PDF(Pubmed)
Abstract：
BACKGROUND: Studies have shown that the obstetrics and gynecology residents face severe burnout and a large number of stressors, and excessive stress could adversely affect performance and quality of patient care. Thus, the current study attempts to identify and prioritize the stressors of obstetrics and gynecology residents at Isfahan University of Medical Sciences.
METHODS: A cross-sectional descriptive-analytical study was conducted on 62 residents and faculty members in the department of obstetrics and gynecology at Isfahan University of Medical Sciences in 2022. Respondents were selected by census method. The stressors of obstetrics and gynecology residents were investigated using a researcher-made, 37-item questionnaire. The questionnaire was prepared based on a literature review and respondents\' opinions, then its validity and reliability were confirmed. Collected data were analyzed using the SPSS 20, non-parametric Friedman\'s test, and descriptive statistics methods.
RESULTS: This study included 46 respondents (74%), 16 faculty members, and 30 residents, who were asked to rate each stressor of the given questionnaire. The residents and their teachers believed that the main stressors were heavy workloads, lack of personal time, long shifts, financial problems, sleep deprivation, and compassion fatigue. Insufficient study time, study workload, and inappropriate assessment systems for residents were among the high-priority stressors, according to the residents. However, the faculty members reported medical errors, unreasonable expectations from residents, and residents\' multiple responsibilities as high-priority stressors. According to the Friedman\'s test, there was a significant difference in rates received from both the faculty members and medical residents (P value <0/001).
CONCLUSIONS: The stressors due to the nature of obstetrics and gynecology, medical care, residency training, and medical resident assessment are the highest priority. The findings of this study could be beneficial to the officials in residency training programs to take the necessary corrective actions.
METHODS: A cross-sectional descriptive-analytical study was conducted on 62 residents and faculty members in the department of obstetrics and gynecology at Isfahan University of Medical Sciences in 2022. Respondents were selected by census method. The stressors of obstetrics and gynecology residents were investigated using a researcher-made, 37-item questionnaire. The questionnaire was prepared based on a literature review and respondents\' opinions, then its validity and reliability were confirmed. Collected data were analyzed using the SPSS 20, non-parametric Friedman\'s test, and descriptive statistics methods.
RESULTS: This study included 46 respondents (74%), 16 faculty members, and 30 residents, who were asked to rate each stressor of the given questionnaire. The residents and their teachers believed that the main stressors were heavy workloads, lack of personal time, long shifts, financial problems, sleep deprivation, and compassion fatigue. Insufficient study time, study workload, and inappropriate assessment systems for residents were among the high-priority stressors, according to the residents. However, the faculty members reported medical errors, unreasonable expectations from residents, and residents\' multiple responsibilities as high-priority stressors. According to the Friedman\'s test, there was a significant difference in rates received from both the faculty members and medical residents (P value <0/001).
CONCLUSIONS: The stressors due to the nature of obstetrics and gynecology, medical care, residency training, and medical resident assessment are the highest priority. The findings of this study could be beneficial to the officials in residency training programs to take the necessary corrective actions.
摘要：
背景：研究表明，妇产科居民面临严重的职业倦怠和大量的压力源，过度的压力可能会对患者护理的表现和质量产生不利影响。因此，本研究试图确定伊斯法罕医科大学妇产科住院医师的压力源并对其进行优先排序.
方法：2022年对伊斯法罕医科大学妇产科的62名居民和教职员工进行了横断面描述性分析研究。通过人口普查方法选择受访者。妇产科居民的压力源进行了调查，使用研究人员，37项问卷。问卷是根据文献综述和受访者的意见编写的，然后证实了其有效性和可靠性。收集的数据使用SPSS20，非参数弗里德曼检验进行分析，和描述性统计方法。
结果：这项研究包括46名受访者（74%），16名教员，30位居民,他们被要求对给定问卷的每个压力源进行评分。居民和他们的老师认为，主要的压力源是繁重的工作量，缺乏个人时间,长轮班，财务问题,睡眠剥夺,同情疲劳。学习时间不足,研究工作量，对居民不适当的评估系统是高度优先的压力源，据居民。然而,教职员工报告了医疗错误，居民的不合理期望，和居民的多重责任作为高优先级的压力源。根据弗里德曼的测试,教职员工和住院医师的接诊率存在显着差异（P值<0/001）。
结论：由于妇产科的性质造成的压力源，医疗保健,住院医师培训,医疗居民评估是最高优先事项。这项研究的结果可能有利于住院医师培训计划中的官员采取必要的纠正措施。
方法：2022年对伊斯法罕医科大学妇产科的62名居民和教职员工进行了横断面描述性分析研究。通过人口普查方法选择受访者。妇产科居民的压力源进行了调查，使用研究人员，37项问卷。问卷是根据文献综述和受访者的意见编写的，然后证实了其有效性和可靠性。收集的数据使用SPSS20，非参数弗里德曼检验进行分析，和描述性统计方法。
结果：这项研究包括46名受访者（74%），16名教员，30位居民,他们被要求对给定问卷的每个压力源进行评分。居民和他们的老师认为，主要的压力源是繁重的工作量，缺乏个人时间,长轮班，财务问题,睡眠剥夺,同情疲劳。学习时间不足,研究工作量，对居民不适当的评估系统是高度优先的压力源，据居民。然而,教职员工报告了医疗错误，居民的不合理期望，和居民的多重责任作为高优先级的压力源。根据弗里德曼的测试,教职员工和住院医师的接诊率存在显着差异（P值<0/001）。
结论：由于妇产科的性质造成的压力源，医疗保健,住院医师培训,医疗居民评估是最高优先事项。这项研究的结果可能有利于住院医师培训计划中的官员采取必要的纠正措施。
