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骨科住院医师的个人特征与焦虑和倦怠的关系:一项横断面研究。

Association between personal characteristics and anxiety and burnout in orthopedic residents: a cross-sectional cross-sectional study.

机构信息

Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.

出版信息

J Orthop Surg Res. 2024 Oct 12;19(1):648. doi: 10.1186/s13018-024-05154-4.

Abstract

OBJECTIVE

Burnout is becoming a major problem in medicine, and some articles have pointed to the link between burnout and anxiety. Several factors can contribute to burnout and anxiety, and recognizing each can improve medical education environments. The purpose of this study is to determine the relationship between personal characteristics, anxiety and burnout of orthopedic residents.

METHOD

In this cross-sectional study, the anxiety rate, depression, and burnout were evaluated in 94 orthopedic residents above the second year and orthopedic fellowships in three hospitals. Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), and Maslach Burnout Inventory-Human Services Survey (MBI-HSS) were used to measure the levels of depression, anxiety, and burnout, respectively. Multivariate logistic regression analysis was used to evaluate predictor variables for burnout.

RESULTS

Severe anxiety and depression were reported in 17% and 12.77% of residents, respectively. The rate of burnout for Emotional Exhaustion (EE), Depersonalization (DP), and low sense of Personal Accomplishment (PA) subscales was 18.09%, 28.72%, and 43.62% of people with high levels of burnout, respectively. Multivariate analysis of logistic regression showed that Works > 60 h per week, Anxiety score > 28, Time spent in the hospital > 9 h per Day, Academic year and Experience being abused by the upstream, Balance between work and life, Feeling the need for support from nurses in the hospital were significantly associated with burnout.

CONCLUSION

stress and anxiety can be considered a severe factor in burnout; this issue can provide a clear perspective of the psychological cycle that ultimately leads to a decrease in the efficiency of the medical system and related services.

摘要

目的

倦怠正在成为医学领域的一个主要问题,一些文章指出了倦怠与焦虑之间的联系。有几个因素可能导致倦怠和焦虑,认识到这些因素可以改善医学教育环境。本研究的目的是确定骨科住院医师的个人特征、焦虑和倦怠之间的关系。

方法

在这项横断面研究中,评估了三家医院的 94 名第二年以上的骨科住院医师和骨科研究员的焦虑率、抑郁和倦怠程度。使用贝克抑郁量表第二版(BDI-II)、贝克焦虑量表(BAI)和 Maslach 倦怠量表-人类服务调查(MBI-HSS)分别测量抑郁、焦虑和倦怠程度。采用多变量逻辑回归分析评估倦怠的预测变量。

结果

分别有 17%和 12.77%的住院医师报告有严重的焦虑和抑郁。情绪衰竭(EE)、去人格化(DP)和个人成就感低(PA)亚量表的倦怠率分别为 18.09%、28.72%和 43.62%的人有较高水平的倦怠。多变量逻辑回归分析显示,每周工作超过 60 小时、焦虑评分>28、每天在医院的时间超过 9 小时、学年和被上级虐待的经历、工作与生活的平衡、需要医院护士的支持与倦怠显著相关。

结论

压力和焦虑可以被认为是倦怠的一个严重因素;这个问题可以提供一个明确的视角来看待心理周期,最终导致医疗系统和相关服务效率的下降。

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