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癌症专业人员的职业倦怠:一项系统综述与荟萃分析。

Burnout in cancer professionals: a systematic review and meta-analysis.

作者信息

Trufelli D C, Bensi C G, Garcia J B, Narahara J L, Abrão M N, Diniz R W, Miranda V Da Costa, Soares H P, Del Giglio A

机构信息

ABC Foundation School of Medicine, Santo Andre, SP, Brazil.

出版信息

Eur J Cancer Care (Engl). 2008 Nov;17(6):524-31. doi: 10.1111/j.1365-2354.2008.00927.x. Epub 2008 Sep 1.

Abstract

Burnout syndrome is typified by three dimensions: emotional exhaustion (EE), depersonalization (DP) and low personal accomplishment (PS), and is prevalent among cancer care providers. The objective is to conduct a systematic review and meta-analysis of studies that evaluated the presence of burnout syndrome in professionals dedicated to the care of cancer patients. A search was conducted of the MEDLINE, LILACS and COCHRANE databases. Articles were selected that had used the Maslach questionnaire to assess burnout syndrome prevalence, had evaluated at least 35 subjects (including physicians), had at least a 20% questionnaire response rate, and that were published in English, Spanish or Portuguese. Ten studies (2375 participants) were included in this analysis. Severe involvement by any one of the three dimensions ranged from 8% to 51%. The overall prevalence of EE was found to be 36% [95% confidence interval (CI) (31-41)], while for DP this was 34% [95% CI (30-39)] and for PS 25% [95% CI (0.16-34)], demonstrating considerable heterogeneity across studies. The prevalence of burnout syndrome is elevated among cancer professionals throughout the world but varies substantially among studies. Further research is needed to better understand and prevent this syndrome.

摘要

职业倦怠综合征具有三个维度的典型特征

情感耗竭(EE)、去个性化(DP)和低个人成就感(PS),在癌症护理人员中普遍存在。目的是对评估致力于癌症患者护理的专业人员中职业倦怠综合征存在情况的研究进行系统评价和荟萃分析。对MEDLINE、LILACS和COCHRANE数据库进行了检索。入选的文章需使用马氏倦怠量表来评估职业倦怠综合征的患病率,评估至少35名受试者(包括医生),问卷回复率至少为20%,且以英文、西班牙文或葡萄牙文发表。本分析纳入了10项研究(2375名参与者)。三个维度中任何一个维度的严重程度范围为8%至51%。发现情感耗竭的总体患病率为36% [95%置信区间(CI)(31 - 41)],去个性化为34% [95% CI(30 - 39)],个人成就感为25% [95% CI(0.16 - 34)],表明各研究之间存在相当大的异质性。全世界癌症专业人员中职业倦怠综合征的患病率较高,但各研究之间差异很大。需要进一步研究以更好地理解和预防这种综合征。

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