Manzi Hannah, Halling Jon, Poldiak Nayda Parisio, Perkins Suzanne
Grand Strand Medical Center, Myrtle Beach, SC.
HCA Healthcare Graduate Medical Education, Myrtle Beach, SC.
HCA Healthc J Med. 2024 Jun 1;5(3):363-370. doi: 10.36518/2689-0216.1839. eCollection 2024.
With long hours, significant responsibilities, and a heavy workload, residency can be an incredibly stressful experience. The aim of our study was to assess the impact of residency on mental health and wellness. A secondary aim was to determine if the post-graduate year (PGY) of the different residents impacted their mental health or ability to cope with the stressors of residency.
Residents in anesthesiology, family medicine, internal medicine, and surgery were invited to complete a survey. The first portion of the survey had residents rank their mental health on a scale from 1 to 5. There was also a short-form answer portion, which collected suggestions on how to improve wellness. An analysis of variance was used to compare the means of 2 continuous outcome variables-Patient Health Questionnaire (PHQ) and burnout scores compared across specialties and post-graduate years. Burnout scores were measured using the Oldenburg Burnout Inventory. This survey was created and validated by psychology researchers to assess burnout based on the strongest indicators of burnout-emotional exhaustion and disengagement from work. The PHQ9 survey was chosen as it has a specificity of 91-94% and is a reliable method to screen for depression, a common companion to burnout.
PHQ9 scores were highest among surgery residents (7.2 ± 7.07), followed by anesthesia (6.59 ± 6.64), emergency medicine (5.57 ± 4.09), and internal medicine (4.82 ± 3.68). Scoring was also higher among PGY4-6 residents. Burnout scores were highest among surgery (37.8 ± 8.69) and anesthesia (38.17 ± 7.09) residents and among PGY4-6 residents. PGY4-6 residents had a mean burnout score of 38.55 ± 7.67 compared to 36.17 ± 8.69 among first-year residents. Similarly, the value noted no significant difference among burnout scores across either specialty or year: .5930 and .8061.
There was no significant difference among specialties or years in training among their subjective ratings of depression.
住院医师实习时间长、责任重大、工作量繁重，可能是一段压力极大的经历。我们研究的目的是评估住院医师实习对心理健康和幸福感的影响。第二个目的是确定不同住院医师的研究生年级（PGY）是否会影响他们的心理健康或应对住院医师实习压力源的能力。
邀请麻醉学、家庭医学、内科和外科的住院医师完成一项调查。调查的第一部分让住院医师根据1至5的等级对自己的心理健康状况进行排名。还有一个简短回答部分，收集关于如何改善幸福感的建议。使用方差分析来比较两个连续结果变量——患者健康问卷（PHQ）和倦怠得分在不同专业和研究生年级之间的均值。倦怠得分使用奥尔登堡倦怠量表进行测量。这项调查由心理学研究人员创建并验证，用于根据倦怠的最强指标——情感耗竭和工作疏离来评估倦怠。选择PHQ9调查是因为它的特异性为91 - 94%，是筛查抑郁症（倦怠的常见伴发症）的可靠方法。
PHQ9得分在外科住院医师中最高（7.2±7.07），其次是麻醉科（6.59±6.64）、急诊科（5.57±4.09）和内科（4.82±3.68）。PGY4 - 6年级的住院医师得分也更高。倦怠得分在外科（37.8±8.69）和麻醉科（38.17±7.09）住院医师以及PGY4 - 6年级住院医师中最高。PGY4 - 6年级住院医师的平均倦怠得分为38.55±7.67，而一年级住院医师为36.17±8.69。同样， 值显示在不同专业或年级的倦怠得分之间没有显著差异：.5930和.8061。
在抑郁症的主观评分方面，不同专业或培训年级之间没有显著差异。
