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复原力:临床培训期间医学生职业倦怠的万灵药?:一项叙述性综述

Resilience: A panacea for burnout in medical students during clinical training?: A narrative review.

作者信息

Sanjaya Ardo, Mianto Nathanael Andry, Wijayanto Karen Regina, Edwin Christian

机构信息

Department of Anatomy, Faculty of Medicine, Maranatha Christian University, Bandung, Indonesia.

Biomedical Research Laboratory, Faculty of Medicine, Maranatha Christian University, Bandung, Indonesia.

出版信息

Medicine (Baltimore). 2024 Dec 6;103(49):e40794. doi: 10.1097/MD.0000000000040794.

Abstract

Clinical rotations or clerkships are a necessary part of medical education but are associated with significant psychiatric morbidity, including burnout and psychological distress. This review aims to explore the role of resilience as a protective factor and assess the effectiveness of resilience-building interventions. We conducted a narrative review using the Medline database via PubMed. The search strategy included the terms "resilience," "burnout," and "medical students." A total of 52 articles were included and synthesized narratively. Burnout affects 40% to 80% of medical students, with higher rates during their clinical years. Resilience was consistently found to be a stable, protective factor that buffers against stress and burnout. Most research focused on medical students, regardless of whether they are in clinical training. However, the effectiveness of resilience interventions varied. Interventions such as psychological workshops and curriculum changes showed mixed results, with competence-based approaches showing the most promise for long-term benefits. Resilience is a critical target for improving medical students' psychological health and reducing burnout during clinical training. Future interventions should focus on combining psychological support with competence-based training to equip students for the challenges ahead.

摘要

临床轮转或实习是医学教育的必要组成部分,但与包括职业倦怠和心理困扰在内的严重精神疾病发病率相关。本综述旨在探讨心理韧性作为保护因素的作用,并评估增强心理韧性干预措施的有效性。我们通过PubMed使用Medline数据库进行了一项叙述性综述。检索策略包括“心理韧性”“职业倦怠”和“医学生”等术语。共纳入52篇文章并进行了叙述性综合分析。40%至80%的医学生受到职业倦怠影响,在临床实习期间发病率更高。一直以来,心理韧性被发现是一种稳定的保护因素,可缓冲压力和职业倦怠。大多数研究关注医学生,无论他们是否处于临床培训阶段。然而,增强心理韧性干预措施的有效性各不相同。心理工作坊和课程改革等干预措施结果不一,基于能力的方法显示出最有希望带来长期益处。心理韧性是改善医学生心理健康和减少临床培训期间职业倦怠的关键目标。未来的干预措施应侧重于将心理支持与基于能力的培训相结合,以使学生有能力应对未来的挑战。

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