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(单词翻译:双击或拖选)
By Carol Pearson
Washington
26 September 2009
As the H1N1 swine flu virus spreads rapidly through the Northern Hemisphere, doctors and other health care professionals face a heavier-than-usual workload1. Even without a flu pandemic, studies show, up to 60 percent of physicians in the United States suffer to some degree from "burnout" - physical and emotional exhaustion2. The stress on doctors can cause medical mistakes, so the universities that train America's doctors are looking for ways to prevent burnout.
So many children are coming to emergency rooms with flu-like symptoms that many U.S. hospitals have set up tents where they can diagnose and treat flu patients while keeping them away from other patients and hospital staff.
At a hospital in Tennessee, Dr. William May tries to diagnose his patients as quickly as he can. "We don't like to have to add that extra space. We're just busy. Very, very busy," he says.
Even without a pandemic to add to the workload, doctors are busier than ever. In Rochester, New York, primary-care physician Michael Schneider has seen the stress from his work increase steadily3 over the past 30 years. "It's something lost when we have phones ringing, consultants4 calling, computer screens flashing," he says.
A recent report by the Mayo Clinic says up to 60 percent of American physicians at times suffer symptoms of fatigue5 and depression, otherwise known as "burnout." The research shows that when doctors are overworked or depressed6, they are more likely to make mistakes - even errors that could cost people their lives.
Another study looks at how to help physicians cope with stress. Seventy primary-care doctors in New York state took a course on relaxation7 and communication skills at the University of Rochester.
Dr. Michael Krasner, leader of the study, saw a definite change in the doctors after a year of relaxation training. "Burnout, physician empathy, physician psychosocial orientation8 toward patient, mood disturbance9 and some personality features improved significantly," he says.
Dr. Krasner's theory is that physicians who have better communication skills, and who know how to relax when they can, can avoid symptoms of emotional exhaustion, such as a lack of a sense of accomplishment10 or difficulty empathizing with patients.
Dr. Schneider says the course helped him. "We are so removed from some of the skills we had all learned - or believed we had learned in medical school - about communication, that having an intensive course that really re-teaches and reinforces the skills that we had perhaps lost, is very valuable," he says.
This research highlights how important it is for doctors to address their own physical and mental well-being11, both for their own good and for that of their patients. The study appears in the Journal of the American Medical Association.
1 workload | |
n.作业量,工作量 | |
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2 exhaustion | |
n.耗尽枯竭,疲惫,筋疲力尽,竭尽,详尽无遗的论述 | |
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3 steadily | |
adv.稳定地;不变地;持续地 | |
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4 consultants | |
顾问( consultant的名词复数 ); 高级顾问医生,会诊医生 | |
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5 fatigue | |
n.疲劳,劳累 | |
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6 depressed | |
adj.沮丧的,抑郁的,不景气的,萧条的 | |
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7 relaxation | |
n.松弛,放松;休息;消遣;娱乐 | |
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8 orientation | |
n.方向,目标;熟悉,适应,情况介绍 | |
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9 disturbance | |
n.动乱,骚动;打扰,干扰;(身心)失调 | |
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10 accomplishment | |
n.完成,成就,(pl.)造诣,技能 | |
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11 well-being | |
n.安康,安乐,幸福 | |
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