在瑞士的紧急医疗中,医生的福祉和倦怠感
Eric P Heymann1,2,3, Valerie Romann1,4, Rod Lim5,6
1Swiss Society of Emergency and Rescue Medicine, Switzerland.
Swiss medical weekly
|May 16, 2024
概括
紧急医生面临高燃烧率,影响患者护理和系统的可持续性. 这项瑞士研究显示,超过一半的受试者经历过倦怠和抑郁症,有明显的自杀念头和消耗问题.
科学领域:
- 医学专业 医学专业 医学专业
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
背景情况:
- 紧急医生极易患倦怠,危及患者护理和医疗保健系统的完整性.
- 医生的福祉对于维持急诊医学作为医疗保健安全网的作用至关重要.
- 国际研究表明,在紧急医疗领域有显著的倦怠趋势.
研究的目的:
- 评估瑞士紧急医学的医生福祉和倦怠现状.
- 为了确定紧急医生中倦怠,抑郁和自杀念头的普遍性.
- 检查导致现场磨损的因素.
主要方法:
- 在2023年3月至4月期间,向瑞士所有急诊医生分发了一项全国性的电子调查.
- 收集和分析了611个完整的答案.
- 使用了经过验证的工具,包括马斯拉赫倦怠清单,哥本哈根倦怠清单和患者健康问卷-9 .
主要成果:
- 超过一半的受访者符合燃烧标准 (马斯拉赫燃烧情况:59.2%;哥本哈根燃烧情况:54.1%).
- 超过50%的人报告了轻度至重度抑郁症状;近20%的查结果为中度至重度抑郁 (PHQ-9).
- 10.8%考虑过自杀,其中近一半是在过去一年; 40.6%考虑因工作条件而放弃紧急医疗.
结论:
- 这项研究强调了瑞士急诊医生中严重的健康危机,超过了一般人口的抑郁率.
- 高度的倦怠,抑郁和消耗率质疑紧急医疗的可持续性.
- 紧急医疗固有的工作条件对医生福祉和留守有重大影响.
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