精神科住院医师规范化培训学员职业倦怠及相关因素分析
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1.南京医科大学医政学院;2.南京医科大学附属脑科医院

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南京医科大学2019年度教育研究课题立项重点项目(编号:2019ZD012)


The job burnout of psychiatric residents in standardized training and its related factors
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1.School of Health Policy and Management, Nanjing Medical University;2.Affiliated Nanjing Brain Hospital, Nanjing Medical University

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    摘要:

    目的:了解精神科住院医师规范化培训(以下简称“住培”)学员职业倦怠的现状,分析人口社会学因素和住培满意度对精神科住培学员职业倦怠的影响。方法:问卷调查研究,采用修订的MBI-GS对228名住培学员(精神科76名,内科83名,外科69名)进行问卷调查,同时对76名精神科住培学员开展住培满意度的问卷调查。结果:精神科住培学员职业倦怠较内、外科学员更为严重,其职业倦怠水平在不同的性别、年级、学员类型中存在差异,并且与住培满意度中的培训效果、制度设计、过程管理、保障机制4个维度密切相关。结论:从学员个人、培训基地、政府部门三个层面多策并举,预防和缓解精神科住培学员职业倦怠。

    Abstract:

    Objective: To understand the current status of job burnout among psychiatric residents in standardized training (hereinafter referred to as “Resident doctor”), and to analyze the impact of demographic factors and training satisfaction on vocational burnout of psychiatric standardized training students. Methods: A total of 228 residents in standardized training (76 in psychiatry, 83 in physician, and 69 in surgery) were include in the present research. The revised MBI-GS were used to evaluate the job burnout in all participants. Moreover, the satisfaction of standardized training was also assessed in psychiatric residents. Results: Our results showed that the job burnout in psychiatric residents was more serious compared to physician or surgical residents. The level of job burnout was significant different among genders, grades, and types of residents, and it was significantly correlated with the four dimensions in the satisfaction of standardized training (training effect, system design, process and guarantee mechanism). Conclusion: To prevent and alleviate the job burnout of psychiatric residents, the multi-pronged approach from three levels: individual students, training bases, and government departments were needed to adopted.

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  • 收稿日期:2020-02-11
  • 最后修改日期:2020-04-14
  • 录用日期:2020-06-19
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