Zis Panagiotis, Anagnostopoulos Fotios, Sykioti Panagiota
Department of Neurology, Evangelismos General Hospital, 10676 Athens, Greece.
Department of Psychology, Panteion University of Social and Political Sciences, 17671 Athens, Greece.
ScientificWorldJournal. 2014;2014:673279. doi: 10.1155/2014/673279. Epub 2014 Oct 30.
Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job. The purpose of our cross-sectional study was to estimate the burnout rates among medical residents in the largest Greek hospital in 2012 and identify factors associated with it, based on the job demands-resources model (JD-R).
Job demands were examined via a 17-item questionnaire assessing 4 characteristics (emotional demands, intellectual demands, workload, and home-work demands' interface) and job resources were measured via a 14-item questionnaire assessing 4 characteristics (autonomy, opportunities for professional development, support from colleagues, and supervisor's support). The Maslach Burnout Inventory (MBI) was used to measure burnout.
Of the 290 eligible residents, 90.7% responded. In total 14.4% of the residents were found to experience burnout. Multiple logistic regression analysis revealed that each increased point in the JD-R questionnaire score regarding home-work interface was associated with an increase in the odds of burnout by 25.5%. Conversely, each increased point for autonomy, opportunities in professional development, and each extra resident per specialist were associated with a decrease in the odds of burnout by 37.1%, 39.4%, and 59.0%, respectively.
Burnout among medical residents is associated with home-work interface, autonomy, professional development, and resident to specialist ratio.
职业倦怠是对工作中慢性情绪和人际压力源的长期反应。我们横断面研究的目的是估计2012年希腊最大医院住院医师的职业倦怠率，并根据工作需求-资源模型（JD-R）确定与之相关的因素。
通过一份17项问卷来考察工作需求，该问卷评估4个特征（情感需求、智力需求、工作量以及工作-家庭需求的交互作用）；通过一份14项问卷来衡量工作资源，该问卷评估4个特征（自主性、职业发展机会、同事支持以及上级支持）。使用马氏职业倦怠量表（MBI）来测量职业倦怠。
在290名符合条件的住院医师中，90.7%做出了回应。总共发现14.4%的住院医师存在职业倦怠。多元逻辑回归分析显示，JD-R问卷中关于工作-家庭交互作用的得分每增加1分，职业倦怠几率增加25.5%。相反，自主性、职业发展机会得分每增加1分，以及每增加1名专科医生对应的住院医师人数每增加1人，职业倦怠几率分别降低37.1%、39.4%和59.0%。
住院医师的职业倦怠与工作-家庭交互作用、自主性、职业发展以及住院医师与专科医生的比例有关。
