Department of Forensic Medicine, Faculty of Medicine, Ankara University, Ankara, Turkiye.
Department of Emergency Health Services, Ankara Provincial Health Directorate, Ankara, Turkiye.
Turk J Med Sci. 2024 Jul 25;54(5):970-978. doi: 10.55730/1300-0144.5875. eCollection 2024.
BACKGROUND/AIM: Physicians work under high levels of stress due to factors such as excessive workload, emotional factors, and economic variables. This leads to various health problems such as depression, burnout, fatigue, and hopelessness, resulting in decreased interest in a medical career and an increase in career choice regret.
The study included 300 volunteer resident physicians from Ankara University Medical Faculty Hospital. The data for the research were collected using a survey form prepared by reviewing the literature. The survey consisted of three parts, which questioned the physicians' sociodemographic characteristics and professional choices, including the Depression Anxiety Stress Scale-Short Form (DASS-21) items and the Decision Regret Scale.
Of the physicians, 216 (72.0%) chose the medical faculty due to personal preference. The percentage of those who were not regretful about their career choice was 14.3% (n = 43). Those not regretful about their career choice had fewer years in the profession than the others. According to the categorical assessment of the DASS-21, 73.7% (n = 221) of the physicians had depressive symptoms ranging from mild to severe, 78.7% (n = 236) had anxiety symptoms ranging from mild to severe, and 57.7% (n = 173) had stress symptoms ranging from mild to severe.
Mental health problems such as depression, anxiety, and stress were common among the resident physicians independent of their sociodemographic characteristics, and this was also associated with the level of career regret. Improving working conditions and personal benefits, addressing economic and other issues for physicians, ensuring their well-being, preventing the development of mental health problems, and early screening and rehabilitation for those affected not only have personal benefits but also contribute positively to job satisfaction, strengthen the patient-physician relationship, and have a significant impact on healthcare services.
背景/目的:由于工作量过大、情绪因素和经济变量等因素,医生承受着高水平的压力。这导致了各种健康问题,如抑郁、倦怠、疲劳和绝望,从而降低了对医学职业的兴趣,并增加了职业选择的遗憾。
本研究纳入了来自安卡拉大学医学院附属医院的 300 名志愿住院医师。通过回顾文献,使用调查问卷收集研究数据。调查问卷包括三个部分,询问医生的社会人口统计学特征和职业选择,包括抑郁焦虑压力量表-短表(DASS-21)项目和决策后悔量表。
在这些医生中,有 216 人(72.0%)出于个人偏好选择了医学院。对职业选择不后悔的比例为 14.3%(n = 43)。对职业选择不后悔的医生的从业年限比其他人少。根据 DASS-21 的分类评估,73.7%(n = 221)的医生有从轻度到重度不等的抑郁症状,78.7%(n = 236)有从轻度到重度不等的焦虑症状,57.7%(n = 173)有从轻度到重度不等的压力症状。
独立于社会人口统计学特征,住院医师普遍存在抑郁、焦虑和压力等心理健康问题,且与职业后悔程度相关。改善工作条件和个人福利,解决医生的经济和其他问题,确保他们的福祉,预防心理健康问题的发展,以及对受影响者进行早期筛查和康复,不仅对个人有益,而且对工作满意度、加强医患关系以及对医疗保健服务产生积极影响。