Dey Sanghamitra, Khan Manzurul Haque, Rahman Md Shafiur, Hossain Irin, Kairi Tamal Kanti
Government of Bangladesh Ministry of Health and Family Welfare, Moulvibazar, Bangladesh.
Occupational and Environmental Health, National Institute of Preventive and Social Medicine, Dhaka, Bangladesh.
BMJ Open. 2025 Aug 25;15(8):e093211. doi: 10.1136/bmjopen-2024-093211.
Stress is inherent in human life, and physicians by dint of their nature of profession are subjected to a high level of stress. Stress among intern physicians is a major concern that can lead to physical and mental illness and can harm the quality of patient care. This study assessed stress and its associated factors among intern physicians.
A cross-sectional study.
This study was conducted among intern physicians of three medical college hospitals in Bangladesh. A self-administered questionnaire consisting of socio-demographic details, work-related questions, social and personal questions and the Kessler Psychological Distress Scale was used.
A total of 350 interns participated in this study.
We measured the prevalence of stress and socio-demographic, work-related and social and personal factors associated with stress among interns.
The prevalence of stress among medical interns was 65.7%. Most interns were affected by mild stress (27.1%), followed by moderate (20.9%) and severe (17.7%) stress. The stress level was significantly higher (76.9%) among interns who were posted in the gynaecology and obstetrics department compared with interns who were posted elsewhere (p=0.003). Stress was significantly associated with family income (p=0.001), hours of work per day (p<0.001) and per week (p=0.001), duration of sleep (p=0.004) and relaxation time (p<0.001). Higher stress levels were found in interns who feared hospital-acquired infections (p=0.001), missed social events (p=0.03), did not have a close friend in the same department (p=0.01), spent less time with friends and family (p=0.004), could not have a meal during work hours (p=0.008) and had conflicts with nurses (p=0.005) and patients or their attendants (p=0.022).
Stress was widely prevalent among the intern physicians. Excessive stress can impact cognitive abilities, education and patient outcomes negatively. Interventions targeting precipitating factors can reduce interns' stress and enhance work efficiency.
压力是人类生活中固有的，医生因其职业性质承受着高水平的压力。实习医生的压力是一个主要问题，可能导致身心疾病，并可能损害患者护理质量。本研究评估了实习医生的压力及其相关因素。
横断面研究。
本研究在孟加拉国三所医学院附属医院的实习医生中进行。使用了一份自填式问卷，包括社会人口学细节、与工作相关的问题、社会和个人问题以及凯斯勒心理困扰量表。
共有350名实习生参与了本研究。
我们测量了实习医生中压力的患病率以及与压力相关的社会人口学、工作相关和社会及个人因素。
医学实习生中压力的患病率为65.7%。大多数实习生受到轻度压力的影响（27.1%），其次是中度（20.9%）和重度（17.7%）压力。与被分配到其他科室的实习生相比，被分配到妇产科的实习生压力水平显著更高（76.9%）（p=0.003）。压力与家庭收入（p=0.001）、每天工作时长（p<0.001）和每周工作时长（p=0.001）、睡眠时间（p=0.004）以及放松时间（p<0.001）显著相关。在担心医院感染（p=0.001）、错过社交活动（p=0.03）、在同一科室没有亲密朋友（p=0.01）、与朋友和家人相处时间较少（p=0.004）、工作时间不能吃饭（p=0.008）以及与护士（p=0.005）和患者或其陪护人员发生冲突（p=0.022）的实习生中发现了更高的压力水平。
压力在实习医生中广泛存在。过度压力会对认知能力、学业和患者治疗结果产生负面影响。针对诱发因素的干预措施可以减轻实习生的压力并提高工作效率。
