Lesić A R A, Stefanovic N Petrović, Perunicić I, Milenković P, Tosevski D Lecić, Bumbasirević M Z
Institute for Orthopaedic Surgery and Traumatology, Clinical Centre of Serbia, Belgrade, Serbia.
Acta Chir Iugosl. 2009;56(2):53-9. doi: 10.2298/aci0902053l.
Burnout syndrome (BOS) is caused both by psychological-emotional and physical stress. It is associated with decreased job performance and low career satisfaction. BOS has a significance influence both to physicians' performance in health care system, and in their private life. Until now, there was no data about this aspect of orthopaedic surgeon condition and health in our community.
To assess the level of the burnout syndrome in orthopaedic surgeons and general practitioners (GPs), and the relations of their demographic features, job characteristics to the burnout syndrome
Questionnaire-based survey
The sample consisted of 30 orthopaedic surgeons from the University Clinical Centre, and 40 GPs from the primary health care centres. The Burnout syndrome was measured by the Maslach Burnout Inventory (MBI). In addition to the MBI, the demographic data were collected and analyzed (age, age of practicing, gender, marital status) in relation to BOS.
Both groups expressed moderate to high rate of emotional exhaustion, depersonalization and low personal accomplishment. However, statistical significance between the groups had not been demonstrated. Neither gender nor years of practice or marital status did express statistically significant impact on the BOS items, i.e. they were not predictors of the BOS. Our results showed that about 70% of the physicians were emotionally exhausted considering both groups. On the other hand, orthopaedics demonstrated slightly higher depersonalisation level (55%) than GPs (38%). While GPs expressed lower personal accomplishment (48%) comparing to orthopaedics (29%).
The obtained MBI scores in this study were similar to those registered in US among residents, but when comparing to physicians in West Europe, which have similar health care system, our results demonstrated higher rates of BOS items.
The Burnout syndrome represents an important problem for actively practicing physicians. The results of this and other similar studies should be used to evaluate medical training, practice, professional relations and introduce necessary changes.
职业倦怠综合征（BOS）由心理情绪压力和身体压力共同导致。它与工作表现下降和职业满意度低相关。BOS对医疗系统中医生的表现及其私人生活均有重大影响。到目前为止，在我们的社区中，尚无关于骨科医生状况和健康这方面的数据。
评估骨科医生和全科医生（GPs）的职业倦怠综合征水平，以及他们的人口统计学特征、工作特点与职业倦怠综合征的关系
基于问卷的调查
样本包括来自大学临床中心的30名骨科医生和来自初级卫生保健中心的40名全科医生。采用马氏职业倦怠量表（MBI）测量职业倦怠综合征。除MBI外，还收集并分析了与BOS相关的人口统计学数据（年龄、从业年龄、性别、婚姻状况）。
两组均表现出中度至高比例的情感耗竭、去人格化和低个人成就感。然而，两组之间未显示出统计学意义。性别、从业年限或婚姻状况对BOS项目均未表现出统计学上的显著影响，即它们不是BOS的预测因素。我们的结果表明，考虑到两组情况，约70%的医生存在情感耗竭。另一方面，骨科医生的去人格化水平（55%）略高于全科医生（38%）。而全科医生的个人成就感（48%）低于骨科医生（29%）。
本研究中获得的MBI分数与美国住院医生的分数相似，但与具有相似医疗保健系统的西欧医生相比，我们的结果显示BOS项目的发生率更高。
职业倦怠综合征是积极执业医生面临的一个重要问题。本研究及其他类似研究的结果应用于评估医学培训、实践、职业关系并做出必要改变。
