Holmqvist Rolf, Jeanneau Madeleine
Department of Behavioral Sciences, Linköping University, 581 83 Linköping, Sweden.
Psychiatry Res. 2006 Dec 7;145(2-3):207-13. doi: 10.1016/j.psychres.2004.08.012. Epub 2006 Oct 27.
The concept of burnout describes a number of destructive aspects in work relationships. In this study, the relations between psychiatric staff members' feelings towards their patients and burnout were analyzed. Staff feelings were measured with a feeling checklist, and burnout with BM (Burnout Measure) and MBI (Maslach's Burnout Inventory). The staff at 28 treatment units rated their feelings towards the patients as a group. The results indicated that high burnout was associated with negative feelings and low levels of burnout with positive feelings towards patients. The correlation patterns for the different measures of burnout were somewhat different. BM had the strongest correlations with unhelpful and rejecting feelings towards patients, whereas Personal accomplishment, one dimension of MBI, was most strongly correlated with accepting and close feelings. The results were interpreted as opening for the question whether negative staff feelings towards patients most profitably can be seen as an aspect of burnout or whether these two phenomena should be distinguished clinically and theoretically.
职业倦怠的概念描述了工作关系中的一些破坏性方面。在本研究中,分析了精神科工作人员对患者的感受与职业倦怠之间的关系。用一份感受清单来衡量工作人员的感受,用BM(倦怠量表)和MBI(马氏职业倦怠量表)来衡量职业倦怠。28个治疗单元的工作人员对他们对患者的总体感受进行了评分。结果表明,高职业倦怠与负面感受相关,而低职业倦怠与对患者的正面感受相关。不同职业倦怠测量方法的相关模式略有不同。BM与对患者无益和排斥的感受相关性最强,而MBI的一个维度个人成就感与接纳和亲密的感受相关性最强。这些结果引发了一个问题,即工作人员对患者的负面感受是否最有利地可被视为职业倦怠的一个方面,或者这两种现象在临床和理论上是否应加以区分。