Burnout status of interns and associated factors.

Funda Sevencan, Ebru Cayir, Sarp Uner
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Abstract

It is well known that due to long working hours and stressful working conditions, doctors experience burnout more often than other professional groups. Their career burnout begins in the early years, continues to increase and becomes most evident in the internship of medical school. On this wise, the purpose of this study was to investigate the burnout status of intern doctors and the associated factors. Participants in this cross-sectional study were sixth-year medical students (n = 302). Data were collected under observation using a questionnaire including some sociodemographic characteristics and the Maslach Burnout Inventory, SF-36, General Health Questionnaire and COPE Inventory. The mean age of the participants was 24.5 +/- 1.1 years and 53.4% of them were male. Mean scores of emotional exhaustion, depersonalization and personal accomplishment were 25.5 +/- 7.5, 11.3 +/- 3.9 and 24.7 +/- 3.4, respectively and the three sub-dimension scores of the burnout scale showed no association with gender. Students' emotional exhaustion scores significantly differed according to the socioeconomic status (p < 0.05). Participants who had lower scores on the mental and physical dimensions of SF-36 and higher scores on GHQ-12 showed significantly more emotional exhaustion and depersonalization.Positive coping methods showed negative correlation with the subscales of burnout and individuals using problem-focused coping felt more successful (personal accomplishment) confirming the relationship between mental health and burnout. The medical education curricula (both theoretical and practical studies) should be reviewed and appropriate adjustments should be made according to the needs of intern doctors.

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实习生职业倦怠状况及影响因素。
众所周知,由于工作时间长,工作环境压力大,医生比其他职业群体更容易出现倦怠。他们的职业倦怠开始于早年,持续增加,并在医学院实习期间最为明显。因此,本研究的目的是调查实习医生的职业倦怠状况及相关因素。本横断面研究的参与者为六年级医学生(n = 302)。采用社会人口学特征问卷、Maslach职业倦怠量表、SF-36、一般健康问卷和COPE问卷进行数据收集。参与者的平均年龄为24.5±1.1岁,男性占53.4%。情绪耗竭、人格解体和个人成就感的平均得分分别为25.5 +/- 7.5分、11.3 +/- 3.9分和24.7 +/- 3.4分,倦怠量表的三个子维度得分与性别无关。不同社会经济地位的学生情绪耗竭得分差异有统计学意义(p < 0.05)。SF-36心理和身体维度得分较低、GHQ-12得分较高的参与者明显表现出更多的情绪耗竭和人格解体。积极应对方式与职业倦怠各分量表呈负相关,使用问题关注型应对方式的个体感觉更成功(个人成就感),证实了心理健康与职业倦怠之间的关系。应审查医学教育课程(包括理论和实践研究),并根据实习医生的需要作出适当调整。
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