精神骚扰和住院医生的心理健康:一项纵向研究
Ana Bresser Tokeshi1, Renato Antunes Dos Santos2, Luiz Antonio Nogueira-Martins1
1Departamento de Psiquiatria, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
概括
在医疗人员中,道德骚扰很普遍,但没有发现与焦虑和抑郁症的直接联系. 然而,寻求帮助加剧了痛苦,表明需要更安全的支持系统.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 职业健康 职业健康 职业健康
背景情况:
- 在医疗培训环境中,道德骚扰是一个重大问题.
- 了解其对居民心理健康的影响对于改善医疗保健培训至关重要.
研究的目的:
- 为了研究道德骚扰和心理健康结果 (焦虑,抑郁,倦怠) 之间的关系,在医疗居民.
- 探索寻求帮助在加剧或减轻这些影响中的作用.
主要方法:
- 这是一项对218名一年级医疗内科医生进行的三阶段纵向研究.
- 利用心理健康 (患者健康问卷-4),燃烧 (Maslach燃烧清单) 和骚扰经历的验证问卷.
- 使用后勤回归分析来检查心理健康结果和骚扰.
主要成果:
- 超过90%的居民经历了骚扰,造成了严重的痛苦.
- 在骚扰受害者和心理健康下降之间没有发现直接的相关性.
- 寻求帮助加剧了痛苦;手术住院患者的抑郁和情绪疲的增加较小.
结论:
- 这是关于医疗住院医生的心理健康和骚扰的第一个纵向研究.
- 缺乏安全的环境来应对骚扰导致更多的痛苦.
- 建议对外科住院生和机构变革进行进一步的研究,以支持受害者并促进健康的环境.
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