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外科医生,医人先医己:一项关于澳大利亚和新西兰泌尿外科医生健康状况的研究。

Surgeon, don't heal thyself: a study of the health of Australasian urologists.

作者信息

Wines A P, Khadra M H, Wines R D

机构信息

Medical Benevolent Association of New South Wales, Royal Prince Alfred Hospital, Sydney, Australia.

出版信息

Aust N Z J Surg. 1998 Nov;68(11):778-81. doi: 10.1111/j.1445-2197.1998.tb04675.x.

Abstract

BACKGROUND

Modern surgical practice is stressful and anxiety-producing. We investigated urologists health and their attitude to their own health care.

METHODS

Two hundred and seventy-five Australasian urologists were surveyed to ascertain their attitudes to their physical and psychological health; 205 responses were received.

RESULTS

Ten per cent reported serious physical illnesses. Fewer than half had their own general practitioner (GP), and fewer than one-third had seen a doctor in the previous 12 months. A majority had, at some time, prescribed themselves medication, including antibiotics, narcotic and non-narcotic analgesia and benzodiazepams. Nearly all reported that aspects of their urological practice caused them anxiety. More felt that this anxiety was the result of pressures experienced outside the operating theatre than problems directly related to performing surgery. A small number of psychological problems were reported, and fewer than 10 per cent had ever a visited a psychiatrist. It was evident that most Australasian urologists were unwilling to discuss any psychological problems that they may have. Even when a specific problem had been identified, few sought the appropriate care.

CONCLUSIONS

It would be advantageous for Australasian urologists and doctors in general to see their GP more regularly, and be more willing to discuss any psychological difficulties that they may experience.

摘要

背景

现代外科手术操作压力大且会引发焦虑。我们调查了泌尿科医生的健康状况及其对自身医疗保健的态度。

方法

对275名澳大利亚泌尿科医生进行了调查,以确定他们对自身身心健康的态度;共收到205份回复。

结果

10%的医生报告患有严重身体疾病。不到一半的医生有自己的全科医生(GP),不到三分之一的医生在过去12个月内看过医生。大多数医生曾给自己开过药,包括抗生素、麻醉性和非麻醉性镇痛药以及苯二氮䓬类药物。几乎所有医生都报告说,他们泌尿科工作的某些方面会让他们焦虑。更多医生认为这种焦虑是手术室之外所经历的压力导致的,而非与手术直接相关的问题。报告了少数心理问题,不到10%的医生曾看过精神科医生。很明显,大多数澳大利亚泌尿科医生不愿意讨论他们可能存在的任何心理问题。即使发现了具体问题,也很少有人寻求适当的治疗。

结论

澳大利亚泌尿科医生及一般医生更定期地去看全科医生,并更愿意讨论他们可能遇到的任何心理困难,会是有益的。

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