Echater Sara, Hasnaoui Mohammed, Barrimi Mohammed
Faculté de médecine et de pharmacie, Université Mohammed Premier, Oujda, Maroc.
Sante Ment Que. 2024 Spring;49(1):145-162.
Introduction Substance use among resident physicians is an underestimated, poorly understood, and serious problem because of its negative consequences for the health of physicians and also for the health and safety of the patients in their care. Objective To estimate the prevalence and identify factors associated with addictive behaviors among resident physicians at different university hospitals in Morocco. Method We conducted a multicenter cross-sectional descriptive and analytical study involving resident doctors from the 7 university hospital centers in Morocco. Resident doctors were invited to participate voluntarily in the study by completing an anonymous self-questionnaire created on Google Forms and sent via email. Results The questionnaire was completed by 310 resident physicians, representing 11.07% of the total population of resident physicians in Morocco. Among the participants, 16.1% (n=50) reported consuming one or more psychoactive substances, including 11.1% (n=37) for tobacco, 10% (n=31) for alcohol, and 6.1% (n=19) for cannabis. The consumption of ecstasy and cocaine was observed in 0.7% (n=2) for each substance. Additionally, 11.9% (n=37) of resident physicians had psychiatric disorders, and 3.2% (n=10) had attempted suicide at least once. The consumption of psychoactive substances among resident physicians was statistically significantly associated with the male gender (4.59 [2.20-9.57]; p=0.000), as well as with surgical specialty (0.48 [0.26-0.88]; p=0.017). Conclusion At the end of this work, we found that the use of psychoactive substances is frequent among resident doctors, which explains the need for preventive measures and appropriate management.
引言 住院医师使用药物是一个被低估、了解不足且严重的问题,因为它不仅会对医生的健康产生负面影响,还会对他们所照顾患者的健康和安全造成影响。
目的 评估摩洛哥不同大学医院住院医师成瘾行为的患病率,并确定相关因素。
方法 我们开展了一项多中心横断面描述性和分析性研究,涉及摩洛哥7所大学医院中心的住院医师。通过在谷歌表格上创建并通过电子邮件发送的匿名自填问卷,邀请住院医师自愿参与研究。
结果 310名住院医师完成了问卷,占摩洛哥住院医师总数的11.07%。在参与者中,16.1%(n = 50)报告使用过一种或多种精神活性物质,其中11.1%(n = 37)使用烟草,10%(n = 31)使用酒精,6.1%(n = 19)使用大麻。摇头丸和可卡因的使用率均为0.7%(n = 2)。此外,11.9%(n = 37)的住院医师患有精神疾病,3.2%(n = 10)至少有过一次自杀未遂经历。住院医师使用精神活性物质在统计学上与男性性别显著相关(4.59 [2.20 - 9.57];p = 0.000),也与外科专业显著相关(0.48 [0.26 - 0.88];p = 0.017)。
结论 在这项工作结束时,我们发现住院医师中精神活性物质的使用很常见,这说明了采取预防措施和适当管理的必要性。