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急诊医生和住院医师的职业倦怠、工作成瘾与压力相关成长:一项比较研究。

Burnout, Work Addiction and Stress-Related Growth Among Emergency Physicians and Residents: A Comparative Study.

作者信息

Tat Raluca Mihaela, Golea Adela, Vancu Gabriela, Grecu Mihai-Bujor, Puticiu Monica, Hermenean Andrei, Rotaru Luciana Teodora, Butoi Mihai Alexandru, Corlade-Andrei Mihaela, Cimpoesu Diana

机构信息

Department 6 Surgery, Emergency Medicine Discipline, "Iuliu-Hațieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

Department of Psychology, Faculty of Educational Sciences, Psychology and Social Assistance, University Aurel Vlaicu Arad, Elena Drăgoi Street, No. 2, 310032 Arad, Romania.

出版信息

Behav Sci (Basel). 2025 May 24;15(6):730. doi: 10.3390/bs15060730.

Abstract

The field of emergency medicine (EM) is a high-stress medical specialty. We aim to comparatively investigate burnout, work addiction, and stress-related growth between EM physicians and EM residents. Our sample consists of 117 EM professionals, 41 physicians and 76 residents, from 5 out of the 12 EM county departments in Romania that run residency programs. Methods: An online survey was sent to 461 EM professionals (170 physicians and 291 residents), with a response rate of 25.4%. The survey comprised two sections: the first focused on sociodemographic and professional data, with the second consisting of six validated assessment instruments: the Oldenburg Burnout Inventory, Dutch Work Addiction Scale-short version, Stress-Related Growth Scale, Responsive Distress Scale, Self-Discipline Scale, and Zuckerman-Kuhlman Personality Questionnaire. Both EM physicians and residents reported moderate to high levels of burnout, disengagement, and exhaustion, but there was no significant difference between them. However, physicians exhibited significantly higher levels of work addiction, excessive work, compulsive work, and stress-related growth. No significant differences were found in compulsive work behaviors. Conclusions: Burnout levels are comparable between EM physicians and residents. However, physicians demonstrate higher work addiction but also higher stress-related growth. Personality variables and sleep duration appear to be more influential in predicting burnout than in work addiction or stress-related growth.

摘要

急诊医学(EM)领域是一个压力巨大的医学专业。我们旨在比较研究急诊医学医生和急诊医学住院医师的职业倦怠、工作成瘾以及与压力相关的成长情况。我们的样本由来自罗马尼亚12个设有住院医师培训项目的急诊医学县级部门中5个部门的117名急诊医学专业人员组成,其中包括41名医生和76名住院医师。方法:向461名急诊医学专业人员(170名医生和291名住院医师)发送了在线调查问卷,回复率为25.4%。该调查包括两个部分:第一部分侧重于社会人口统计学和专业数据,第二部分由六种经过验证的评估工具组成:奥尔登堡倦怠量表、荷兰工作成瘾量表简版、与压力相关的成长量表、反应性痛苦量表、自律量表和朱克曼 - 库尔曼人格问卷。急诊医学医生和住院医师均报告了中度至高度的职业倦怠、工作投入度降低和疲惫感,但两者之间没有显著差异。然而,医生表现出显著更高水平的工作成瘾、过度工作、强迫性工作以及与压力相关的成长。在强迫性工作行为方面未发现显著差异。结论:急诊医学医生和住院医师的职业倦怠水平相当。然而,医生表现出更高的工作成瘾程度,但也有更高的与压力相关的成长。人格变量和睡眠时间在预测职业倦怠方面似乎比在预测工作成瘾或与压力相关的成长方面更具影响力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7918/12189392/9ace8d605435/behavsci-15-00730-g001.jpg

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