Asai Mariko, Morita Tatsuya, Akechi Tatsuo, Sugawara Yuriko, Fujimori Maiko, Akizuki Nobuya, Nakano Tomohito, Uchitomi Yosuke
Psychiatry Division, National Cancer Center Hospital, Tokyo, Japan.
Psychooncology. 2007 May;16(5):421-8. doi: 10.1002/pon.1066.
To determine the prevalence of burnout and psychiatric morbidity among physicians engaged in end-of-life care for cancer patients in Japan and to explore associated factors related to end-of-life care.
Questionnaires were mailed to 1436 Japanese clinical oncologists and palliative care physicians with a request to complete the Maslach Burnout Inventory (MBI), the General Health Questionnaire (GHQ-12), and to report on individual factors, including confidence in patient care. High levels of burnout and psychiatric morbidity were identified using cut-off scores of the MBI and GHQ-12.
A total of 697 physicians returned the questionnaires (response rate, 49.6%). Twenty-two percent of the respondents had a high level of emotional exhaustion, 11% had a high level of depersonalization, 62% had a low level of personal accomplishment, and 20% had psychiatric morbidity. Clinical oncologists showed a significantly higher psychiatric morbidity than palliative care physicians. Confidence in having sufficient time to communicate with patients was significantly associated with all the burnout subscales.
A low level of personal accomplishment was relatively high among Japanese physicians compared with previous studies. Insufficient confidence in the psychological care of patients was associated with physician burnout rather than involvement in end-of-life care.
确定日本从事癌症患者临终关怀的医生中职业倦怠和精神疾病的患病率，并探讨与临终关怀相关的因素。
向1436名日本临床肿瘤学家和姑息治疗医生邮寄调查问卷，要求他们完成马氏职业倦怠量表（MBI）、一般健康问卷（GHQ - 12），并报告个人因素，包括对患者护理的信心。使用MBI和GHQ - 12的临界值来确定高水平的职业倦怠和精神疾病。
共有697名医生回复了问卷（回复率为49.6%）。22%的受访者有高水平的情感耗竭，11%有高水平的去个性化，62%有低水平的个人成就感，20%有精神疾病。临床肿瘤学家的精神疾病患病率显著高于姑息治疗医生。对有足够时间与患者沟通的信心与所有职业倦怠分量表显著相关。
与以往研究相比，日本医生中低水平的个人成就感相对较高。对患者心理护理缺乏信心与医生职业倦怠有关，而非与参与临终关怀有关。
