Burnout in medical students: a systematic review of experiences in Chinese medical schools.
Burnout in medical students: a systematic review of experiences in Chinese medical schools.
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DOI：
10.1186/s12909-017-1064-3
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发表时间：
2017-11-16
影响因子：
3.6
通讯作者：
Balasooriya C
中科院分区：
文献类型：
--
作者：
Chunming WM;Harrison R;MacIntyre R;Travaglia J;Balasooriya C
要识别：在中国的医学生经验倦怠的程度;促成这一点的因素;潜在的解决方案，以减少和防止在这一群体的倦怠;在何种程度上，中国学生的经验反映了国际文献。系统综述和叙述性综合。除人工检索相关期刊外，还使用关键词、同义词和主题词检索5个电子数据库。1989年1月1日至2016年7月31日期间出版物的标题和摘要由两名评审员筛选，并由第三名评审员检查。根据合格性标准筛选全文文章。数据的设计，方法和关键的调查结果进行了提取和合成。33项研究符合条件并纳入审查。男性、高年级医学生和那些已经经历过较差心理功能的人通常会有更高水平的倦怠。很少有研究探讨影响倦怠的社会或环境因素，但那些确实表明，社会支持程度或学生周围的生活环境等因素可能是倦怠的决定因素。更好地了解医学生职业倦怠的社会和环境决定因素，对于确定减少和预防这一群体职业倦怠的解决方案至关重要。
To identify the: extent to which medical students in China experience burnout; factors contributing to this; potential solutions to reduce and prevent burnout in this group; and the extent to which the experiences of Chinese students reflect the international literature. Systematic review and narrative synthesis. Key words, synonyms and subject headings were used to search five electronic databases in addition to manual searching of relevant journals. Titles and abstracts of publications between 1st January 1989-31st July 2016 were screened by two reviewers and checked by a third. Full text articles were screened against the eligibility criteria. Data on design, methods and key findings were extracted and synthesised. Thirty-three studies were eligible and included in the review. Greater levels of burnout were generally identified in males, more senior medical students, and those who already experienced poorer psychological functioning. Few studies explored social or contextual factors influencing burnout, but those that did suggest that factors such as the degree of social support or the living environment surrounding a student may be a determinant of burnout. Greater understanding of the social and contextual determinants of burnout amongst medical students in China is essential towards identifying solutions to reduce and prevent burnout in this group.