Work-related stress and inflammation in residents specialising in medical and surgical disciplines

Estrés laboral y estado inflamatorio en residentes de especialidades médico-quirúrgicas

Published 2022-12-05


https://doi.org/10.30554/archmed.22.2.4188.2022
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Vol. 22 No. 2 (2022): .
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Burbano Obando, J. P., Sanchez-Sanchez, J. P. ., Alvarez Soler, J. A., Dueñas Cuellar, R. A. ., Niño Castaño, V. E. ., Ávila González, G. I. ., & Merchan Galvis, A. M. . (2022). Work-related stress and inflammation in residents specialising in medical and surgical disciplines. Archivos De Medicina (Manizales), 22(2). https://doi.org/10.30554/archmed.22.2.4188.2022
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Burbano Obando, J. P., Sanchez-Sanchez, J. P. ., Alvarez Soler, J. A., Dueñas Cuellar, R. A. ., Niño Castaño, V. E. ., Ávila González, G. I. ., & Merchan Galvis, A. M. . (2022). Work-related stress and inflammation in residents specialising in medical and surgical disciplines. Archivos De Medicina (Manizales), 22(2). https://doi.org/10.30554/archmed.22.2.4188.2022

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Jina Paola Burbano Obando
Universidad del Cauca
https://orcid.org/0000-0002-2668-3300 ORCID
Juan Pablo Sanchez-Sanchez
Universidad del Cauca
https://orcid.org/0000-0002-9199-7138 ORCID
Jaime Antonio Alvarez Soler
Universidad del Cauca
https://orcid.org/0000-0002-0581-4543 ORCID
Rosa Amalia Dueñas Cuellar
Universidad del Cauca,
https://orcid.org/0000-0002-2157-1131 ORCID
Victoria Eugenia Niño Castaño
Universidad del Cauca
https://orcid.org/0000-0002-7726-3613 ORCID
Gloria Ines Ávila González
Universidad del Cauca
https://orcid.org/0000-0002-4643-4758 ORCID
Angela María Merchan Galvis
Universidad del Cauca
https://orcid.org/0000-0003-2375-5513 ORCID
Show authors biography

Jina Paola Burbano Obando,

MD, Médico especialista en Anatomía patológica, Universidad del Cauca, Carrera 6 #13N-50, Popayán, Colombia.

Juan Pablo Sanchez-Sanchez,

 MD, Médico especialista en Anatomía patológica, Universidad del Cauca, Carrera 6 #13N-50, Popayán, Colombia.

Jaime Antonio Alvarez Soler,

PhD en Ciencias de la Educación, Médico especialista en Anatomía patológica. Docente del departamento de Patología, Universidad del Cauca, Carrera 6 #13N-50, Popayán, Colombia

Rosa Amalia Dueñas Cuellar,

4PhD en Ciencias Biológicas. Grupo de investigación en inmunología y enfermedades infecciosas. Departamento de Patología, Universidad del Cauca,

Victoria Eugenia Niño Castaño,

PhD en Biociencias y Biotecnología, Grupo de investigación en inmunología y enfermedades infecciosas. Departamento de Patología, Universidad del Cauca

Gloria Ines Ávila González,

MSc en Biología. Grupo de investigación en inmunología y enfermedades infecciosas. Departamento de Patología, Universidad del Cauca

Angela María Merchan Galvis,

7MD, MSc en Epidemiología clínica, candidata al título de Doctora en Metodología de la Investigación Biomédica y Salud Pública por la Universidad Autónoma de Barcelona. Docente del Departamento de Medicina Social y Salud Familiar, Universidad del Cauca

Introduction: Residents in medical and surgical specialities are at risk of developing burnout syndrome, which negatively affects their health and, consequently, triggers alterations in serum cytokine levels that lead to a state of inflammation.

Objective: To assess work-related stress through the diagnosis of burnout syndrome and levels of pro- and anti-inflammatory cytokines in first-year residents at the University of Cauca.

Materials and Methods: A prospective, longitudinal, descriptive study that used self-administered questionnaires to assess sociodemographic, clinical and residency variables, the Zung test and the Maslach Burnout Inventory. Venous blood samples were taken to measure cytokines using ELISA. This was carried out at baseline, at six months and at one year (three samples).

Results: Fourteen medical residents participated. 100% of the cohort exhibited abnormalities in at least one of the dimensions associated with burnout syndrome, with emotional exhaustion being the most prevalent. Ultimately, 14% of the residents exhibited burnout, and a significant decrease in TNF-α production was observed.

Conclusion: This syndrome is multifactorial and requires chronic and constant stressors that impact the health of residents, indicating an alteration in their inflammatory status.

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