[住院医师职业倦怠:当前视角]。

IF 1.2 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Acta medica portuguesa Pub Date : 2026-10-01 Epub Date: 2026-06-19 DOI:10.20344/amp.24011
Beatriz Alves, Gina Gouveia, Rita Crisóstomo, Marina Pereira
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引用次数: 0

摘要

职业倦怠在住院医生中越来越普遍,在某些研究中报告的比率从17%到75%不等,这突出了方法的异质性和进一步研究和理解的必要性。本文献综述旨在通过检查住院医师中与职业倦怠相关的患病率、评估工具、相关因素、后果和干预措施,有助于更好地理解这一主题。为此,我们对2000年至2024年的科学出版物进行了文献检索,总共有22篇文章符合纳入标准。职业倦怠不仅会给医生带来严重的精神后果,也会影响病人,因为无法有效工作的医生提供的医疗服务质量较低,还可能出现医疗差错。根据文章中综合的证据,住院医生的职业倦怠是非常普遍的,是多因素的,并且受到组织条件的强烈驱动,其比率经常超过50%,并且在住院第一年和某些专业达到特别高的水平。研究结果还表明,组织和综合机构干预比单独的个人策略更有效,可以有效地减少情绪衰竭、人格解体以及对患者护理和员工保留的下游后果。为了解决这一日益严重的问题,需要在机构和个人两级采取综合办法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Burnout Among Residents: A Current Perspective].

Burnout is increasingly prevalent among medical residents, with reported rates ranging from 17% to 75% in certain studies, highlighting methodological heterogeneity and the need for further research and understanding. This literature review aims to contribute to a better understanding of this topic by examining the prevalence, assessment instruments, associated factors, consequences, and interventions related to burnout among resident physicians. To achieve this, a literature search of scientific publications from 2000 to 2024 was conducted, resulting in a total of 22 articles that met the inclusion criteria. Burnout has serious psychiatric consequences for the physician but also affects patients, since a doctor who is not able to perform effectively at work offers lower quality healthcare delivery and risks medical errors. Based on the evidence synthesized in the article, burnout among medical residents is highly prevalent, multifactorial, and strongly driven by organizational conditions, with rates frequently exceeding 50% and reaching particularly high levels in the first year of residency and in certain specialties. The findings also show that organizational and integrated institutional interventions are more effective than individual strategies alone, leading to meaningful reductions in emotional exhaustion, depersonalization, and downstream consequences for patient care and workforce retention. To address this growing issue, integrated approaches are needed, both at the institutional and personal levels.

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来源期刊
Acta medica portuguesa
Acta medica portuguesa MEDICINE, GENERAL & INTERNAL-
CiteScore
1.90
自引率
16.70%
发文量
256
审稿时长
6-12 weeks
期刊介绍: The aim of Acta Médica Portuguesa is to publish original research and review articles in biomedical areas of the highest standard, covering several domains of medical knowledge, with the purpose to help doctors improve medical care. In order to accomplish these aims, Acta Médica Portuguesa publishes original articles, review articles, case reports and editorials, among others, with a focus on clinical, scientific, social, political and economic factors affecting health. Acta Médica Portuguesa will be happy to consider manuscripts for publication from authors anywhere in the world.
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