Analysis of factors affecting fatigue in emergency medicine residents: A nationwide, cross-sectional, descriptive study.

IF 2.3 Q3 EMERGENCY MEDICINE

Turkish Journal of Emergency Medicine Pub Date : 2025-07-01 DOI:10.4103/tjem.tjem_277_24

Ali Batur

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引用次数: 0

Abstract

Objectives: Emergency physicians may experience intense fatigue and burnout due to factors related to occupational conditions. The group experiencing burnout most frequently among physicians is emergency medicine (EM) physicians, with 63%. They also endure high levels of fatigue. This study evaluated the fatigue levels and factors of fatigue in EM residents nationwide. It aimed to determine the factors affecting fatigue.

Methods: The study includes EM residents working across the country between January 2024 and April 2024. It was conducted using a survey. The survey included the Maslach Burnout Inventory (MBI), the Chalder Fatigue Scale, and questions about demographic characteristics. Multivariate logistic regression analysis was used to analyze the data.

Results: The median age of participants was 28 years (interquartile range = 3), and 203 (56.4%) were male. Factors affecting the level of fatigue were analyzed by multivariate logistic regression analysis. The gender (male) (odds ratio [OR] =0.322, 95% confidence interval [CI] =0.128-0.812) and the daily sleep duration (OR = 0.589, 95% CI = 0.423-0.822) variables had a negative effect on fatigue. Depression in medical history increased the likelihood of fatigue (OR = 3.515, 95% CI = 0.930-13.287). Emotional exhaustion (EE) (OR = 1.082, 95% CI = 1.037-1.130) and depersonalization (OR = 1.097, 95% CI = 1.015-1.186) increased the fatigue level. However, personal accomplishment had no significant effect on fatigue (OR = 1.019, 95% CI = 0.966-1.075).

Conclusions: Being female gender, having shorter daily sleep duration, having a diagnosis of depression in medical history, and having higher levels of depersonalization and EE from MBI subdimensions increase the level of fatigue. Optimizing the sleep duration of EM residents and supporting their psychological health will prevent fatigue and fatigue-related problems.

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急诊住院医师疲劳影响因素分析：一项全国性、横断面、描述性研究。

目的：急诊医生可能会由于与职业条件相关的因素而经历强烈的疲劳和倦怠。医生中最常经历职业倦怠的群体是急诊医生（EM），占63%。他们还要忍受高度的疲劳。本研究评估了全国EM居民的疲劳水平和疲劳因素。它旨在确定影响疲劳的因素。方法：研究对象为2024年1月至2024年4月在全国范围内工作的EM居民。它是通过调查进行的。调查内容包括马斯拉克职业倦怠量表（MBI）、查尔德疲劳量表以及有关人口统计学特征的问题。采用多因素logistic回归分析对数据进行分析。结果：参与者年龄中位数为28岁（四分位数差= 3），男性203人（56.4%）。采用多因素logistic回归分析影响疲劳程度的因素。性别（男性）（比值比[OR] =0.322, 95%可信区间[CI] =0.128-0.812）和每日睡眠时间（OR = 0.589, 95% CI = 0.423-0.822）变量对疲劳有负相关影响。病史中的抑郁增加了疲劳的可能性（OR = 3.515, 95% CI = 0.930-13.287）。情绪耗竭（EE）（OR = 1.082, 95% CI = 1.037 ~ 1.130）和人格解体（OR = 1.097, 95% CI = 1.015 ~ 1.186）加重了疲劳程度。而个人成就感对疲劳无显著影响（OR = 1.019, 95% CI = 0.966 ~ 1.075）。结论：女性、每日睡眠时间较短、病史中有抑郁症诊断、MBI子维度中人格解体和情感表达水平较高会增加疲劳水平。优化EM居民的睡眠时间和支持他们的心理健康将防止疲劳和疲劳相关的问题。

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来源期刊

Turkish Journal of Emergency Medicine EMERGENCY MEDICINE-

CiteScore

1.70

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： The Turkish Journal of Emergency Medicine (Turk J Emerg Med) is an International, peer-reviewed, open-access journal that publishes clinical and experimental trials, case reports, invited reviews, case images, letters to the Editor, and interesting research conducted in all fields of Emergency Medicine. The Journal is the official scientific publication of the Emergency Medicine Association of Turkey (EMAT) and is printed four times a year, in January, April, July and October. The language of the journal is English. The Journal is based on independent and unbiased double-blinded peer-reviewed principles. Only unpublished papers that are not under review for publication elsewhere can be submitted. The authors are responsible for the scientific content of the material to be published. The Turkish Journal of Emergency Medicine reserves the right to request any research materials on which the paper is based. The Editorial Board of the Turkish Journal of Emergency Medicine and the Publisher adheres to the principles of the International Council of Medical Journal Editors, the World Association of Medical Editors, the Council of Science Editors, the Committee on Publication Ethics, the US National Library of Medicine, the US Office of Research Integrity, the European Association of Science Editors, and the International Society of Managing and Technical Editors.