Residência médica: fatores emocionais e Síndrome de Burnout

Medical residency is a post-graduate modality, which aims to offer the resident in-service training, with a high degree of demand and high workload. This context can compromise the resident's well-being, causing psychological distress and even mental illness. Therefore, this study aimed to e...

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Autor principal: Costa, Ângela Gonçalves
Outros Autores: Moreira, Simone da Nóbrega Tomaz
Formato: Dissertação
Idioma:pt_BR
Publicado em: Universidade Federal do Rio Grande do Norte
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Endereço do item:https://repositorio.ufrn.br/handle/123456789/33068
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Resumo:Medical residency is a post-graduate modality, which aims to offer the resident in-service training, with a high degree of demand and high workload. This context can compromise the resident's well-being, causing psychological distress and even mental illness. Therefore, this study aimed to estimate the prevalence of stress, depression and Burnout syndrome among residents and tutors of the Medical Clinic service at Hospital Universitário Onofre Lopes. A quantitative, epidemiological, cross-sectional study was carried out. The first and second year’ resident physicians enrolled in the Medical Clinic program at Hospital Universitário Onofre Lopes and preceptors of this service participated in the study. This study was approved by the UFRN Research Ethics Committee (Opinion No. 3,558,898) and all volunteers signed the Free and Informed Consent Form (ICF), after being informed about the research objectives. For data collection, the following instruments were used: identification form, Lipp's Stress Symptom Inventory (ISSL), Beck's Depression Inventory and the Maslach Burnout Inventory - Human Services Survey. Regarding the participants, 13 (25%) were residents of the 1st year of Clinical Medicine, 15 (28.8%) of the 2nd year and 24 (46.2%) preceptors of the Medical Clinic program, totaling 52 doctors. According to ISSL, 29 participants (55.7%) had stress, with a predominance of 2nd year residents, 12 (41.4%). Most doctors with stress were in the resistance phase, 28 participants (53.8%), with a predominance of psychological symptoms 19 (36.5%). The symptoms of depression were present in 7 (13.5%) of the participants, being more prevalent also in the residents of the 2nd year: 4 (57.1%). Of the group surveyed, 3 (5.8%) had Burnout Syndrome and all were resident physicians in the 2nd year. Thus, it is necessary to reflect on mental health in the context of medical residences, in order to contribute to the development of positive strategies for coping with stress, favoring self-care and the prevention of psychological symptoms.