Burnout Syndrome in medical internship students and its prevention with Balint Group
Rev. Assoc. Med. Bras. (1992, Impr.)
; Rev. Assoc. Med. Bras. (1992, Impr.);65(11): 1362-1367, Nov. 2019. tab
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| ID: biblio-1057078
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ABSTRACT
SUMMARY 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 process. Participation in BG was associated with a lower Burnout rate prevalence. Longitudinal studies should be conducted.RESUMO
RESUMO OBJETIVO:
Estimar a prevalência de Síndrome de Burnout (SB) e fatores associados entre os internos de medicina de uma universidade pública no Nordeste do Brasil, além de investigar a contribuição do Grupo Balint (GB) na sua prevenção.MÉTODOS:
Estudo transversal em fevereiro/2018 com os internos de medicina da universidade pesquisada. Aplicou-se um questionário estruturado elaborado pelos autores sobre características sociodemográficas, processo educacional com participação do GB e vivências psicoemocionais atuais, além do Maslach Burnout Inventory - Student Survey (MBI-SS) para triagem de SB. Realizaram-se análise descritiva, regressão logística e análise de agrupamentos.RESULTADOS:
Participaram 184 estudantes (98%), com idade média de 25,9±3,9 anos, sendo 54,9% do sexo masculino. A prevalência de SB foi 10,3% pelo critério tridimensional e 35,9% pelo bidimensional (Exaustão e Descrença), sendo maior naqueles que pensaram em abandonar o curso (OR=2,14), estavam insatisfeitos com as estratégias de ensino (OR=2,67) e com seu desempenho acadêmico (OR=2,64) e faziam uso de drogas lícitas (OR=2,37). As variáveis associadas à SB permitiram discriminar os indivíduos classificando-os em três subgrupos. A prevalência de SB diminuiu e fatores de vulnerabilidade foram atenuados quando houve maior frequência de estudantes participantes do GB.CONCLUSÕES:
A prevalência de SB pelo critério bidimensional foi alta, com fatores associados ao processo educacional. A participação no GB foi associada à menor prevalência de SB. Estudos longitudinais devem ser realizados.Mots clés
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Étudiant médecine
/
Épuisement psychologique
/
Internat et résidence
Type d'étude:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
Limites du sujet:
Adult
/
Female
/
Humans
/
Male
Pays comme sujet:
America do sul
/
Brasil
langue:
En
Texte intégral:
Rev. Assoc. Med. Bras. (1992, Impr.)
Thème du journal:
EducaÆo em Sa£de
/
GestÆo do Conhecimento para a Pesquisa em Sa£de
/
MEDICINA
Année:
2019
Type:
Article