Rebecca J. McCloskey, Gretchen Clark Hammond, Kathleen Gallant, Robert M. Santucci, Justin Koralewski, Michael Kochinski
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引用次数: 1
摘要
这项横断面、回顾性、前后重复测量的研究旨在描述俄亥俄州医生在COVID-19大流行之前和期间的倦怠和心理健康经历。一项一次性在线调查由1,613名在俄亥俄州医学委员会(SMBO)注册的医生完成。使用Wilcoxon签名秩检验来评估医生在大流行之前和期间自我报告的倦怠和心理健康之间的差异。曼-惠特尼U测试检查了医生和住院医生之间的反应差异。数据显示,在所有倦怠和心理健康测量方面,医生在大流行前和大流行经历之间存在统计学上的显著差异(p < 0.001),对工作中感到情绪枯竭的效应大小适中(Z = - 16.71, r = 0.43);情绪低落、沮丧或绝望(Z =−18.09,r = 0.46);成就感降低(Z = - 11.03, r = 0.29);较少关心患者的情况(Z = - 12.04, r = 0.31)。研究发现,自杀念头和对药物使用的担忧会产生较小的影响。此外,在大流行之前和期间,住院医师比普通医生更有可能报告许多倦怠和心理健康问题,尽管这些效应量很小。这些发现可以为利益相关者预防和减少医生职业倦怠和改善幸福感的努力提供信息。
Ohio Physicians’ Retrospective Pre-Post COVID-19 Pandemic Reports of Burnout and Well-Being
This cross-sectional, retrospective, pre-post repeated measures study aimed to describe Ohio physicians’ burnout and mental health experiences as perceived prior to and during the COVID-19 pandemic. A one-time online survey was completed by 1,613 physicians registered with the State Medical Board of Ohio (SMBO). Wilcoxon signed-rank tests were used to assess differences between physicians’ self-reports of burnout and mental health prior to and during the pandemic. Mann-Whitney U tests examined response differences between physicians and residents. Data revealed statistically significant differences between physicians’ pre-pandemic and pandemic experiences for all measures of burnout and mental health (p < 0.001) with moderate effect sizes for feeling emotionally drained from work (Z = −16.71, r = 0.43); feeling down, depressed, or hopeless (Z = −18.09, r = 0.46); feeling less accomplished (Z = −11.03, r = 0.29); and caring less about what happens to patients (Z = −12.04, r = 0.31). Small effect sizes were found for thoughts of suicide and concerns about one’s substance use. Additionally, resident physicians were more likely than physicians to report many burnout and mental health concerns prior to and during the pandemic, although these effect sizes were small. These findings can inform stakeholders’ efforts toward the prevention and reduction of physician burnout and improvement of well-being.