■作为研究生院医学培训的重要组成部分,33个月的医疗住院医师培训可能是一个压力期,会导致倦怠(即情绪疲惫,去个性化,和低个人成就感)。尽管现有文献已经发现,归属感可能对居民的福祉有好处,目前尚不清楚学校归属感如何影响职业倦怠和潜在的主持人。为了解决这个问题,已对中国医师规范化住院医师培训计划的居民进行了横断面调查。
■来自不同专业(即临床医学,临床口腔医学,和中医)和年级参加了调查。居民的学校归属感用学校成员心理感量表(PSSM,平均值=45.12,SD=11.14)。倦怠是通过22项Maslach倦怠清单(MBI-HSS,平均值=65.80,SD=15.89),包括三个情绪衰竭的分量表,去个性化,和个人成就。
■结果显示,超过80%的居民在住院培训期间报告了中等或高度的情绪疲惫和个人成就感。同时,较高的学校归属感与较低的整体倦怠相关(B=-0.722,p<0.001),减少情绪疲惫,减少人格解体,更高的个人素养。特别是,归属感的好处在女性和居住早期的女性中似乎更为明显。归属感和专业之间没有发现交互作用,而中医在总体倦怠和三个维度上得分较低。
■倦怠是住院医师中普遍存在的问题,我们的发现证实了学校归属感对职业倦怠的保护作用。因此,应发展支持服务,培养居民的学校归属感和社会关系,特别是对于女性和早期居住阶段的人。
UNASSIGNED: As an important part in medical training in graduate school, 33-month medical residency training could be a stressful period inducing burnout (i.e. emotional exhaustion, depersonalization, and low personal accomplishment). Despite that existing literature has found that sense of belonging may have merits for residents\' well-being, it has remained unclear how sense of school belonging affects burnout and the potential moderators. To address this question, a cross-sectional survey has been conducted among the residents of the physicians standardized residency training program in China.
UNASSIGNED: Seven hundred (N = 700) resident physicians from different majors (i.e. clinical medicine, clinical Stomatology, and Chinese medicine) and grades have participated in the survey. Resident\'s sense of school belonging was assessed with the psychological sense of school membership scale (PSSM, mean = 45.12, SD = 11.14). Burnout was measured by the 22-item Maslach Burnout Inventory (MBI-HSS, mean = 65.80, SD = 15.89), including three subscales of emotional exhaustion, depersonalization, and personal accomplishment.
UNASSIGNED: The results showed that over 80% of the residents reported moderate or high level of emotional exhaustion and reduced personal accomplishment during residency training. Meanwhile, higher level of sense of school belonging was associated with lower overall burnout (B = -0.722, p < 0.001), less emotional exhaustion, reduced depersonalization, and higher personal accomplishment. In particular, the benefits of sense of belonging seem more pronounced among female and those at earlier stage of residency. No interaction effect was found between sense of belonging and major, while those from Chinese medicine reported lower scores in overall burnout and the three dimensions.
UNASSIGNED: Burnout was a prevalent issue among the resident physicians, and our findings confirmed the protective effects of sense of school belonging against burnout. Therefore, support service should be developed to cultivate resident\'s sense of school belonging and social connections, particularly for female and those at earlier stage of residency.