肿瘤医师职业倦怠的特点

T. S. Klimenko
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摘要

介绍。本文探讨肿瘤内科医生的情绪倦怠问题。医生的职业是指所谓的社会职业,它与较高的社会心理要求以及精神和心理情绪压力有关。该研究的相关性源于肿瘤医生在专业活动过程中出现的持续的心理情绪问题。的目标。研究肿瘤医生职业倦怠的理论问题,开展肿瘤医生职业倦怠的实验评估,制定有助于减轻肿瘤医生情绪倦怠症状的预防措施。材料和方法。作者对肿瘤医生的情绪倦怠进行了实验研究,并对情绪倦怠的诊断进行了探讨。实验采用“情绪倦怠水平诊断”问卷(v.v. Boyko)进行。研究样本包括50名肿瘤学家。结果和讨论。作者发现,“经历精神创伤环境”的症状在有情绪倦怠的肿瘤医生群体的压力阶段高度表达(24,58)。症状对情绪倦怠的影响因素表现出预防性反应:“情绪反应”(24,6)、“工作绩效降低”(31,66),这是心理支持方法的特征;“情绪缺失”(25,33)、“情绪脱离”(28,12)反映副交感神经系统的状态,被认为是过度紧张阶段的主要症状。研究发现,面对不断增加的责任和持续的情绪压力,危重病人的工作需要较高的专业能力。结论。研究结果证实了情绪倦怠的主要症状的存在。为了防止情绪倦怠综合征的发展,笔者建议在医疗机构中引入各种主题的心理训练项目,以减少职业倦怠,并培养软技能,包括沟通中的自我调节。
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Characteristics of Professional Burnout of Oncologists
   Introduction. The present paper considers the issue of emotional burnout among doctors of oncology departments. The profession of a doctor refers to so-called socionomic professions, which are associated with higher socio-psychological requirements as well as mental and psycho-emotional stress.   The relevance of the study stems from the persistent psycho-emotional problems that arise in the process of professional activity of oncologists.   Aim. To study theoretical aspects of professional burnout, to carry out experimental evaluation of professional burnout among oncologists and to develop the preventive measures contributing to reduction in symptoms of emotional burnout in oncologists.   Materials and methods. The author conducted an experimental study of the emotional burnout among oncologists and explored the diagnostics aspects of emotional burnout. The experiment was carried out by means of the questionnaire “Diagnostics of the level of emotional burnout” (V. V. Boyko). The study sample consisted of 50 oncologists.   Results and discussion. The author revealed that the symptom “experiencing psychotraumatic circumstances” is highly expressed at the stress stage in the group of oncologists with developed emotional burnout (24, 58). The symptom shows preventive reaction to the influencing aspects for emotional burnout: “emotional response” (24, 6), “reduced job performance” (31, 66), characterizing the methods of mental support; the “emotional defi cit” (25, 33), “emotional detachment” (28,12), reflecting the state of parasympathetic nervous system, are considered as the main symptom at the overstrain stage. It was found that the work with critically ill patients demands high level of professional competence, considering the increased responsibility and constant emotional stress.   Conclusion. The results of the study confi rm the presence of leading symptoms in developing emotional burnout. In order to prevent the development of emotional burnout syndrome, the author proposes to introduce psychological training programs on various topics in medical institutions to minimize professional burnout and to develop soft skills, including self-regulation in communication.
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审稿时长
12 weeks
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