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麻醉科住院医师职业倦怠现状调查与研究

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目的 采用调查问卷收集国内麻醉科住院医师的职业倦怠现状,分析影响职业倦怠的相关因素.方法 选择全国 218 家医院的麻醉专科共 2 651 名在职在岗的麻醉科住院医师为研究对象.通过问卷星设计和发放电子问卷,收集人口统计学特征、职业相关特征、心理弹性评分(康纳-戴维森复原力量表).采用职业倦怠量表(MBI-HSS)对医师职业倦怠情况进行评估.对发生职业倦怠和非职业倦怠的医师进行组间比较,并采用多因素 Logistic 回归分析医师职业倦怠的危险因素.结果 本次问卷有效回收 1 990 份,回收率 77.7%.住院医师职业倦怠发生率为 53.4%(1 063/1990).与未发生职业倦怠的住院医师比较,职业倦怠的医师女性比例、三级医院比例、未婚比例、遇到有挑战的病例频率、参与值班和有科研任务比例明显升高,每周工作时间明显延长(P<0.05).多元Logistic回归分析结果显示,女性(OR=1.58,95%CI 1.28~1.97,P<0.01)、工作时间延长(OR=1.62,95%CI 1.45~1.81,P<0.01)、遇到有挑战的病例频率延长(OR=1.11,95%CI 1.11~1.40,P<0.01)是职业倦怠的危险因素,心理弹性评分升高是职业倦怠的保护因素(OR=0.86,95%CI 0.84~0.88,P<0.01).结论 麻醉科住院医师职业倦怠发生率偏高,应重点关注并针对提升心理弹性且设计切实可行的预防规范措施,保证住院医师群体的身心健康.
Investigation and research of current burnout status on anesthesiology residents
Objective This study aims to investigate the current status of burnout among anesthesi-ology residents,and to explore its influencing factors and potential interventions.Methods A total of 2 651 practicing anesthesiology residents from 218 hospitals nationwide were included in this study.Demographic characteristics,occupational features,and psychological resilience scores(Connor-Davidson resilience scale)were collected using a questionnaire distributed electronically.The Maslach burnout inventory-human service survey(MBI-HSS)was used to assess burnout.A comparison between groups with and without occu-pational burnout was conducted.Multiple logistic regression analysis was used to identify risk factors for burnout among anesthesiology residents.Results Out of the expected 2 651 questionnaires,1 990 valid responses were received(response rate 77.7%).The prevalence of burnout among the residents was 53.4%(1 063/1 990).Compared with residents without occupational burnout,those with burnout had a signifi-cantly higher proportion of females,working in tertiary hospitals,unmarried individuals,frequency of en-countering challenging patients,participating in on-call duty,and research tasks,and had a significantly lon-ger weekly working hours(P<0.05).Multivariate logistic regression analysis indicated that female(OR = 1.58,95%CI 1.28-1.97,P<0.01),longer working hours(OR = 1.62,95%CI 1.45-1.81,P<0.01),and higher frequency of encountering challenging patients(OR = 1.11,95%CI 1.11-1.40,P<0.01)were risk factors for occupational burnout.High levels of psychological resilience was protective factor against burnout(OR = 0.86,95%CI 0.84-0.88,P<0.01).Conclusion The occurrence of burnout among anesthesiology residents is high.It is crucial to focus on and design practical preventive measures to en-hance psychological resilience,ensuring healthy physical and mental development of the resident community.

Standardized residency trainingResidentBurnoutPsychological resilienceSurveys and questionnaires

车璐、张越伦、阮侠、李旭、李晗歌、申乐、黄宇光

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100730 北京协和医院麻醉科

100730 北京协和医院临床医学研究所

清华大学万科公共卫生与健康学院

住院医师规范化培训 住院医师 职业倦怠 心理弹性 调查问卷

2024

临床麻醉学杂志
中华医学会南京分会

临床麻醉学杂志

CSTPCD北大核心
影响因子:2.225
ISSN:1004-5805
年,卷(期):2024.40(5)
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