實習醫師是研究壓力最好的實驗模型。因為實習醫師有相近的年齡、教育程度、生活環境。而且他們在同一時間首次接受巨大的工作壓力,工作壓力的性質也非常相近。
台灣實習醫師每個月大約要值10班,因此每週工時大約86.7小時,超過勞基法上限的兩倍;而值班隔天通常還要繼續上班,因此連續工時往往長達33.5小時。
林煜軒醫師從十年前擔任實習醫師以來,就以同學、學弟妹為研究對象,探討值班、實習壓力對身心的影響,至今在國際期刊發表10篇本土實證研究。研究成果包括實習醫師的生理訊號分析、手機幻覺症候群等心理狀態評估、法規政策改變的影響力,以及自動記錄工時app「行醫記錄器」的開發。
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1. Physiological and psychological impacts on male medical interns during on-call duty.
Lin YH, Kuo TB, Ho YC, Lin SH, Liu CY, Yang CC.
Stress. 2012 Jan;15(1):21-30.
2. Gender differences in cardiac autonomic modulation during medical internship.
Lin YH, Chen CY, Lin SH, Liu CH, Weng WH, Kuo TB, Yang CC.
Psychophysiology. 2013 Jun;50(6):521-7.
3. On-call duty effects on sleep-state physiological stability in male medical interns.
Lin YH, Ho YC, Lin SH, Yeh YH, Liu CY, Kuo TB, Yang CC, Yang AC.
PloS one. 2013 Jun 4;8(6):e65072.
4. Prevalent hallucinations during medical internships: phantom vibration and ringing syndromes.
Lin YH, Lin SH, Li P, Huang WL, Chen CY.
PloS one. 2013 Jun 10;8(6):e65152.
5. A dimensional approach to the phantom vibration and ringing syndrome during medical internship.
Lin YH, Chen CY, Li P, Lin SH.
Journal of psychiatric research. 2013 Sep;47(9):1254-8.
6. Possible association between phantom vibration syndrome and occupational burnout.
Chen CP, Wu CC, Chang LR, Lin YH.
Neuropsychiatric disease and treatment. 2014 Dec 4;10:2307-14.
7. The role of the harm avoidance personality in depression and anxiety during the medical internship.
Chen CY, Lin SH, Li P, Huang WL, Lin YH.
Medicine. 2015;94(2):e389.
8. The process of coping with stress by Taiwanese medical interns: a qualitative study.
Liu CH, Tang WR, Weng WH, Lin YH, Chen CY.
BMC medical education. 2016 Jan 12;16:10.
9. A prospective study of the factors associated with life quality during medical internship.
Lin YH, Chen HY, Tsai SL, Chang LR, Chen PC.
PLoS One. 2019 Aug 12;14(8):e0220608.
10. Cardiac Autonomic Modulation during on-Call Duty under Working Hours Restriction.
Chien JW, Chen CY, Lin SH, Lin SW, Lin YH.
Int J Environ Res Public Health. 2020 Feb 10;17(3).
11. Investigation of the Role of Anxiety and Depression on the Formation of Phantom Vibration and Ringing Syndrome Caused by Working Stress during Medical Internship.
Lin YH, Lin KI, Pan YC, Lin SH.
Int J Environ Res Public Health. 2020 Oct 14;17(20):E7480.
12. The transformation from hospital-based to community-based mental healthcare: The hospital–clinic disparity in the psychiatric workforce in Taiwan from 2005 to 2030
Lin YH, Ho YC, Chang YH, Hsiung C, Chiou HY.
Psychiatry Research. 2022 Nov 1;317:114816.
13. The methodology to estimate the demand and supply of national psychiatric services in Taiwan from 2005 to 2030
Lin YH, Lan YT, Ho YC, Chang YH, Hsiung C, Chiou HY.
Asian Journal of Psychiatry. 2023 Jan;79:103393.