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紧急医疗实习生中抑郁症和相关风险因素:来自全国纵向队列研究的结果
Destiny D Folk1, Cortlyn Brown1, Carrie C Bissell1
1Department of Emergency Medicine Atrium Health Carolinas Medical Center Charlotte North Carolina USA.
紧急医疗 (EM) 实习生经历了高抑郁率,特别是女性. 睡眠和工作时间等可修改因素显著影响内部心理健康.
科学领域:
- 医学教育 医学教育
- 精神病学是一个精神病学.
- 紧急医疗 紧急医疗
背景情况:
- 抑郁症在医疗人员中很普遍.
- 关于抑郁症患病率和风险因素的研究有限,特别是在紧急医疗 (EM) 实习生中.
研究的目的:
- 为了确定EM实习生中抑郁症的患病率.
- 为了确定与此人群中抑郁症相关的风险因素,包括睡眠,工作时间和轮换类型.
主要方法:
- 利用了国家纵向内部健康研究 (2007-2021) 的数据.
- 分析了1123名EM实习生的调查数据,使用患者健康问卷 (PHQ9) 评估抑郁症状.
- 检查了人口统计,工作时间,睡眠时间和轮换类型作为潜在的风险因素.
主要成果:
- 中度至重度抑郁症的患病率从实习前的4.8%增加到实习一年的17%以上.
- 女性EM实习生报告的抑郁症得分高于男性.
- 重症监护室的轮换,更长的工作时间和更少的睡眠与增加的抑郁症得分有关.
结论:
- 很大一部分EM实习生经历了中度至重度的抑郁.
- 女性性别,特定的轮换类型,睡眠减少和工作时间增加与更高的抑郁症有关.
- 针对可修改因素的干预措施可以改善EM内部心理健康.
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