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Archivos de Medicina (Manizales)

2022, Number 2

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Arch Med 2022; 22 (2)

Work stress in residents of medical-surgical specialties and its relationship with the inflammatory state

Burbano-Obando JP, Sánchez-Sánchez JP, Álvarez-Soler JA, Dueñas-Cuellar RA, Niño-Castaño VE, Ávila-González GI, Merchán-Galvis ÁM

Language: Spanish
References: 40
Page: 230-241
PDF size: 376.87 Kb.


ABSTRACT

Introduction: residents of medical-surgical specialties are a population at risk of developing Burnout syndrome, which negatively affects their health and, consequently, triggers alterations in serum cytokine levels that lead to an inflammatory state. Objective: to assess work stress through the diagnosis of Burnout syndrome and pro and anti-inflammatory cytokine levels in first year residents of the Universidad del Cauca. Materials and Methods: a prospective longitudinal descriptive study was carried out in a population of 14 medical residents. It was used selfcompleted surveys to evaluate sociodemographic, clinical and residence variables; as well as, the Zung test and the Maslach Burnout Inventory to assess the presence of Burnout syndrome. Additionally, venous blood samples were taken to measure the production of pro- and anti-inflammatory cytokines using the ELISA technique, at the beginning, six months and one year (three samples) at the beginning of the medical residency. Results: he 100% of the population presented alterations in any of the dimensions associated with Burnout syndrome, among which predominated was emotional exhaustion. In the end of the follow-up, 14.3% of the residents presented Burnout and a significant decrease in TNF-α production was observed. Conclusion: this study evidences the possibility of the appearance of burnout syndrome in students of medical-surgical specialization due to exposure to chronic stressors associated with academic and emotional conditions. Similarly, this research demonstrates a disease in the inflammatory state of residents, which in the long term that could affect health.


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