美国结直肠外科医生的运动频率与医生职业倦怠：我们是否应该担忧？

摘要(中文译文)

在美国外科医生中，职业倦怠和低生活质量较为常见。尽管自我保健习惯（如体育锻炼）与改善身心健康相关，但尚未在结直肠外科医生中进行评估。本研究旨在对美国结直肠外科医生的运动习惯进行横断面分析，评估运动与倦怠症状之间的关联，并识别该人群中常见的倦怠症状。通过全国性调查收集的横断面分析。美国结肠和直肠外科医师协会会员。不适用。不适用。倦怠症状的频率及结直肠外科医生体力活动的分析。共分析208份回复。受访者执业年限中位数为16.2年[范围0-50]。运动频率各异，13.9%报告每日活动，29.3%报告每周活动1-3天，43.3%报告每周活动4-6天。在过去6个月中，77.4%的受访者报告因工作感到倦怠，56.3%报告感到不堪重负，69.2%报告焦虑、抑郁或易怒症状。报告体力活动水平较低的受访者更可能报告感到不堪重负（p = 0.003），提示运动频率与该症状之间存在负相关关系。抑郁症状也观察到类似趋势，但未达到统计学显著性（p = 0.058）。应答率低、可能存在无应答和选择偏倚、人口学和临床数据有限，以及横断面设计无法评估因果关系。倦怠症状在美国结直肠外科医生中较为常见。较高的自我报告运动频率与某些倦怠症状（尤其是感到不堪重负）的较低报告率相关。然而，鉴于应答率低和研究设计，这些发现应谨慎解读，且不能确立因果关系。需要进一步的前瞻性研究以更好地明确体力活动与医生倦怠之间的关系。

Abstract

Burnout and low quality of life are common among surgeons in the USA. While self-care habits, such as physical activity, have been associated with improved well-being, they have not been evaluated among colorectal surgeons. To provide a cross-sectional analysis of exercise habits among colorectal surgeons in the USA and to evaluate the association between exercise and burnout symptoms, as well as to identify commonly reported burnout symptoms among this population. Cross-sectional analysis collected via a national survey. American Society of Colon and Rectal Surgeons members. Not applicable. Not applicable. Frequency of burnout symptoms and analysis of physical activity among colorectal surgeons. A total of 208 responses were analyzed. The respondents had a median of 16.2 [range 0-50] years in practice. Exercise frequency varied, with 13.9% reporting daily activity, 29.3% reporting activity 1-3 days per week, and 43.3% reporting activity 4-6 days per week. In the last 6 months, 77.4% of respondents reported experiencing burnout from work, 56.3% reported feeling overwhelmed, and 69.2% reported symptoms of anxiety, depression, or irritability. Respondents who reported lower levels of physical activity were more likely to report feeling overwhelmed (p = 0.003), suggesting an inverse relationship between exercise frequency and this symptom. A similar trend was observed for depressive symptoms, although this did not reach statistical significance (p = 0.058). Low response rate, potential nonresponse and selection bias, limited demographic and clinical data, and cross-sectional design preventing assessment of causal relationships. Burnout symptoms were commonly reported among colorectal surgeons in the USA. Higher self-reported exercise frequency was associated with lower reported rates of certain burnout symptoms, particularly feelings of being overwhelmed. However, given the low response rate and study design, these findings should be interpreted cautiously and do not establish a causal relationship. Further prospective studies are needed to better define the relationship between physical activity and physician burnout.

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