Increase in burnout among physicians and associated factors in the period before and during the COVID-19 pandemic.

Q4 Medicine
Revista Brasileira de Medicina do Trabalho Pub Date : 2025-07-23 eCollection Date: 2025-04-01 DOI:10.47626/1679-4435-2025-1442
Renilda Martins Prestes, Luciano Ferreira Drager, Silvia Gonçalves Conway, Almir Ribeiro Tavares Junior, Márcia Assis, Andrea Frota Bacelar Rego, Claudia Roberta de Castro Moreno
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引用次数: 0

Abstract

Introduction: Studies have demonstrated that individual and organizational factors contribute to burnout in health professionals. The COVID-19 pandemic increased demand for health care services, leading to work overload among health professionals, particularly physicians.

Objectives: To determine the prevalence of burnout and identify possible individual, organizational, and sleep-related factors associated with burnout among physicians, before and during the COVID-19 pandemic.

Methods: We conducted a cross-sectional study on a subsample of 2,639 physicians extracted from a secondary database with health professionals from all regions of Brazil, between May and June 2020. Descriptive and inferential statistical analyses were performed. Burnout was assessed via the emotional exhaustion dimension.

Results: Data for 2,374 (90.3%) physicians were analyzed. The prevalence of burnout before the pandemic was 18.9%, increasing to 31.3% during the pandemic. The factors predicting burnout during the pandemic included age 25-39 years (odds ratio = 2.76; 95%CI 1.94-3.92), female sex (odds ratio = 1.67; 95%CI 1.34-2.08), working on the front line (odds ratio = 1.62; 95%CI 1.30-2.02), poor sleep quality and quantity (odds ratio = 6.39; 95%CI 4.99-8.17), and not working from home (odds ratio = 1.31; 95%CI 1.08-1.60).

Conclusions: Compared to the work routine before the pandemic, there was a marked increase in the prevalence of burnout among physicians during the pandemic. Independent factors associated with this increase were young adult age, female sex, frontline work, poor sleep quality and quantity, and traditional on-site work.

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Abstract Image

COVID-19大流行之前和期间医生职业倦怠的增加及其相关因素
研究表明,个人和组织因素会导致卫生专业人员的职业倦怠。COVID-19大流行增加了对卫生保健服务的需求,导致卫生专业人员,特别是医生的工作超负荷。目的:在COVID-19大流行之前和期间,确定医生中职业倦怠的患病率,并确定可能与职业倦怠相关的个人、组织和睡眠相关因素。方法:在2020年5月至6月期间,我们对从巴西所有地区的卫生专业人员二级数据库中提取的2,639名医生的亚样本进行了横断面研究。进行描述性和推断性统计分析。倦怠通过情绪耗竭维度进行评估。结果:分析了2374名(90.3%)医生的资料。大流行前的职业倦怠患病率为18.9%,大流行期间上升至31.3%。预测大流行期间职业倦怠的因素包括年龄25-39岁(优势比= 2.76;95%CI 1.94-3.92)、女性(优势比= 1.67;95%CI 1.34-2.08)、在一线工作(优势比= 1.62;95%CI 1.30-2.02)、睡眠质量和睡眠量差(优势比= 6.39;95%CI 4.99-8.17)和不在家中工作(优势比= 1.31;95%CI 1.08-1.60)。结论:与大流行前的工作常规相比,大流行期间医生的职业倦怠率明显增加。与这种增加相关的独立因素是年轻的成年人年龄、女性、一线工作、睡眠质量和睡眠量差以及传统的现场工作。
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来源期刊
Revista Brasileira de Medicina do Trabalho
Revista Brasileira de Medicina do Trabalho Medicine-Physiology (medical)
CiteScore
1.00
自引率
0.00%
发文量
42
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