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Articulo . - El Autocuidado de Los Medicos en Formacion y Las Instituciones de Salud
Articulo . - El Autocuidado de Los Medicos en Formacion y Las Instituciones de Salud
Articulo . - El Autocuidado de Los Medicos en Formacion y Las Instituciones de Salud
SEPTIEMBRE 2014
Dr.Miguel Angel Ramos Borja,Msc* , Dra.Elizabeth Gpe. Martinez Garcia.**
SUMMARY
OBJECTIVE: The objectives of the study are to describe the lifestyles of
physicians who inflide in knowing basic aspects of their occupational health.
MATERIAL AND METHODS: Deep interview, audio-recorded and later transcribed
in a word processor and computer equipment to encode them. (ATLAS.ti) to
Doctors in training of the General Hospital of the UMF Zone 2 IMSS, Irapuato, Gto
A cross-sectional, descriptive, qualitative study is carried out. We will use a deep
interview individually applied by the researcher. A qualitative design was used to
explore and characterize the self-care of physicians. The data was obtained
through in-depth interviews. Participants: The study group consisted of 13 doctors,
who were interviewed twice. five were men and eight women. Two men and one
woman had a partner and children. The age range was from 22 to 33 years. All
belonged to the same hospital center, where they were contacted. All interviewees
are doctors in training. The study was carried out from August 2013 to September
2013. The data was obtained through in-depth interviews, audio-recorded and later
transcribed and codified through the Atlas.ti program. The interviews were
analyzed around the central category of self-care.
RESULTS Number of interviews was 13 in total, of these 100% are doctors in
training, 76.9% (10) are single and 23.1% (3), are married, according to the
Gender 61.5% (8) were Women and 38.5% (5) are men, of these only 15% (2)
have children. Profession and self-care "... For me if there is any relationship in the
self-care of your health with medical professional training, because there are some
specialties where there is more pressure from the most senior doctors, such as
gynecology, surgery, pediatrics, etc. I think this is classified according to the range,
but I do not agree that there is pressure, because it increases the fear and lack of
security but this starts from the medical career, when we are students ... "
Institution and self-care "... Well I think that according to what you mean, we do
not have enough support at the institutional level, the patient intimately does not
care about the good doctor, my experience, we have not had the support of the
doctor's training, besides that As a medical specialist it is even more serious, there
is no regulation that tells us about the benefits and as well as the rights and
obligations that we are doing as normal or an inappropriate behavior to the need,
sometimes there are doctors who work more than the account and they have two
or three jobs having a professional wear both mentally and physically ... "
CONCLUSIONS: Doctors delay medical examinations when they have any
symptoms, since they know in advance the procedures to which they will be
subjected. They usually do not go to consultations, and only perform corridor
consultations with fellow colleagues. In most cases they request laboratory and
cabinet studies, and they also interpret them. They are aware that they always
delay their health, and that the excess of work they have, since everyone has
difficulties such as adequate food and at set times, there are no rest areas and
prevents recreation with family and physical activity. The clinical exercise creates a
lot of stress, but the lack of financial resources makes them commit to more work
every day. For physicians the exercise of their profession hinders concrete actions
of self-care. The medical profession in health institutions limits and hinders self-
care of health. The organizational structure of the institutions does not promote the
health of their workers. The work environment and interpersonal relationships
among doctors are factors that hinder it. Work circumstances such as excessive
work and stress itself limit self-care.
RESUMEN
OBJETIVO: Los objetivos del estudio son describir los estilos de vida de los
médicos que inflyen en conocer aspectos básicos de su salud laboral. MATERIAL
Y METODOS: Entrevista profunda, audiograbadas y transcritas posteriormente en
un procesador de textos y equipo de computo para codificarlos. (ATLAS.ti) a
Medicos en formacion del Hospital General de Zona UMF 2 IMSS, Irapuato,Gto
Se realiza un estudio Transversal,Descriptivo,cualitativo.Emplearemos una
entrevista profunda de manera individual aplicada por el investigador. Se utilizó un
diseño cualitativo, para explorar y caracterizar el autocuidado de los médicos. Los
datos se obtuvieron a través de entrevistas a profundidad. Participantes: El grupo
de estudio consistió en 13 médicos, a quienes se entrevistó en dos ocasiones.
cinco eran hombres y ocho mujeres. Dos hombres y una mujer tenían pareja e
hijos. El rango de edad fue de 22 a 33 años. Todos pertenecían a un mismo centro
hospitalario, donde fueron contactados. Todos los entrevistados son médicos en
formación. El estudio se llevó a cabo desde Agosto de 2013 a Septiembre de
2013. Los datos se obtuvieron a través de entrevistas a profundidad,
audiograbadas y posteriormente transcritas y codificadas a través del programa
Atlas.ti. Las entrevistas se analizaron alrededor de la categoría central de
autocuidado.
RESULTADOS: Numero de entrevistas fueron 13 en total, de estas el 100% son
médicos en formación, el 76.9%(10) son solteros y el 23.1 %(3), son casados, de
acuerdo al Genero el 61.5%(8) fueron Mujeres y el 38.5%(5) son Hombres, de
estos solo el 15%(2) tienen hijos.
Profesión y autocuidado
“…Para mi si existe alguna relación en el autocuidado de tu salud con la
formación profesional médico, por que hay algunas especialidades donde hay mas
presión por parte de los médicos de mayor jerarquía , como lo es ginecología,
cirugía, pediatría, etc. Creo que esto se clasifica de acuerdo al rango, pero no
estoy de acuerdo a que haya presión, por que nos aumenta el miedo y falta de
seguridad pero esto se inicia desde la carrera de medicina, cuando somos
estudiantes…”
Institución y autocuidado
“…Bueno creo que de acuerdo a lo que te refieres que no tenemos el suficiente
apoyo a nivel institucional, el paciente en forma íntima no se preocupa por el
médico bueno mi experiencia ,no hemos tenido el apoyo de la formación del
médico además de que como médico especialista es aún más grave, no hay un
reglamento que nos diga de los beneficios y así como los derechos y obligaciones
que estamos haciendo de lo normal o una conducta indebido a la necesidad, a
veces hay médicos que laboran más de la cuenta y tienen dos o tres trabajos
teniendo un desgaste profesional tanto mental como físico…”
CONCLUSIONES: