Nishimura Kunihiro, Nakamura Fumiaki, Takegami Misa, Fukuhara Schunichi, Nakagawara Jyoji, Ogasawara Kuniaki, Ono Junichi, Shiokawa Yoshiaki, Miyachi Shigeru, Nagata Izumi, Toyoda Kazunori, Matsuda Shinya, Kataoka Hiroharu, Miyamoto Yoshihiro, Kitaoka Kazuyo, Kada Akiko, Iihara Koji
From the Departments of Preventive Medicine and Epidemiology (K.N., M.T., Y.M.) and Department of Neurosurgery (H.K.), National Cerebral and Cardiovascular Center, Suita, Japan; Department of Public Health, School of Medicine, The University of Tokyo, Tokyo, Japan (F.N.); Department of Health Epidemiology, Graduate School of Medicine, Kyoto University, School of Public Health, Kyoto, Japan (S.F.); Department of Neurosurgery, Nakamura Memorial Hospital, Sapporo, Japan (J.N.); Department of Neurosurgery, Iwate Medical University, Morioka, Japan (K.O.); Department of Neurosurgery, Chiba Cardiovascular Center, Ichihara, Japan (J.O.); Department of Neurosurgery, Kyorin University, Tokyo, Japan (Y.S.); Department of Neurosurgery, Nagoya University, Graduate School of Medicine, Nagoya, Japan (S. Miyachi); Nagasaki University School of Medicine, Nagasaki, Japan (I.N.); Department of Public Health, University of Occupational and Environmental Health, Kitakyushu, Japan (S. Matsuda); Department of Nursing, School of Nursing, Kanazawa University, Kanazawa, Japan (K.K.); Department of Clinical Research Promotion, National Hospital Organization Nagoya Medical Center, Nagoya, Japan (A.K.); and Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (K.I.).
Circ Cardiovasc Qual Outcomes. 2014 May;7(3):414-22. doi: 10.1161/CIRCOUTCOMES.113.000159. Epub 2014 May 13.
Burnout is common among physicians and affects the quality of care. We aimed to determine the prevalence of burnout among Japanese physicians working in stroke care and evaluate personal and professional characteristics associated with burnout.
A cross-sectional design was used to develop and distribute a survey to 11 211 physicians. Physician burnout was assessed using the Maslach Burnout Inventory General Survey. The predictors of burnout and the relationships among them were identified by multivariable logistic regression analysis. A total of 2724 (25.3%) physicians returned the surveys. After excluding those who were not working in stroke care or did not complete the survey appropriately, 2564 surveys were analyzed. Analysis of the participants' scores revealed that 41.1% were burned out. Multivariable analysis indicated that number of hours worked per week is positively associated with burnout. Hours slept per night, day-offs per week, years of experience, as well as income, are inversely associated with burnout. Short Form 36 mental health subscale was also inversely associated with burnout.
The primary risk factors for burnout are heavy workload, short sleep duration, relatively little experience, and low mental quality of life. Prospective research is required to confirm these findings and develop programs for preventing burnout.
职业倦怠在医生中很常见，并会影响医疗质量。我们旨在确定从事中风护理工作的日本医生中职业倦怠的患病率，并评估与职业倦怠相关的个人和职业特征。
采用横断面设计，对11211名医生开展并发放调查问卷。使用马氏职业倦怠量表通用版评估医生的职业倦怠情况。通过多变量逻辑回归分析确定职业倦怠的预测因素及其相互关系。共有2724名（25.3%）医生回复了调查问卷。在排除那些不从事中风护理工作或未正确完成调查问卷的人员后，对2564份调查问卷进行了分析。对参与者得分的分析显示，41.1%的人存在职业倦怠。多变量分析表明，每周工作时长与职业倦怠呈正相关。每晚睡眠时间、每周休息日、工作年限以及收入与职业倦怠呈负相关。简明健康调查量表（Short Form 36）心理健康分量表也与职业倦怠呈负相关。
职业倦怠的主要风险因素是工作量大、睡眠时间短、经验相对不足以及生活心理质量低。需要开展前瞻性研究以证实这些发现，并制定预防职业倦怠的方案。
