Department of Medicine and Geriatrics,Caritas Medical Centre, Shamshuipo,Kowloon, Hong Kong.
Hong Kong Med J. 2012 Jun;18(3):186-92.
The stressful life of doctors makes them prone to burnout. We evaluated the prevalence of burnout among Hong Kong public hospital doctors and correlated burnout with job characteristics, working hours, stressors, and stress-relieving strategies.
Cross-sectional survey.
Hong Kong.
One thousand doctors were randomly sampled from the Hong Kong Public Doctors' Association registry. Self-administered, anonymous questionnaires with postage-paid envelopes were mailed twice in early 2009. The Maslach Burnout Inventory-Human Services Survey was used for burnout assessment. According to this scale, burnout is defined as emotional exhaustion, depersonalisation, and a reduced sense of personal accomplishment. Correlation analysis, as well as univariate and multivariate analyses, were performed to assess factors associated with high degrees of burnout. RESULTS. A total of 226 questionnaires were analysed, of which 31.4% of the respondents satisfied the criteria for high burnout. They were younger and needed to work shifts, and their median year of practice was 8.5. High-burnout doctors worked similar hours per week to non-high-burnout doctors (mean ± standard deviation, 56.2 ± 12.7 vs 54.7 ± 10.9; P=0.413) and reported suicidal thoughts more often (9.9% vs 2.6%; P=0.033). Moreover, 52.2% of high-burnout doctors were dissatisfied or very dissatisfied with their jobs. 'Excessive stress due to global workload' and 'feeling that their own work was not valued by others' were the most significant stressors associated with high emotional exhaustion and depersonalisation, while 'feeling that their own work was not valued by others' and 'poor job security' correlated with low personal accomplishment.
A high proportion of public doctors who responded to our survey endured high burnout. Trainees with some experience were at heightened risk. Stressors identified in this study should be addressed, so as to improve job satisfaction.
医生的高压生活使他们容易 burnout。我们评估了香港公立医院医生 burnout 的流行率，并将 burnout 与工作特征、工作时间、压力源和减压策略相关联。
横断面调查。
香港。
从香港公共医生协会登记处随机抽取 1000 名医生。2009 年初两次邮寄了带有邮资预付信封的自我管理、匿名问卷。使用 Maslach 倦怠量表-人类服务调查来评估倦怠。根据该量表，倦怠定义为情绪疲惫、去个性化和个人成就感降低。进行了相关分析以及单变量和多变量分析，以评估与高度倦怠相关的因素。
共分析了 226 份问卷，其中 31.4%的受访者符合高度倦怠的标准。他们更年轻，需要轮班工作，他们的平均从业年限为 8.5 年。高倦怠医生每周的工作时间与非高倦怠医生相似（中位数为 56.2±12.7 与 54.7±10.9；P=0.413），并且更常报告自杀念头（9.9%对 2.6%；P=0.033）。此外，52.2%的高倦怠医生对他们的工作不满意或非常不满意。“由于全球工作量过大而产生的过度压力”和“感觉自己的工作不受他人重视”是与高度情绪疲惫和去个性化最相关的压力源，而“感觉自己的工作不受他人重视”和“工作保障差”与低个人成就感相关。
对我们调查做出回应的公立医院医生中有相当高比例的人忍受着高度倦怠。有一定经验的实习生风险更高。本研究确定的压力源应得到解决，以提高工作满意度。
