INTENSIVE-CARE UNIT - HOW STRESSFUL FOR PHYSICIANS

INTENSIVE-CARE UNIT - HOW STRESSFUL FOR PHYSICIANS
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DOI:
10.1097/00003246-198602000-00004
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发表时间:
1986-02-01
影响因子:
8.8
通讯作者:
MATTHAY, M
MATTHAY, M
中科院分区:
医学1区
文献类型:
--
作者:
EISENDRATH, SJ;LINK, N;MATTHAY, M

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ICU一直被认为是一个心理压力很大的环境。虽然许多研究已经调查了ICU护士的这种压力,但几乎没有人研究过ICU对医生的压力有多大。这项前瞻性研究比较了家政医生在ICU和其他内科-外科轮换中的1个压力等级。这项研究中的26名医生对ICU的负面评价明显低于其他轮换。还有一种趋势是对ICU给予更积极的评价。长期护理多系统衰竭和预后不良的患者是最常被描述的压力来源。幽默、交流和ICU外的活动是最常见的应对方法。
The ICU has been considered a psychologically stressful environment. Although numerous studies have investigated this stress in ICU nurses, virtually none have examined how stressful the ICU is for physicians. This prospective study compares housestaff physicians'1 ratings of stress in the ICU to other medical-surgical rotations. The 26 physicians in this study rated the ICU significantly less negatively than other rotations. There was also a trend to rate the ICU more positively. Prolonged care of patients with multisystem failure and a poor prognosis was the most frequently described source of stress. Humor, communication, and activities outside the ICU were the most frequently noted coping techniques.