三级医院医务人员职业倦怠:数据再分析

IF 0.6 Q4 PSYCHIATRY
S. Grover, Swapnajeet Sahoo, A. Bhalla, A. Avasthi
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引用次数: 0

摘要

背景:职业倦怠在医疗专业人员中非常普遍。倦怠的三个维度,即情绪耗竭(EE)、人格解体(DP)和个人成就(PA)经常共存,并被发现对专业精神产生负向影响。目的:从马斯拉克职业倦怠量表(MBI)的三个维度评估医生的职业倦怠患病率,并探讨其与职业倦怠的关系。方法:在北印度一家三级医院的医疗专业人员(居民和高级顾问/教师)中分发了一份在线调查问卷,以评估倦怠、抑郁、压力和网络成瘾(IA)。结果:共纳入应答者445人,其中住院医师376人(84.5%),教职员69人(15.5%)。根据建议的截止值,79.1%的参与者(n = 352)报告了中度至高水平的情感表达,59.55%的参与者报告了中度至高水平的DP, 7.0%的参与者(n = 31)报告了低水平的PA。在MBI的任何一个维度上出现倦怠的占30.6% (n = 136),在两个维度上出现倦怠的占50.6% (n = 225),在三个维度上都出现倦怠的占10.8% (n = 48)。来自儿科专业的参与者报告了最高水平的情感表达和DP以及较低的PA,其次是内科。高情感表达和高DP的参与者明显更年轻,女性居多,每周平均工作时间明显更长。所有三个领域的倦怠都与抑郁和感知压力的存在有关,并显著提高青年IA量表的得分。线性回归分析表明,在倦怠的三个维度中,感知压力得分都是变量,解释了最大的方差。结论:职业倦怠在医疗专业人员中非常普遍,尤其是在情感表达领域,其次是心理治疗。年轻、女性和较长的工作时间/周与情感表达和DP以及低PA显著相关。感知压力是医学专业人员职业倦怠的重要预测因素之一。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Burnout in medical professionals working in a tertiary care hospital: A re-analysis of the data
Background: Burnout is highly prevalent among medical professionals. The three dimensions of burnout, i.e., emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) often co-exist and have been found to negatively affecting professionalism. Objectives: To evaluate the prevalence of burnout in terms of three dimensions of Maslach burnout inventory (MBI) and to explore the correlates of the same among the doctors. Methodology: An online survey questionnaire was circulated among the medical professionals (residents and senior consultants/faculty) of a tertiary care hospital of North India to evaluate burnout, depression, stress, and internet addiction (IA). Results: The survey included data of 445 responders, of whom 376 (84.5%) were resident doctors and 69 (15.5%) were faculty members in the institute. Based on the suggested cutoffs, 79.1% of the participants (n = 352) reported moderate-to-high level of EE, 59.55% of the participants reported experiencing moderate-to-high level of DP, and 7.0% of the participants (n = 31) reported of having low PA. Burnout in any one dimension of MBI was seen in 30.6% (n = 136), in two dimensions in 50.6% (n = 225), and in all the three dimensions in 10.8% (n = 48). Highest level of EE and DP and low PA were reported by participants from the specialty of pediatrics, and this was followed by internal medicine. Participants with high EE and high DP were significantly younger, were more often females, and had significantly higher average number of working hours per week. All the three domains of burnout were associated with the presence of depression and perceived stress and significantly higher scores on Young IA scale. Linear regression analysis suggested that for all the three dimensions of burnout, perceived stress score was the variable, which explained the maximum variance. Conclusions: Burnout is highly prevalent among medical professionals, especially in the domain of EE, and this is followed by DP. Younger age, female gender, and longer working hours/week are significantly associated with EE and DP and with low PA. Perceived stress is one of the important predictors of burnout in medical professionals.
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