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Indian Journal of Emergency Medicine

Volume  1, Issue 2, Jul-Dec 2015, Pages 69-78
 

Original Article

A Study of Levels of Stress Among Physicians in A Tertiary Care Hospital In Kolkata India

Sanskar Pandey, Indraneel Dasgupta, Indranil Mitra

*PGY3 (MEM), **Clinical Director & Head, ***Attending Consultant, Dept.of Emergency Medicine, Peerless Hospitex Hospital and Research Centre Limited, Kolkata- 700 094, West Bengal, India.

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Abstract

 Background: It is essential to know to about work related stress, as prolonged stress at workplace reduces the performance of an individual and has an indirect/direct effect on health &on his/her professional social and personal life. In a health care system it is very important to know about the stressors ,as increased stress levels invariably affects interpersonal relationships ,doctor to patient communication , inter-colleague relationships and professional performance.Aim: To determine a) Levels of stress among physicians    b) Factors associated with high stress levels c) Attempt to develop tips for reducing stress on a long term basis. Materials and Method: A group administered questionnaire based survey was done in which a pre validated questionnaire was used both in clinical settings and on epidemiological settings on mental health status of the participants. All full time consultants, associate consultants, attending consultants, Post graduate trainees from Masters in Emergency Medicine, DNB Medicine, family medicine, orthopedics, pediatrics.,full time residential medical officers attached to Peerless Hospital during the study period were included. All non –physicians, non medical and ancillary staff attached to Peerless Hospital were excluded. The sample size required for this survey was calculated as 72, rounded to 70. Statistical Analysis: In the present study 20 out of 43 physicians of age group 25-35 found to have moderate to severe stress. The another factor seen is physicians who are taking care of clinical work and working in-hospital  are experiencing more stress the p values for these two factors came to be (p=0.01) which is statistically significant Result: Though majority of responders initially felt that they perfectly well, 25% realised the need of a good tonic/ refreshment. Later 36% of physicians felt that they are not feeling well in daily lives. Approximately 64% felt that they were feeling run down and out of sorts. Many (41%) experience headaches due to work stress. 41% of physicians complained both hot and cold spells recently. A large number of physicians had lost their sleep. 21% of physicians feel that they are nervous all the time.  Though majority are able to keep themselves busy some are not. Some are taking longer time to complete their routine tasks. Though 89% feel they are able to do things better than usual a large number of physicians contradict them. A large number of physicians are taking longer time to complete their routine tasks. 10% feel less satisfied in the way they have carried their task. A large chunk (9%) feels themselves to be worthless though another small  group (3%) believe that their life is entirely hopeless. A small population (3%) of physicians confesses that the idea of making away with themselves actually crossed their minds. Even some say (4%) that at some point of time they thought of taking their own life. 6% of physicians feel that their nerves are so bad that they are unable to do anything.. 4% physicians says that the idea of taking their life has crossed their mind. Conclusion: There is trend of higher GHQ scores that correlates with the higher stress levels amongst the emergency physicians and the physicians working in-hospital and taking care of clinical departments.

Keywords: Stress; Physician Work Load.

Corresponding Author : Indraneel Dasgupta