Social Policy Research Unit, University of York, Heslington, York, Y010 5DD, UK.
Psychooncology. 2009 Oct;18(10):1019-28. doi: 10.1002/pon.1534.
A growing body of research suggests that staff working in adult oncology services are at risk of burnout and psychiatric morbidity, but whether or not these findings can be generalised to staff working in paediatric oncology is questionable. This paper reports the findings of a comprehensive review of the literature on burnout, psychiatric morbidity, and sources of work-related stress in paediatric oncology staff.
Electronic searches of MEDLINE and PSYCHINFO. This was followed by a screening process, during which papers where checked against inclusion and exclusion criteria, and the quality of study reporting was assessed. Information about the study design and methods was then extracted from each paper so that the methodological quality could be critiqued.
Ten studies meeting the review inclusion criteria were identified. No studies were identified which compared paediatric and adult oncology staff. Research on paediatric oncology staff has failed to use the well-established standardised measures of burnout and psychiatric morbidity employed in studies of adult oncology staff. There is some qualitative evidence to suggest paediatric oncology nurses experience a unique, additional set of stressors not encountered by colleagues in adult oncology services.
The evidence on stress and burnout in paediatric oncology staff is extremely limited. In order to devise appropriate and effective interventions to support staff, we need to have a much better understanding of the level of burnout and psychiatric morbidity experienced by all members of the paediatric oncology multi-disciplinary team, as well as the factors that contribute to these experiences.
越来越多的研究表明，在成人肿瘤科工作的医护人员有倦怠和精神疾病的风险，但这些发现是否可以推广到在儿科肿瘤科工作的医护人员，这是值得怀疑的。本文报告了对儿科肿瘤科医护人员倦怠、精神疾病和工作相关压力源的文献进行全面综述的结果。
对 MEDLINE 和 PSYCHINFO 进行电子检索。随后进行了筛选过程，在此过程中，根据纳入和排除标准检查论文，并评估研究报告的质量。然后从每篇论文中提取有关研究设计和方法的信息，以便对其进行方法学质量评估。
确定了符合综述纳入标准的 10 项研究。没有发现比较儿科和成人肿瘤科医护人员的研究。关于儿科肿瘤科医护人员的研究未能使用在成人肿瘤科医护人员研究中使用的经过验证的标准化倦怠和精神疾病测量方法。有一些定性证据表明，儿科肿瘤科护士会经历一组独特的、额外的压力源，而这些压力源是成人肿瘤科服务同事所没有遇到的。
关于儿科肿瘤科医护人员压力和倦怠的证据非常有限。为了制定适当和有效的干预措施来支持医护人员，我们需要更好地了解儿科肿瘤科多学科团队所有成员的倦怠和精神疾病程度，以及导致这些体验的因素。
