Cubrilo-Turek Mirjana, Urek Roman, Turek Stjepan
Division of Emergency and Intensive Care Medicine, General Hospital "Sveti Duh", School of Medicine, Zagreb, Croatia.
Coll Antropol. 2006 Mar;30(1):131-5.
The purpose of the study was to investigate the degree of burnout experienced by intensive care staff particularly, in Medical (MICU) and Surgical Intensive Care Units (SICU) General Hospital "Sveti Duh", Zagreb. A sample group of 41 emergency physicians and nurses from MICU and 30 from SICU was tested. The survey included demographic data and Maslach Burnout Inventory (MBI) scoring test identified by the three main components associated with burnout: emotional exhaustion (MBI-EE), depersonalization (MBI-DEP), and personal accomplishment (MBI-PA) were assessed using 22-item questionnaire. The degrees of burnout were stratified into low, moderate, and high range. Mean total MBI (X +/- SD) were high in both groups: higher for the MICU (65.5 +/- 6.7) than for SICU staff (55.7 +/- 3.8, p < 0.05). MICU staff showed moderate degree of MBI-EE (24.9 +/- 11.2), MBI-DEP (6.0 +/- 5.6), and as well as MBI-PA (34.4 +/- 8.8). The same parameters showed better results among SICU staff: low degree of MBI-EE (17.1 +/- 5.2), as well as low level of MBI-DEP (5.2 +/- 5.0), and moderate degree of MBI-PA (33.7 +/- 9.8). The differences between the groups was statistically significant only for the total MBI, and for MBI-EE (p < 0.05). There were no significant differences between MICU and SICU staff for MBI-DEP or MBI-PA parameters. Overall job burnout represented in a moderate degree. The presence of burnout is a serious phenomenon, because it can lead to psychosomatic complaints, work-associated withdrawal behaviour, and a lower quality of care at intensive care units. Early recognition of burnout phenomenon as a result of prolonged stress and frustration among intensive care staff, contributes to better professional behavior, organizational structure changes in the work environment and better health care quality for critically ill patients.
本研究的目的是调查萨格勒布“圣杜赫”综合医院重症监护室工作人员，尤其是内科重症监护病房（MICU）和外科重症监护病房（SICU）的工作人员的职业倦怠程度。对来自MICU的41名急诊医生和护士以及来自SICU的30名人员组成的样本组进行了测试。该调查包括人口统计学数据，并使用由22项问卷评估的、与职业倦怠相关的三个主要组成部分所确定的马氏职业倦怠量表（MBI）评分测试：情感耗竭（MBI-EE）、去人格化（MBI-DEP）和个人成就感（MBI-PA）。职业倦怠程度分为低、中、高三个范围。两组的平均总MBI（X +/- SD）都很高：MICU组（65.5 +/- 6.7）高于SICU组工作人员（55.7 +/- 3.8，p < 0.05）。MICU工作人员的MBI-EE为中度（24.9 +/- 11.2）、MBI-DEP为中度（6.0 +/- 5.6）、MBI-PA为中度（34.4 +/- 8.8）。相同参数在SICU工作人员中显示出更好的结果：MBI-EE程度低（17.1 +/- 5.2）、MBI-DEP水平低（5.2 +/- 5.0）、MBI-PA为中度（33.7 +/- 9.8）。两组之间的差异仅在总MBI和MBI-EE方面具有统计学意义（p < 0.05）。MICU和SICU工作人员在MBI-DEP或MBI-PA参数方面没有显著差异。总体职业倦怠程度为中度。职业倦怠的存在是一个严重的现象，因为它会导致身心不适、与工作相关的退缩行为以及重症监护病房护理质量下降。尽早识别重症监护工作人员因长期压力和挫折而产生的职业倦怠现象，有助于改善职业行为、改变工作环境中的组织结构，并提高重症患者的医疗质量。
