Tucunduva Luciana Tomanik Cardozo de Melo, Garcia Ana Paula, Prudente Fernanda Vilas Boas, Centofanti Guilherme, de Souza Carla Manzoni, Monteiro Tatiana Alves, Vince Flávio Augusto Henriques, Samano Eliana Sueco Tibana, Gonçalves Marina Sahade, Del Giglio Auro
Instituto de Oncologia da Faculdade de Medicina do ABC.
Rev Assoc Med Bras (1992). 2006 Mar-Apr;52(2):108-12. doi: 10.1590/s0104-42302006000200021. Epub 2006 Jun 1.
The Burnout syndrome can be characterized by abnormalities in three domains: emotional exhaustion (EE), depersonalization (DP) and lack of personal realization (PR). In the medical profession, oncologists are especially prone to this syndrome. This study evaluates its prevalence among cancer physicians in Brazil correlating it to their demographic, work related variables and seeks possible solutions to prevent burnout.
We mailed three questionnaires (Maslach burnout inventory, general and opinion questionnaires) to all 645 members of the Brazilian Cancer Society and received 136 responses after 10 weeks.
The response rate was of 21%. The burnout syndrome was present at moderate or severe levels in all three domains analyzed in 15.7% of the physicians. For each of these the frequency of moderate or severe dysfunction was analyzed and found to be present in 55.8% for EE, 96.1% for DP and 23.4% for RP. Practicing physical activity or having a hobby correlated significantly with lower levels of EE (p = 0.008) while working only for the private sector correlated with higher DP scores (p = 0.021). Cancer physicians pointed out that less paper work (73.5%) and a lower patient load (72.7%) were the most important factors for prevention of this syndrome.
Burnout syndrome is frequent among Brazilian cancer physicians and further studies should be conducted to evaluate its prevalence and prevention among other sub specialists.
职业倦怠综合征可表现为三个方面的异常:情感耗竭(EE)、去人格化(DP)和个人成就感缺失(PR)。在医疗行业中,肿瘤学家尤其容易出现这种综合征。本研究评估了其在巴西癌症医生中的患病率,并将其与人口统计学、工作相关变量相关联,同时寻求预防职业倦怠的可能解决方案。
我们向巴西癌症协会的所有645名成员邮寄了三份问卷(马氏职业倦怠量表、一般问卷和意见问卷),10周后收到了136份回复。
回复率为21%。在接受分析的所有三个方面中,15.7%的医生存在中度或重度职业倦怠综合征。对其中每一项中度或重度功能障碍的发生率进行分析,发现情感耗竭方面为55.8%,去人格化方面为96.1%,个人成就感缺失方面为23.4%。进行体育活动或有爱好与较低的情感耗竭水平显著相关(p = 0.008),而仅在私营部门工作与较高的去人格化得分相关(p = 0.021)。癌症医生指出,减少文书工作(73.5%)和降低患者负荷(72.7%)是预防该综合征的最重要因素。
职业倦怠综合征在巴西癌症医生中很常见,应进一步开展研究以评估其在其他亚专科医生中的患病率及预防措施。