“我当时就觉得自己要么会杀人，要么就会自杀。”作为一名执业英国全科医生，感到精疲力竭是什么感觉？
'I just felt either I'm going to kill someone or I'm going to end up killing myself'. How does it feel to be burnt out as a practicing UK GP?
机构信息
Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Population and Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
出版信息
Eur J Gen Pract. 2024 Dec;30(1):2426981. doi: 10.1080/13814788.2024.2426981. Epub 2024 Nov 25.
OBJECTIVE
To explore how it feels to be a burnt out GP in the NHS.
DESIGN
In depth qualitative interviews with 16 UK GPs with self-declared 'lived experience' of burnout.
SETTING
United Kingdom Primary Care.
RESULTS
Seven male and nine female GPs described their experiences of burnout to a peer researcher. Themes identified were exhaustion and depersonalisation, mental and physical illness, identity and existential crises, and finally tenacity and resilience. Participants were self-reflective and described distress, shame, stigma, and guilt, including times of suicidal behaviour and isolation due to their burnout.
CONCLUSIONS
Burnout threatens a GP's sense of identity, purpose, and functioning in their lives, and ultimately can be life-threatening. Active listening to GP distress and a system wide approach to managing distress and burnout is urgently required.
目的
探索在英国国民保健制度（NHS）中成为一名精疲力竭的全科医生的感受。
设计
对 16 名自称有“亲身经历” burnout 的英国全科医生进行深入的定性访谈。
地点
英国初级保健。
结果
7 名男性和 9 名女性全科医生向同行研究人员描述了他们 burnout 的经历。确定的主题是疲惫和去人性化、精神和身体疾病、身份和存在危机，最后是坚韧和适应力。参与者进行了自我反思，并描述了痛苦、羞耻、污名和内疚，包括因 burnout 而出现自杀行为和孤立的时期。
结论
Burnout 威胁到全科医生的身份认同感、生活目标和功能，最终可能危及生命。迫切需要积极倾听全科医生的痛苦，并采取系统的方法来管理痛苦和 burnout。
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