Institute for Hospital Management, Tsinghua University, Beijing, China.
Vanke School of Public Health, Tsinghua University, Beijing, China.
Front Public Health. 2024 Oct 23;12:1472397. doi: 10.3389/fpubh.2024.1472397. eCollection 2024.
The competency of radiology directly affects the quality and equity of medical services. Due to their different occupational characteristics compared to other specialists, this study aims to evaluate the impacts of lifestyles on competency and burnout in radiology residents in China.
A nationwide, cross-sectional survey was conducted from December 1, 2020 to April 30, 2021. A total of 12,208 radiology residents during their standardized residency training in China were invited. Multivariate linear regression and logistic regression were conducted to identify perceived competency and burnout associated with lifestyles.
Of the 3,666 participants, 58.02% were female, 82.24% were aged <30 years, 40.53% were from the Eastern region, and 92.06% obtained a bachelor's degree. The radiology residents with high-level lifestyles had higher competency ( 0.16, 95% CI = [0.01, 0.32]), particularly in the realms of sleep, physical activity, and alcohol consumption. The correlation was stronger in residents with longer work hours and more night shifts. Residents with insomnia (OR = 7.69, 95% CI = [4.23, 14.67]) and less exercise (OR = 6.24, 95% CI = [1.33, 29.37]) had higher burnout risk, while residents who smoked had a lower risk (OR = 0.60, 95% CI = [0.40, 0.89]). And lifestyle factors had a slightly different impact on emotional exhaustion and depersonalization.
Radiology residents' lifestyles can be emphasized, as it may reflect their pressure and wellbeing and influence their concentration, competency, burnout and performance. Policymakers and hospital administrators should incorporate practical and modifiable strategies into work routines to improve the lifestyle quality of residents.
放射科医生的能力直接影响医疗服务的质量和公平性。由于与其他专科医生相比，他们具有不同的职业特点，因此本研究旨在评估生活方式对中国放射科住院医师能力和倦怠的影响。
本研究于 2020 年 12 月 1 日至 2021 年 4 月 30 日进行了一项全国性的横断面调查。共邀请了在中国接受规范化住院医师培训的 12208 名放射科住院医师参与。采用多变量线性回归和逻辑回归分析生活方式与感知能力和倦怠之间的关系。
在 3666 名参与者中，58.02%为女性，82.24%年龄<30 岁，40.53%来自东部地区，92.06%为本科及以上学历。生活方式水平较高的放射科住院医师具有更高的能力（0.16，95%CI[0.01，0.32]），特别是在睡眠、身体活动和饮酒方面。工作时间长、夜班多的住院医师相关性更强。失眠（OR=7.69，95%CI[4.23，14.67]）和运动不足（OR=6.24，95%CI[1.33，29.37]）的住院医师倦怠风险更高，而吸烟的住院医师风险较低（OR=0.60，95%CI[0.40，0.89]）。生活方式因素对情绪耗竭和去人性化的影响略有不同。
可以强调放射科住院医师的生活方式，因为它可能反映他们的压力和幸福感，并影响他们的注意力、能力、倦怠和表现。政策制定者和医院管理人员应将切实可行和可改变的策略纳入工作常规，以提高住院医师的生活质量。
