Fernández Torres B, Roldán Pérez L M, Guerra Vélez A, Roldán Rodríguez T, Gutiérrez Guillén A, De las Mulas Béjar M
Departamento de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Virgen Macarena, Sevilla.
Rev Esp Anestesiol Reanim. 2006 Jun-Jul;53(6):359-62.
Burnout, characterized by emotional exhaustion, depersonalization, and lowered sense of professional accomplishment, is a consequence of chronic stress. Few studies have been published on burnout in anesthesiology even though this specialty is considered particularly stressful. We surveyed members of the department of anesthesiology and postoperative care in our hospital, using an anonymous questionnaire including items on social and personal characteristics and the Spanish language version of the Maslach Burnout Inventory. Forty-valid questionnaires were returned, for a response rate of 69.4%. Mean (SD) scores were 19.5 (9.5) points for emotional exhaustion, 7.4 (5.5) for depersonalization, and 32.5 (9.1) for professional accomplishment. We detected high levels of emotional exhaustion in 19.5% of the anesthesiologists and of depersonalization in 31.7%. Scores reflecting low levels of sense of personal accomplishment were recorded for 41.4%. Scores for concern on at least 1 subscale were noted for 58.3% of the anesthesiologists, on 2 subscales for 21.8%, and on 3 subscales for 12.1%. No significant differences were detected in relation to gender, age, stage in professional life, or employment status. Burnout levels in our department are similar to those reported for anesthesiologists in other countries and detectably lower than those of other specialties in Spain.
职业倦怠表现为情绪耗竭、去人格化和职业成就感降低,是慢性压力的结果。尽管麻醉学被认为压力特别大,但关于麻醉学领域职业倦怠的研究发表较少。我们使用一份匿名问卷对我院麻醉学与术后护理科的成员进行了调查,问卷内容包括社会和个人特征项目以及西班牙语版的马氏职业倦怠量表。共收回40份有效问卷,回复率为69.4%。情绪耗竭的平均(标准差)得分为19.5(9.5)分,去人格化得分为7.4(5.5)分,职业成就感得分为32.5(9.1)分。我们发现19.5%的麻醉医生存在高水平的情绪耗竭,31.7%存在去人格化。41.4%的人记录的个人成就感得分较低。58.3%的麻醉医生在至少一个子量表上有得分,21.8%在两个子量表上有得分,12.1%在三个子量表上有得分。在性别、年龄、职业生涯阶段或就业状况方面未发现显著差异。我们科室的职业倦怠水平与其他国家报道的麻醉医生相似,且明显低于西班牙其他专科。