Seelig C B, DuPre C T, Adelman H M
Department of Medicine, University of North Carolina at Chapel Hill, New Hanover Regional Medical Center, Wilmington, NC, USA.
South Med J. 1995 Jul;88(7):745-50. doi: 10.1097/00007611-199507000-00010.
As residency programs adapt to the need to promote primary care, the importance of quantitating qualitative issues increases. In this study, a questionnaire based on reported residency stressors was answered by 238 internal medicine residents. The Profile of Mood States (POMS) was also completed by 64. Factor analysis derived three scales reflecting emotional distress and satisfaction with the workload and learning environment. Emotional distress correlated positively with POMS scores indicating depression and dejection and was inversely related to workload. Workload satisfaction was significantly higher in programs with fewer admissions and lower in programs with greater patient loads. Responses did not differ by postgraduate year of training. Residents in different programs showed significant differences in emotional distress and workload but not learning environment. Residents in university programs indicated more stress and less satisfaction with workload than those in community programs. This study supports the validity of the three scales and provides insights into elements of the educational process that are difficult to quantitate.
随着住院医师培训项目适应促进初级保健的需求，量化定性问题的重要性日益增加。在本研究中，238名内科住院医师回答了一份基于报告的住院医师压力源的问卷。64人还完成了情绪状态剖面图（POMS）。因子分析得出了三个量表，反映了情绪困扰以及对工作量和学习环境的满意度。情绪困扰与表明抑郁和沮丧的POMS得分呈正相关，与工作量呈负相关。在入院人数较少的项目中，工作量满意度显著更高，而在患者负担较重的项目中则较低。不同培训年级的回答没有差异。不同项目的住院医师在情绪困扰和工作量方面存在显著差异，但在学习环境方面没有差异。大学项目的住院医师比社区项目的住院医师表现出更多压力且对工作量的满意度更低。本研究支持这三个量表的有效性，并为教育过程中难以量化的要素提供了见解。
