40 Stress, adverse psychosocial risks and fatigue effects in medical residents at a high specialty medical unit

Abstract

ObjectiveThe purpose of this study was identify the determinants of fatigue. MethodsA cross-sectional study in 153 medic residents' volunteers from diverse specialties at a high specialty medical unit of the Mexican Institute of Social Security was conducted. Sociodemographic and job information were collected. The presence of stress, burnout, depression and fatigue were assessed, as well as unfavorable psychosocial factors, violence and quality of working life at risk. The model of fatigue stress determinants was adopted and a multiple logistic regression model for that purpose was completed. Results27% (153) took part. 61.4% referred depression and 50.3% mentioned loss interest for daily activities. From 28 to 74% pointed adverse psychosocial factors at work; 93.5% reported presence of violence. Of 8.5 to 89% had working life with poor conditions; 61.4% had stress, 63.4% fatigue, and 32.7% burnout syndrome. In multiple logistic regression model, stress, OR: 8.9 (95% CI: 3.4-23.2, p <0.001), burnout, OR: 3.4 (95% CI: 1.02-11.4, p = 0.045), psychological demands at work, OR: 4.2 (95% CI: 1.5-12.1, p = 0,007), and depression, OR 2.9 (95% CI: 1.12-7.7, p = 0.028) were identified as determinants of fatigue. ConclusionsThe job stress persistence can lead to chronic fatigue syndrome, and this probably is affecting the quality medical care afforded.