A qualitative study of physicians' own wellness-promotion practices.
A qualitative study of physicians' own wellness-promotion practices.
复制标题
对医生自身健康促进实践的定性研究。
DOI：
10.1136/ewjm.174.1.19
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
M. Gottlieb
中科院分区：
文献类型：
--
作者：
E. L. Weiner;G. Swain;B. Wolf;M. Gottlieb
目的
描述医生用来促进自身健康的具体实践。
设计、设置和参与者
一个以初级保健实践为基础的研究小组的304名成员通过邮件回复了一项关于医生幸福感的调查。在最初的调查中，130名受试者回答了一个关于他们自己的健康促进实践的开放式调查项目。
方法
定性内容分析被用来确定医生对开放式问题的回答中的共同主题。心理健康量表（SPWB）是一个经过验证的18项工具，用于测量。
主要观察指标
受访者报告使用的各种健康促进做法之间的相似性和差异，以及这些做法的使用与SPWB分数之间的关联。
结果
从对调查答复的专题分析中得出的五种主要促进健康的做法包括“关系”、“宗教或精神”、“自我照顾”、“工作”和“生活方式”。“与使用任何其他健康促进实践类别相比，使用最后一种实践与心理健康（SPWB）得分的增加显著相关（P<0.01），并且任何健康促进实践类别的用户都有增加幸福感的趋势。我们的受访者的评论提供了医生如何照顾他们的情感，精神和心理健康的具体描述。
结论
医生使用各种方法来促进自己的健康，这些方法将自己分为5个主要类别，似乎与用户心理健康水平的提高相关。
OBJECTIVE
To delineate the specific practices that physicians use to promote their own well-being.
DESIGN, SETTING, AND PARTICIPANTS
304 members of a primary care practice-based research group responded by mail to a survey on physician well-being. From the original survey, 130 subjects responded to an open-ended survey item regarding their own wellness-promotion practices.
METHODS
Qualitative content analysis was used to identify the common themes in the physicians' responses to the open-ended question. A validated 18-item instrument, the Scales of Psychological Well-Being (SPWB), was used for measurement.
MAIN OUTCOME MEASURES
Similarities and differences between the various wellness-promotion practices that respondents reported using and associations between the use of these practices and SPWB scores.
RESULTS
The 5 primary wellness-promotion practices that evolved from thematic analysis of the survey responses included "relationships," "religion or spirituality," "self-care," "work," and "approaches to life." The use of the last type of practice was significantly associated with increased psychological well-being (SPWB) scores compared with the use of any of the other wellness-promotion practice categories (P<0.01), and there was a trend toward increased well-being among users of any category of wellness-promotion practices. Comments by our respondents provide specific descriptions of how physicians attend to their emotional, spiritual, and psychological well-being.
CONCLUSION
Physicians use a variety of approaches to promote their own well-being, which sort themselves into 5 main categories and appear to correlate with improved levels of psychological well-being among users.