预防和减少医生倦怠的干预措施:系统审查和元分析
Colin P West1, Liselotte N Dyrbye2, Patricia J Erwin3
1Division of General Internal Medicine and Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, US.
Lancet (London, England)
|October 4, 2016
概括
干预措施显著降低了医生疲劳, 显示整体疲劳降低了10%. 个人和组织的策略都有效地减少了医生疲劳,改善了健康.
科学领域:
- 医学研究
- 公共卫生
- 职业健康问题
背景情况:
- 医生疲劳是一个广泛存在的问题,对患者护理和医疗保健系统产生严重影响.
- 关于预防和减少医生倦怠的现有文献需要全面了解质量和结果.
- 为了满足这一需求,进行了系统审查和元分析.
研究的目的:
- 系统地审查和分析旨在预防和减少医生疲劳的干预措施的有效性.
- 量化这些干预措施对整体倦怠,情绪疲劳和非个性化的影响.
主要方法:
- 在多个数据库 (MEDLINE,Embase,PsycINFO,Scopus,Web of Science,ERIC) 进行了系统的搜索.
- 包括的研究是随机试验和队列研究,报告了医生特定的倦怠数据.
- 随机效应模型用于计算燃烧结果的汇总平均差异.
主要成果:
- 医生的整体倦怠率从54%降至44% (10%的减少).
- 情绪疲劳得分下降了2.65分, 而非个性化得分下降了0.64分.
- 高度情绪疲劳从38%降低到24%,高度非个人化从38%降低到34%.
结论:
- 这两种以个人为中心和结构/组织策略都能显著减少医生疲劳.
- 需要进一步的研究来确定针对特定人群的最有效的干预措施.
- 结合个人和组织的解决方案,
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