精神科住院医师规范化培训学员职业倦怠及相关因素分析

为了解精神科住院医师规范化培训(简称住培)学员职业倦怠的现状,分析人口社会学因素和住培满意度对精神科住培学员职业倦怠的影响,本研究采用修订的职业倦怠量表(MBI-GS)对228名住培学员(精神科76名,内科83名,外科69名)进行问卷调查,同时对76名精神科住培学员开展住培满意度问卷调查。结果发现,精神科住培学员职业倦怠较内、外科学员更为严重,其职业倦怠水平在不同的性别、年级、学员类型中存在差异,并且与住培满意度中的培训效果、制度设计、过程管理、保障机制四个维度密切相关。建议从学员个人、培训基地、政府部门三个层面多策并举,预防和缓解精神科住培学员职业倦怠。

The job burnout of psychiatric residents in standardized training and its related factors

The present study aimed to understand the current status of job burnout among psychiatric residents in standardized training,and to analyze the impact of demographic factors and training satisfaction on vocational burnout of psychiatric standardized training students.A total of 228 residents in standardized training(including 76 in psychiatry,83 in physician,and 69 in surgery)were interviewed.The revised MBI⁃GS was used to evaluate the job burnout in all participants.Moreover,the satisfaction of standardized training was also assessed in psychiatric residents.Our results showed that psychiatric residents had more serious job burnout than physician or surgical residents.The level of job burnout was significant different among genders,grades,and types of residents.It was significantly correlated with the four dimensions in the satisfaction of standardized training(training effect,system design,process management and guarantee mechanism).Our present study suggested that the multi⁃pronged approach from three levels:individual students,training bases,and government departments,need to be adopted together in order to prevent and alleviate the job burnout of psychiatric residents.