An Jiale, Chang Yu, Zhang Xiyuan, Zhang Minghao, Lei Xia, Yang MingYi, Hu Yunfeng
Nuclear Industry 215 Hospital of Shaanxi Province/215 Hospital of Shaanxi Province, Xian'yang, Shaanxi, China.
General Family Medicine, The First Affiliated Hospital of Yan'an University, Yan'an, Shaanxi, China.
Front Public Health. 2024 Dec 16;12:1470739. doi: 10.3389/fpubh.2024.1470739. eCollection 2024.
With the continuous progress and in-depth implementation of the reform of the medical and health care system, alongside the gradual enhancement of the standardized training framework for residents, such training has become a crucial avenue for cultivating high-level clinicians and improving medical quality. However, due to various constraints and limitations in their own capabilities, residents undergoing standardized training are often susceptible to job burnout during this process. Numerous factors contribute to job burnout, which is closely associated with depression and anxiety. To promote effective standardized training and develop high-quality resident personnel, it is essential to investigate the influencing factors of job burnout and implement strategies to mitigate its occurrence.
Explore the job burnout and its influencing factors among standardized training residents of Affiliated Hospital of Yan 'an University, and to provide favorable basis for effective prevention of job burnout.
An online questionnaire survey was conducted among all standardized training residents at the hospital from June 2020 to September 2022. The evaluation utilized a general situation questionnaire, the Job Burnout Inventory - General Survey (MBI-GS), the Self-Rating Anxiety Scale (SAS), and the Self-Rating Depression Scale (SDS).
A total of 660 valid questionnaires were collected, and 315 people had positive reaction for job burnout, and the detection rate was 47.7%. Difference in gender, marital status, whether they held practicing certificates, participated in work before training, used sleep medication, age, grade, sleep state were the influencing factors of different dimensions of job burnout. 175 people were in a state of anxiety (26.5%), while 357 (54.1%) were depressed. Pearson correlation analysis showed that anxiety and depression were highly correlated with job burnout ( < 0.01). The results of multi-factor analysis showed that sleep status, whether to take sleep AIDS, anxiety and depression were the factors affecting the dimension of emotional exhaustion ( < 0.01). Income, sleep status, anxiety and depression scores were the influencing factors of job burnout dimension ( < 0.05). Sleep status and depression score were the factors affecting the dimension of reduced sense of achievement ( < 0.05).
Job burnout is prevalent among residents undergoing standardized training, and the factors influencing it are numerous and diverse. It is closely associated with various elements such as age, income, years of training, sleep quality, anxiety, and depression. Therefore, it is recommended to implement appropriate measures to mitigate the occurrence of job burnout and enhance the quality of standardized training for residents. Such measures may include formulating reasonable training policies and theoretical learning plans, as well as providing mental health interventions.
随着医疗卫生体制改革的不断推进和深入实施，以及住院医师规范化培训体系的逐步完善，住院医师规范化培训已成为培养高水平临床医生和提高医疗质量的重要途径。然而，由于自身能力的各种限制，接受规范化培训的住院医师在此过程中容易出现职业倦怠。导致职业倦怠的因素众多，且与抑郁和焦虑密切相关。为促进有效的规范化培训，培养高素质的住院医师人才，有必要调查职业倦怠的影响因素并采取措施减轻其发生。
探讨延安大学附属医院规范化培训住院医师的职业倦怠及其影响因素，为有效预防职业倦怠提供有利依据。
于2020年6月至2022年9月对该院所有规范化培训住院医师进行在线问卷调查。评估采用一般情况问卷、职业倦怠通用量表（MBI-GS）、焦虑自评量表（SAS）和抑郁自评量表（SDS）。
共收集有效问卷660份，其中315人存在职业倦怠阳性反应，检出率为47.7%。性别、婚姻状况、是否持有执业证书、培训前是否参加工作、是否使用助眠药物、年龄、年级、睡眠状况等差异是职业倦怠不同维度的影响因素。175人处于焦虑状态（26.5%），357人（54.1%）存在抑郁。Pearson相关分析显示，焦虑和抑郁与职业倦怠高度相关（<0.01）。多因素分析结果显示，睡眠状况、是否服用助眠药物、焦虑和抑郁是影响情感耗竭维度的因素（<0.01）。收入、睡眠状况、焦虑和抑郁得分是职业倦怠维度的影响因素（<0.05）。睡眠状况和抑郁得分是影响成就感降低维度的因素（<0.05）。
职业倦怠在规范化培训住院医师中普遍存在，其影响因素众多且多样。它与年龄、收入、培训年限、睡眠质量、焦虑和抑郁等多种因素密切相关。因此，建议采取适当措施减轻职业倦怠的发生，提高住院医师规范化培训质量。这些措施可能包括制定合理的培训政策和理论学习计划，以及提供心理健康干预。
