文章摘要
麻醉科住院医师职业倦怠现状调查及其危险因素分析
Burnout among anesthesiology residents and its risk factors
投稿时间：2022-10-25  修订日期：2024-03-21
DOI：
中文关键词: 住院医师规范化培训  住院医师  职业倦怠
英文关键词: resident,anesthesiology, burnout
基金项目:
作者单位邮编
车璐 北京协和医院 100073
张越伦 北京协和医院 
阮侠 北京协和医院麻醉科 
李旭 北京协和医院麻醉科 
李晗歌 清华大学万科公共卫生与健康学院 
申乐 北京协和医院麻醉科 
黄宇光* 北京协和医院麻醉科 
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中文摘要:
      目的：调研麻醉专业住院医师群体的职业倦怠现状，探索其影响因素和可干预因素。 方法:选取全国218家医院的麻醉专科共2651名在职在岗的麻醉住院医师为研究对象。通过电子问卷形式，采用职业倦怠量表（Maslach Burnout Inventory-Human Service Survey，MBI-HSS）对职业倦怠进行评估。采用多元Logistic回归分析人口统计学特征、职业相关特征、心理弹性水平（康纳-戴维森复原力量表）等和麻醉科住院医师职业倦怠的相关性。 结果：本次问卷预计回收2651份，有效回收1990份，回收率（75%）。住院医师职业倦怠发生率为53.4% （1063/1990）。多元Logistic 回归分析结果提示女性(OR=1.429 ,95%CI 1.152~ 1.773 ,P<0.001)，工作时间长(OR=1.760, 95%CI 1.574 ~ 1.968 ,P<0.001)，有挑战的病例多(OR=1.264 ,95%CI 1.125~ 1.420 ,P<0.001)是职业倦怠的危险因素，心里弹性水平高是职业倦怠的保护因素(OR=0.858 ,95%CI 0.842~ 0.847 ,P<0.001)。 结论：麻醉住院医师执业耗竭发生率高，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，保证住院医师群体身心健康发展。
英文摘要:
      Objective: This study aims to investigate the current status of burnout among anesthesiology residents, and to explore its influencing factors and potential interventions. Methods: A total of 2651 practicing anesthesiology residents from 218 hospitals nationwide were included in this study. Burnout was assessed using the Maslach Burnout Inventory-Human Service Survey (MBI-HSS) via electronic questionnaires. Multivariate Logistic regression analysis was conducted to explore the correlation between demographic characteristics, occupational features, level of psychological resilience (measured by the Connor-Davidson Resilience Scale), and occupational burnout among anesthesiology residents. Results: Out of the expected 2651 questionnaires, 1990 valid responses were received (response rate 75%). The prevalence of burnout among the residents was 53.4% (1063/1990). Multivariate Logistic regression analysis indicated that being female (OR=1.429, 95%CI 1.152-1.773, P<0.001), longer working hours (OR=1.760, 95%CI 1.574-1.968, P<0.001), and dealing with a higher number of challenging cases (OR=1.264, 95%CI 1.125-1.420, P<0.001) were risk factors for occupational burnout. High levels of psychological resilience were identified as protective factors against burnout (OR=0.858, 95%CI 0.842-0.847, P<0.001). Conclusion: The occurrence rate of burnout among anesthesiology residents is high. It is crucial to focus on and design practical preventive measures to enhance psychological resilience, ensuring the healthy physical and mental development of the resident community.
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