在一般外科住院者中,内化羞耻的经历和倦怠感
Sophia M Smith1, Anna Kobzeva-Herzog1, Patrick McGillen2
1Department of Surgery, Boston Medical Center, Boston, MA; Boston University Chobanian and Avedisian School of Medicine, Boston, MA.
Journal of surgical education
|February 7, 2025
概括
内化羞耻感在整体外科住院患者中很常见,并且与更高的倦怠率有关. 解决羞耻问题可能会减少外科训练中的倦怠.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 进行外科手术培训.
背景情况:
- 整体外科住院医生面临着高水平的职业倦怠.
- 外科住院医生的内化羞耻感仍然没有得到充分的研究.
- 倦怠的特点是去个性化,情绪疲和个人成就减少.
研究的目的:
- 为了量化整体外科住院医生的内化羞耻感.
- 评估内化羞耻与倦怠之间的关联.
- 为了测试一个假设,更高的内化羞耻与增加的倦怠率相关.
主要方法:
- 匿名横截面调查分发给美国的整体外科住院医生.
- 使用的验证仪器:马斯拉赫燃烧情况调查 (MBI) 和耻辱经验量表 (ESS).
- 多变量后勤回归分析了ESS和MBI分数之间的关联,控制共变量.
主要成果:
- 122名通用外科住院医生完成了调查.
- 增加的耻辱经验 (ESS) 评分与更高的倦怠率显著相关 (OR 1.11,95% CI 1.06-1.16,p < 0.001).
- 观察到高度的内化羞耻感 (ESS中位数为54.5).
结论:
- 整体外科的住院医生经历了重大的内化羞耻感.
- 内化羞耻感是这群人中燃烧的重要危险因素.
- 针对内化羞耻的干预措施可能有助于减少外科住院医生的倦怠.
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