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[喀麦隆杜阿拉地区全科医生的职业倦怠综合征:体育活动能否成为一个保护因素?]

[Burnout syndrome among generalist medical doctors of Douala region (Cameroon): Can physical activities be a protective factor?].

作者信息

Mandengue S H, Owona Manga L J, Lobè-Tanga M Y, Assomo-Ndemba P B, Nsongan-Bahebege S, Bika-Lélé C, Ngo Sack F, Njamnshi A K, Etoundi-Ngoa S L

机构信息

Unité de Physiologie et Médecine de l'Exercice et du Sport, Université de Douala, Cameroun.

Département de Santé publique, Faculté de Médecine et des Sciences pharmaceutiques, Université de Douala, Cameroun.

出版信息

Rev Med Brux. 2017;38(1):10-15.

Abstract

BACKGROUND

This study aimed to evaluate and document the importance of Burnout syndrome among generalist medical doctors (GMD) since no investigation have been carried in Cameroon.

METHODS

Cross-sectional study including 85 GMD using a self-administered questionnaire on socio-demographic characteristics, socioprofessional conditions, Maslach Burnout Inventory - Human Services Survey (MBI-HSS) to evaluate burnout, and Ricci-Gagnon physical activities level metrics.

RESULTS

77 GMD (90.6 %) reported having never heard about burnout. Mean age was 29 years (range 24-42 years). The MBI-HSS revealed that 36 GMD (42.4 %) were victims of burnout, with 27 (31.8 %) at a low level, 8 (9.4 %) moderate and one (1.2 %) severe. Burnout was associated with distance from home to job place (p ⟨ 0.05), strenuous job (p = 0.04), number of children in charge (p = 0.007), number of hospital attended (p = 0.003), number of hours of labor per day (p = 0.0001), conflicts with the hierarchy (p = 0.01), number of guards per month (p = 0.01). Physical activities practice did not showed significant preventive effect on burnout (p = 0.3) (Odds-ratio = 1.45, IC 95 % 0.6, 3.45).

CONCLUSIONS

Burnout syndrome is not well known among GMD in Douala, though having a high prevalence. Various socio-demographic and socio-professional factors are associated and contribute to increase the level of affect. Burnout seems to be a vicious somato-psycho-somatic disorder. This study did not found a protective or preventive effect of physical activities on burnout.

摘要

背景

由于喀麦隆尚未开展相关调查,本研究旨在评估并记录通科医生职业倦怠综合征的重要性。

方法

采用横断面研究,对85名通科医生进行自我管理问卷调查,内容包括社会人口学特征、社会职业状况、用马氏职业倦怠量表-人类服务调查(MBI-HSS)评估职业倦怠,以及里奇-加尼翁身体活动水平指标。

结果

77名通科医生(90.6%)报告从未听说过职业倦怠。平均年龄为29岁(范围24 - 42岁)。MBI-HSS显示,36名通科医生(42.4%)患有职业倦怠,其中27名(31.8%)为轻度,8名(9.4%)为中度,1名(1.2%)为重度。职业倦怠与家到工作地点的距离(p<0.05)、工作强度大(p = 0.04)、负责照顾的孩子数量(p = 0.007)、就诊医院数量(p = 0.003)、每天工作小时数(p = 0.0001)、与上级的冲突(p = 0.01)、每月值班次数(p = 0.01)相关。体育活动对职业倦怠未显示出显著的预防作用(p = 0.3)(优势比 = 1.45,95%置信区间0.6,3.45)。

结论

职业倦怠综合征在杜阿拉的通科医生中虽患病率高但知名度低。各种社会人口学和社会职业因素相互关联并导致影响程度增加。职业倦怠似乎是一种恶性身心障碍。本研究未发现体育活动对职业倦怠有保护或预防作用。

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