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促进骨科医生的健康。

Promoting Wellness Among Orthopaedic Surgeons.

作者信息

Ross Phara P, Okafor Lauren C, Rumps Mia V, Mulcahey Mary K

机构信息

American University of the Caribbean School of Medicine, Cupecoy, Sint Maarten.

Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, Illinois.

出版信息

JB JS Open Access. 2025 Jan 7;10(1). doi: 10.2106/JBJS.OA.24.00090. eCollection 2025 Jan-Mar.

Abstract

» Wellness encompasses multiple dimensions of well-being, including physical, mental, emotional, social, and spiritual health. Prioritizing physician wellness is crucial for ensuring high-quality patient care and reducing the risks of burnout, depression, and other mental health issues. Poor wellness among physicians not only affects their personal and professional lives but also has a ripple effect on patient care. It is associated with higher rates of medical errors, lower patient satisfaction, and an increased risk of mental health disorders including anxiety, depression, substance abuse, and suicide. » Burnout is a significant issue among healthcare professionals, particularly physicians. It can lead to severe consequences like increased medical errors, job dissatisfaction, and a decline in both personal and professional well-being. Addressing burnout through coping mechanisms and better work-life balance is essential. Moral injury occurs when physicians are forced to act against their moral beliefs due to systemic flaws, leading to inner conflict. Unlike burnout, which is often attributed to individual resilience, moral injury points to issues within the medical system itself. » Anxiety and depressive disorders can alter an individual's ability to participate in work and daily function. Among orthopedic surgeons, burnout has been described as an occupational hazard associated with medical errors, as well as with physical and mental exhaustion. Orthopedic surgeons face a burnout rate ranging between 40% and 60%. Tragically, they also have the highest suicide rate, comprising 28.2% of surgeon suicides from 2007 to 2013. » More flexible work hours, adequate time off, and efficient workflow are methods that can be used to improve the work environment, as well as providing easy access to mental health counseling and confidential support groups. Research has shown that residents do not utilize employee assistance programs; however, programs with directors that regularly inquire about well-being has led to increased well-being and use of assistance programs and groups.

摘要

健康涵盖幸福的多个维度,包括身体、心理、情感、社交和精神健康。重视医生的健康对于确保高质量的患者护理以及降低职业倦怠、抑郁和其他心理健康问题的风险至关重要。医生健康状况不佳不仅会影响他们的个人生活和职业生涯,还会对患者护理产生连锁反应。它与更高的医疗差错率、更低的患者满意度以及包括焦虑、抑郁、药物滥用和自杀在内的心理健康障碍风险增加有关。

职业倦怠是医疗保健专业人员,尤其是医生面临的一个重大问题。它可能导致严重后果,如医疗差错增加、工作满意度下降以及个人和职业幸福感下降。通过应对机制和更好地平衡工作与生活来解决职业倦怠至关重要。当医生由于系统缺陷而被迫违背自己的道德信念行事时,就会发生道德伤害,从而导致内心冲突。与职业倦怠通常归因于个人复原力不同,道德伤害指向医疗系统本身存在的问题。

焦虑和抑郁障碍会改变个人参与工作和日常活动的能力。在骨科医生中,职业倦怠被描述为一种与医疗差错以及身心疲惫相关的职业危害。骨科医生的职业倦怠率在40%至60%之间。可悲的是,他们的自杀率也是最高的,在2007年至2013年期间占外科医生自杀人数的28.2%。

更灵活的工作时间、充足的休假时间和高效的工作流程是可以用来改善工作环境的方法,同时还应提供方便的心理健康咨询和保密的支持小组。研究表明,住院医生没有利用员工援助计划;然而,有主任定期询问员工幸福感的计划导致幸福感增加以及对援助计划和小组的使用增加。

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