摘要
目的调查外科住院医师职业倦怠和抑郁现状,以期能降低或缓解外科住院医师的职业倦怠和抑郁情绪。方法采用职业倦怠量表和抑郁状态量表对2016年9月—2019年1月于首都医科大学附属北京友谊医院参加外科住院医师规范化培训的137名住院医师的抑郁和职业倦怠情况进行问卷调查,其中男性108名,女性29名,年龄(26.57±1.77)岁,年龄范围23~28岁。分析职业倦怠和抑郁的发生率在性别、规培时间、规培身份上的分布差异,分析职业倦怠3个维度与抑郁的相关情况。计量资料采用均数±标准差(Mean±SD)表示,计数资料采用百分比(%)表示。职业倦怠和抑郁在性别、规培时间、规培身份上的分布差异采用χ^2检验,职业倦怠3个维度与抑郁的相关性采用Pearson相关性分析。结果在137名外科住院医师中,10名(7.3%)存在重度、需要干预的职业倦怠。在情绪衰竭维度,有67名(48.9%)为轻度倦怠,有53名(38.7%)为中度倦怠,有17名(12.4%)为重度倦怠;在玩世不恭维度,有86名(62.8%)为轻度倦怠,37名(27.0%)为中度倦怠,14名(10.2%)为重度倦怠;在成就感降低维度,有64名(46.7%)为轻度倦怠,有43名(31.4%)为中度倦怠,有30名(21.9%)为重度倦怠。抑郁情况的调查结果显示,137名外科住院医师中有27名(19.7%)存在抑郁状态。职业倦怠的发生率在性别、规培时间、参培身份上的分布差异均无统计学意义(P>0.05);抑郁的发生率在性别和参培身份上的分布差异无统计学意义(P>0.05),规培第1年的外科住院医师有14名(35.0%)发生抑郁,高于规培第2年8名(15.7%)和规培第3年5名(10.9%),(P<0.01)。情绪衰竭(r=0.248,P<0.05)、玩世不恭(r=0.301,P<0.05)和成就感降低(r=0.201,P<0.05)与抑郁均存在相关关系。结论外科住院医师的职业倦怠和抑郁情况不容乐观,抑郁发生率在规培时间分布上有差异,其中规培第1年的住院医师抑郁发生率较高,抑郁的发生与职业倦怠的3个维度均呈正相关。
Objective To investigate the current situation of job burnout and depression among surgical residents,with a view to reduding or alleviating the burnout and depression of surgical residents.Methods The job burnout schale and depression scale were used to investigate the burnout and depression of 137 residents who attended the standardized training of surgical residents in Beijing Friendship Hospital,Capital Medical University from September 2016 to January 2019,there were 108 males and 29 females,aged(26.57±1.77)years,and the age ranged from 23 to 28 years.The distribution differences of the incidence of job burnout and depression in gender,time status and the correlation between the three dimensions of job burmout and depression were analyzed.The measurement data were expressed as mean±standard deviation(Mean±SD).Counting data were expressed as percentage(%).The differences in the distribution of job burmout and depression in gender,time and status were analyzed by chi-square test.Pearson correlation analysis was used to analyze the correlation among the three dimensions of job burnout and depression.Results Of the 137 surgical residents,10(7.3%)had severe job burnout requiring intervention.In the emotional exhaustion dimension,67(48.9%)had mild burnout,53(38.7%)had moderate burmout,and 17(12.4%)had severe burnout.In the cynicism dimension,86(62.8%)had mild burnout,37(27.0%)had moderate burnout,and 14(10.2%)had severe burnout.In the reduced personal accomplishment dimension,64(46.7%)had mild burnout,43(31.4%)had moderate burnout,30(21.9%)had severe burnout.The results of the depression survey showed that 27(19.7%)of the 137 surgical residents were depressed.There were no statistically significant differences in the incidence of job burnout in gender,time and status(P>0.05).There were no statistically significant differences in the ineidence of depression in gender and status(P>0.05).The incidence of depression was higher among 1-year residents(14,35.0%)than among2-year(8,15.7%)and 3-year(5,10.9%)residents(P<0.01).Depression is associated with emotional exhaustion,cynicism and reduced sense of achievement(r=0.248,r=0.301,r=0.201,respectively,P<0.05).Conclusions The job burnout and depression of surgical residents are not optimistic.There were differences in the time distribution of depression incidence,among which the incidence of depression is higher among the residents in the first year.The occurrence of depression is positively correlated with three dimensions of job burnout.
作者
陈建军
董浩
魏文革
Chen Jianjun;Dong Hao;Wei Wenge(Department of Education,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《国际外科学杂志》
2020年第7期456-459,共4页
International Journal of Surgery
基金
北京市医院管理中心“青苗”计划专项经费资助(QM120170108)
北京市医院管理局消化内科学科协同发展中心专项经费资助(XXX0110)。
作者简介
通信作者:魏文革,Email:wwg701@sina.com。
