Deckard G J, Hicks L L, Hamory B H
Health Services Administration, Florida International University, Miami.
J Infect Dis. 1992 Feb;165(2):224-8. doi: 10.1093/infdis/165.2.224.
The occurrence and distribution of the three dimensions of the burnout syndrome (emotional exhaustion, depersonalization, and lowered feelings of personal accomplishment) were studied among infectious diseases physicians. A written survey was mailed to the entire identified US population of infectious diseases physicians (n = 4328); a 46.3% response rate provided 1840 usable surveys. Statistical analyses of the data demonstrated that 43.5% of the physician sample reported high scores on emotional exhaustion, and 40.3% scored high on depersonalization. Personal accomplishment scores remained high, despite burnout levels, with 91.8% reporting high personal accomplishment. The highest percentage of burnout occurred among physicians in private practice settings (55%), followed by government settings (39%), and academia (37%). The high percentage of infectious diseases physicians experiencing burnout suggests the need for further research to establish trends, to determine if other types of physicians experience similar levels of burnout, to identify casual factors, and to develop avenues to reduce stress and facilitate coping.
我们对传染病医生职业倦怠综合征的三个维度（情感耗竭、去个性化和个人成就感降低）的发生情况及分布进行了研究。我们向美国所有已确认的传染病医生群体（n = 4328）邮寄了书面调查问卷；46.3%的回复率提供了1840份可用问卷。对数据的统计分析表明，43.5%的医生样本在情感耗竭方面得分较高，40.3%在去个性化方面得分较高。尽管存在职业倦怠水平，但个人成就感得分依然较高，91.8%的医生报告个人成就感较高。职业倦怠发生率最高的是私人执业医生（55%），其次是政府部门医生（39%）和学术机构医生（37%）。传染病医生职业倦怠比例较高，这表明有必要进一步开展研究，以确立相关趋势，确定其他类型的医生是否也有类似程度的职业倦怠，找出相关偶然因素，并开辟减轻压力和促进应对的途径。
