评分为 78 分（IQR：69；84）。韧性和倦怠得分之间存在弱负相关（r=-0.31 至 r=-0.37）。规划、积极重塑和接受是最常用的适应性应对机制；自我分心是最常用的适应性应对机制。性别与倦怠和韧性评分之间没有关联。
住院医师具有韧性，患者和工作相关倦怠程度较低，个人倦怠程度较高，主要采用积极的应对策略。
本研究深入了解了 COVID-19 期间自由州大学住院医师的幸福感。持续监测和支持这一人群对于促进心理健康和福祉至关重要。
