医学学生在临床实习期间的二次创伤性压力
概括
医学学生在临床实习期间经历了越来越多的二次创伤性压力 (STS),许多人到年底还没有康复. 这凸显了需要采取干预措施来支持学生的福祉.
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:
- 医疗保健工作者容易受到患者暴露的二次创伤性压力 (STS).
- 关于临床培训期间医学生中STS流行率和发展轨迹的数据有限.
研究的目的:
- 研究医学学生在临床实习期间二次创伤性压力 (STS) 的发展轨迹和患病率.
- 确定影响该人口中STS发展的因素.
主要方法:
- 科罗拉多大学医学院的前性研究.
- 第一个阶段:使用二级创伤应激量表 (STSS) 评估一年的STS (n=187).
- 第二阶段:在三个队列 (n=482) (2020-2023) 中评估职工年终的STS流行情况.
- 多级增长曲线建模分析了STSS得分变化.
主要成果:
- 在职工年期间,STS成绩增加,在年中达到顶峰,许多学生的STS成绩并没有完全恢复到基线.
- 年底中度至严重的STS患病率为35.7%,在所有队列中一致.
- 报告精神疾病是一种与较高的STS分数相关的显著共变量.
结论:
- 医学学生的STS症状在实习期间升级并持续存在.
- 需要进一步研究STS风险/保护因素和缓解策略.
- COVID-19大流行对观察到的STS的影响需要调查.
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