Eisendrath S J, Link N, Matthay M
Crit Care Med. 1986 Feb;14(2):95-8. doi: 10.1097/00003246-198602000-00004.
The ICU has been considered a psychologically stressful environment. Although numerous studies have investigated this stress in ICU nurses, virtually none have examined how stressful the ICU is for physicians. This prospective study compares housestaff physicians' ratings of stress in the ICU to other medical-surgical rotations. The 26 physicians in this study rated the ICU significantly less negatively than other rotations. There was also a trend to rate the ICU more positively. Prolonged care of patients with multisystem failure and a poor prognosis was the most frequently described source of stress. Humor, communication, and activities outside the ICU were the most frequently noted coping techniques.
重症监护病房（ICU）一直被认为是一个心理压力较大的环境。尽管众多研究调查了ICU护士的这种压力，但实际上几乎没有研究考察过ICU对医生来说压力有多大。这项前瞻性研究将住院医师对ICU压力的评分与其他内科-外科轮转进行了比较。本研究中的26名医生对ICU的负面评价明显低于其他轮转。也有一种对ICU评价更积极的趋势。对多系统功能衰竭和预后不良患者的长期护理是最常被描述的压力来源。幽默、沟通和ICU之外的活动是最常被提及的应对技巧。
