Burnout Syndrome in medical internship students and its prevention with Balint Group
Burnout Syndrome in medical internship students and its prevention with Balint Group
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DOI：
10.1590/1806-9282.65.11.1362
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发表时间：
2019-11-01
期刊：
影响因子：
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通讯作者：
Oliva-Costa, Edméa Fontes de
中科院分区：
文献类型：
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作者：
Calcides, Dâmaris Alejandra Paula;Didou, Rayssa da Nóbrega;Oliva-Costa, Edméa Fontes de
背景：除了调查巴林特小组 (BG) 在预防方面的贡献外，我们还打算估计巴西东北部一所公立大学医学实习生的倦怠综合症患病率及其相关因素。方法：我们于 2018 年 2 月对该大学的医学实习生进行了一项横断面研究。除了 Maslach 倦怠清单学生调查 (MBI-SS) 之外，我们还应用了作者开发的结构化调查问卷，内容涉及社会人口统计数据、BG 参与的教育过程以及当前的心理情感经历，以进行倦怠综合症筛查。我们进行了描述性数据分析、逻辑回归和聚类分析。结果：共有 184 名学生 (98%) 参与了这项研究，平均年龄为 25.9 +/- 3.9 岁，其中 54.9% 是男性。根据三维标准，倦怠综合症的患病率为10.3%；根据二维标准（疲惫和愤世嫉俗），倦怠综合症的患病率为35.9%；那些考虑退出该项目（OR=2.14）、对教学策略（OR=2.67）及其表现（OR=2.64）和使用合法药物（OR=2.37）不满意的人的比例较高。与倦怠综合症相关的变量允许个体受到歧视，将他们分为三个亚组。当学生参加BG的频率较高时，倦怠综合症患病率下降，脆弱性因素减弱。结论：二维倦怠综合症患病率较高，与教育程度有关。
BACKGROUND: We intend to estimate the Burnout Syndrome prevalence and its associated factors among medical internship students at a public university in northeastern Brasil, besides investigating the Balint Group (BG) contribution in its prevention.METHODS: We conducted a cross-sectional study in February/2018 with Medical Internship Students at the University researched. We applied a structured questionnaire developed by the authors about socio-demographic data, educational process with BG participation, and current psycho-emotional experiences, in addition to the Maslach Burnout Inventory-Student Survey (MBI-SS), for Burnout Syndrome screening. We performed descriptive data analysis, logistic regression, and cluster analysis.RESULTS: A total of 184 students (98%) participated in the study, with a mean age of 25.9 +/- 3.9 years, of which 54.9% were men. The prevalence of Burnout Syndrome was 10.3% based on the three-dimensional criterion and 35.9% on two-dimensional criterion (Exhaustion and Cynicism); it was higher in those who thought about quitting the program (OR=2.14), were dissatisfied with the teaching strategies (OR=2.67) and their performance (OR=2.64) and made use of licit drugs (OR=2.37). The variables associated with Burnout Syndrome allowed individuals to be discriminated, classifying them into three subgroups. Burnout Syndrome prevalence decreased, and vulnerability factors were attenuated when there was a higher frequency of students participating in BG.CONCLUSIONS: The prevalence of two-dimensional Burnout Syndrome was high, with factors associated with the educational