Zubairi Akbar Jaleel, Noordin Shahryar
Department of Surgery, The Aga Khan University, P.O. Box 3500 Stadium Road, Karachi 74800, Pakistan.
Ann Med Surg (Lond). 2016 Feb 2;6:60-3. doi: 10.1016/j.amsu.2016.01.090. eCollection 2016 Mar.
Recent literature has focused on burnout as a specific job related distress syndrome among physicians and residents having adverse effects on patient care. Local data on burnout is lacking.
MATERIALS & METHODS: An online self-administered questionnaire was sent via email to all residents (325) at our institute with and a response rate of 110 (34%) was achieved. Out of these 82 residents consented and completely filled the questionnaires and were included in the analysis. The questionnaire comprised of demographic variables, the Maslach burnout inventory and occupational risk factors.
High levels of burnout on at least one subscale were reported by 61(74.4%) residents, in 2 components by 34(41.5%) whereas an alarming 10(12.2%) residents scored high on all three subscales. Among the individual subscales emotional exhaustion was most frequent in 49(59.8%). Among the departments Radiology reported the highest levels (100%) of burnout and low levels were reported by Pediatrics (45%). There was no difference between burnout levels among junior and senior residents. Dissatisfaction with workload, length of work hours, relationship with co-workers and lack of autonomy were significantly associated with high level of burnout.
High levels of burnout are prevalent among trainee doctors in our part of the world which are comparable with international literature. Efforts to improve the work environment of residents may significantly reduce levels of burnout.
近期文献聚焦于职业倦怠,这是一种在医生和住院医师中出现的与工作相关的特定应激综合征,对患者护理产生不利影响。目前缺乏关于职业倦怠的本地数据。
通过电子邮件向我院所有住院医师(共325人)发送了一份在线自填式问卷,共收到110份回复(回复率为34%)。其中82名住院医师同意并完整填写了问卷,纳入分析。问卷包括人口统计学变量、马氏职业倦怠量表和职业风险因素。
61名(74.4%)住院医师报告至少一个子量表存在高水平职业倦怠,34名(41.5%)在两个分量表上存在高水平职业倦怠,令人担忧的是,10名(12.2%)住院医师在所有三个子量表上得分都很高。在各个子量表中,情感耗竭最为常见,有49名(59.8%)。在各科室中,放射科报告的职业倦怠水平最高(100%),儿科报告的水平较低(45%)。初级和高级住院医师的职业倦怠水平没有差异。对工作量、工作时长、与同事关系以及缺乏自主权的不满与高水平职业倦怠显著相关。
在我们所在地区,实习医生中职业倦怠水平较高,与国际文献报道相当。改善住院医师工作环境的努力可能会显著降低职业倦怠水平。