[工作负担,机构认可和睡眠:法国内科医生中倦怠的调查]
Thomas El Jammal1, Pascal Sève1, Yvan Jamilloux1
1Service de médecine interne, Centre de référence des maladies auto-inflammatoires (CEREMAIA), hôpital de la Croix-Rousse, hospices civils de Lyon, université Claude Bernard - Lyon 1, Lyon, France.
概括
在法国的内科医生中,倦怠是很常见的,影响了超过一半的受访者. 关键的驱动因素包括长时间工作,缺乏认可,睡眠不足,突显了组织变革的必要性.
科学领域:
- 内部医学 内部医学
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
背景情况:
- 全球范围内,医生倦怠问题越来越令人担忧.
- 了解法国内科医生的倦怠率和驱动因素对于有针对性的干预至关重要.
研究的目的:
- 估计法国内科医生中燃烧症的患病率.
- 为了确定燃烧的关键决定因素.
- 通过定性评论探索内科医生的专业经验.
主要方法:
- 在法国的实习医生中进行了一项全国性的横截面在线调查.
- 用修改的燃烧库存 (mMBI) 评估了燃烧状态.
- 对调查数据和自由文本评论进行了定量和专题分析.
主要成果:
- 58%的内科医生报告严重倦怠,19%的内科医生经历了"三重损伤".
- 在严重的倦怠和长时间工作,不充分的认知,改变睡眠和使用心理药物之间发现了显著的关联.
- 定性评论揭示了情绪疲劳,意义丧失和官僚化的主题,以及对患者的奉献精神.
结论:
- 在法国的内科医生中,倦怠是非常普遍和复杂的.
- 组织因素是燃烧的主要驱动因素.
- 建议包括简化工作,改善机构认可,加强专业自主权.
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