从学生到医生:确定哪些生活方式行为可能是倦怠的危险因素在南佛罗里达医学院

Rachel Lin, Heather Woolery-Lloyd, BreAnne Young, Sonjia Kenya
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引用次数: 1

摘要

背景:与其他职业相比,医生有明显更高的倦怠率和不良的生活方式行为,包括睡眠不足,饮食不良,运动有限,缺乏支持性的社会关系。在接受培训的医生中,职业倦怠和日益不良的生活方式行为可能早在医学院的临床前几年就开始了。方法:于2021年5月在南佛罗里达州的一所医学院进行了一项横断面调查,包括标准化调查中测量饮食(Yaroch’s FVS)、运动(NPAQ-S)、睡眠(NHANES)、压力管理(HRQOL)、社会支持(BRFSS)、物质使用(AUDIT-QF, WHO)和倦怠(Mini-Z)的问题。144名学生完全完成了调查,回复率为16%。通过SPSS进行描述性分析,以确定这些生活方式因素对学生倦怠可能性的影响。结果:在本样本中,根据单项倦怠量表,超过一半(61%)的医学生经历过倦怠。独立而言,睡眠不足(p<0.02)和社会支持减少(p<0.001)是与倦怠风险增加正相关的生活方式因素。此外,经历过倦怠的学生报告了更多的心理健康状况不佳的日子,并降低了生活满意度(p<0.001)。结论:半数以上的医学生经历过职业倦怠。睡眠不足和缺乏社会支持与倦怠风险增加显著相关。此外,倦怠学生的心理健康状况不佳程度显著增加,生活满意度下降。这些发现有助于我们确定具体的生活方式因素,机构可以利用这些因素进一步对抗医学生的倦怠。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From Student to Physician: Determining Which Lifestyle Behaviors May Be Risk Factors for Burnout at a South Florida Medical School
Background: Compared to other professions, physicians have significantly higher rates of burnout and poor lifestyle behaviors, including inadequate sleep, poor diet, limited exercise, and lack of supportive social relationships. Among physicians in training, burnout and increasingly poor lifestyle behaviors can begin as early as the preclinical years of medical school. Methods: A cross-sectional survey composed of questions from standardized surveys measuring diet (Yaroch’s FVS), exercise (NPAQ-S), sleep (NHANES), stress management (HRQOL), social support (BRFSS), substance use (AUDIT-QF, WHO), and burnout (Mini-Z) was conducted on a South Florida medical school in May 2021. One hundred forty-four students fully completed the survey for a response rate of 16%. Descriptive analysis was performed via SPSS to determine the effects of these lifestyle factors on the likelihood of student burnout. Results: In this sample of medical students, over half (61%) experienced burnout per the Single Item Burnout Measure. Independently, lack of sleep (p<0.02) and decreased social support (p<0.001) were lifestyle factors positively associated with increased risk of burnout. Furthermore, students who experienced burnout reported more poor mental health days and decreased life satisfaction (p<0.001). Conclusion: Over half of the medical students experienced burnout. Lack of sleep and lack of social support were significantly associated with increased risk of burnout. In addition, burned-out students showed significantly increased levels of poor mental health and decreased life satisfaction. These findings help us identify specific lifestyle factors that institutions could use to further combat medical student burnout.
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