通过使用社交网络分析,研究外科住院者幸福感的影响因素和机制
Ari S Coopersmith1, Michael H Berler1, Brianna Johnston1
1UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA, USA.
American journal of surgery
|September 18, 2023
概括
工作场所的需求和正念影响一般外科住院医生的福祉. 针对压力和心理健康的干预措施可以减少倦怠和抑郁.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 在一般外科住院生中,倦怠和抑郁症很普遍.
- 这些问题会对患者的护理产生负面影响,并导致患者退休.
- 由于对影响力驱动因素缺乏了解,有效的干预措施是有限的.
研究的目的:
- 确定关键的驱动因素和影响外科住院医生福祉的机制关系.
- 开发这些关系的定量概念模型.
- 确定潜在的干预目标,以减轻倦怠和抑郁症.
主要方法:
- 来自16个整体外科项目的居民完成了幸福度表.
- 用社交网络分析和路径分析来检查因素之间的关系.
- 从300名居民收集数据,得到34%的响应率.
主要成果:
- 工作场所的需求和正念显著影响了抑郁症状和情绪疲劳,由感知到的压力介导.
- 正念对个人成就产生了积极的影响,由心理健康为媒介.
- 中介效应比直接效应更为显著.
结论:
- 一个定量模型强调压力和心理健康作为外科住院的中心调解者.
- 工作场所的需求和正念成为干预措施的高收益目标.
- 解决这些因素可以帮助减少外科住院医生的倦怠和抑郁.
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