Les stratégies d’ajustement face au stress des internes de médecine générale

摘要

Context: Throughout their training years, family practice residents are subjected to many sources of stress that they try to control by using coping strategies. Objective: We attempted to establish a panel of coping strategies used by family practice residents and to determine if there’s a connection between these strategies and socio-biographical data (sex, age, etc.). Materiel and method: This qualitative study consist of semi-directive interviews included 17 family practice residents from all Ile-de-France medical schools. Results: 17 categories of coping strategies have been identified. The most frequently quoted ones are support-seeking, self-insurance/experience, anticipation, separation/rupture, have a reflect/situation analyses, hobbies, rationalization, active coping. Most of coping strategies used are emotional focused. Our analyses have confirmed the similarities between socio-biographical data and coping strategies. For example, some residents’ groups (women and less experimented semesters) seem to use less the long run effective coping strategies while familial environment could be an important element for the residents’ well-being. Conclusion: Residents use a large panel of coping strategies to deal with stress, which are more emotional focused. The belonging to a socio-biographical category could influence the use of some kind of coping strategies. The solutions we proposed are aimed in particular to strengthen the effective coping strategies and the support in order to improve the experience of residency.