Ptacek Radek, Stefano George B, Kuzelova Hana, Raboch Jiri, Harsa Pavel, Kream Richard M
Center for Congnitive and Molecular Neuroscience, Clinic of Psychiatry, 1st Medical Faculty of Charles University in Prague, 12000 Praha 2, Czech Republic.
Neuro Endocrinol Lett. 2013;34(4):259-64.
By operational criteria, burnout appears to be a multifaceted behavioral syndrome consisting of maladaptive individual responses subsequent to prolonged stressful situations. Given the intense physical and cognitive demands of providing high quality healthcare to a wide spectrum of patients, healthcare professionals are particularly susceptible to developing burnout syndrome, a notable phenomenon that has gleaned significant societal attention in recent years. Clearly, widespread manifestation of burnout by health care professionals represents a serious potential threat to the overall quality of patient care and to the realization of positive outcomes to multiple treatment strategies. It will most certainly engender a serious negative impact on the economic viability of the entire healthcare system. Presently, our brief review focuses on current research efforts to 1) provide precise behavioral and psychiatric diagnostic criteria for burnout syndrome in healthcare professionals, 2) identify potential etiological factors and ongoing stressors, and 3) outline an integrative approach for treatment and prevention.
根据操作标准，职业倦怠似乎是一种多方面的行为综合征，由长期压力情境后的适应不良个体反应组成。鉴于为广泛的患者提供高质量医疗保健对身体和认知的强烈要求，医疗保健专业人员特别容易患上职业倦怠综合征，这是近年来引起社会广泛关注的一个显著现象。显然，医疗保健专业人员职业倦怠的广泛表现对患者护理的整体质量以及多种治疗策略的积极效果的实现构成了严重的潜在威胁。这肯定会对整个医疗保健系统的经济可行性产生严重的负面影响。目前，我们的简要综述聚焦于当前的研究工作，以1）为医疗保健专业人员的职业倦怠综合征提供精确的行为和精神诊断标准，2）识别潜在的病因因素和持续的压力源，以及3）概述一种综合的治疗和预防方法。
