Haik Josef, Brown Stav, Liran Alon, Visentin Denis, Sokolov Amit, Zilinsky Isaac, Kornhaber Rachel
Department of Plastic and Reconstruction Surgery, The National Burns Center, Sheba Medical Center, Tel Hashomer.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv.
Neuropsychiatr Dis Treat. 2017 Jun 15;13:1533-1540. doi: 10.2147/NDT.S133181. eCollection 2017.
Acute health care environments can be stressful settings with clinicians experiencing deleterious effects of burnout and compassion fatigue affecting their mental health. Subsequently, the quality of patient care and outcomes may be threatened if clinicians experience burnout or compassion fatigue. Therefore, the aim of this descriptive, cross-sectional study was to evaluate the prevalence of burnout and compassion fatigue among burn clinicians in Israel. Fifty-five clinicians from Burns, Plastics and Reconstruction Surgery and Intensive Care completed four validated surveys to assess burnout (Maslach Burnout Inventory), depression (PRIME-MD), health-related quality of life (SF-8), and compassion fatigue (Professional Quality of Life version 5). Burn clinicians were compared with Plastics and Reconstruction Surgery and Intensive Care clinicians. This study identified a high prevalence of burnout (38.2%) among Intensive Care, Plastics and Reconstruction and Burns clinicians, with Burns clinicians having a greatly increased prevalence of burnout compared to Intensive Care clinicians (OR =24.3, =0.017). Additional factors contributing to compassion fatigue were those without children (=0.016), divorced (=0.035), of a younger age (=0.019), and a registered nurse (=0.05). Burnout increased clinicians' risk of adverse professional and personal outcomes and correlated with less free time (<0.001), increased risk of experiencing work-home disputes (=0.05), increased depression (=0.001) and decreased career satisfaction (=0.01). Burnout was also associated with higher physical (mean difference =3.8, <0.001) and lower mental (mean difference =-3.5, <0.001) Quality of Life scores. Caring for burn survivors can lead to burnout, compassion fatigue, and vicarious trauma. Identifying strategies to abate these issues is essential to ensure improved clinicial environments and patient outcomes.
急性医疗环境可能是压力较大的场所，临床医生会经历职业倦怠和同情疲劳的有害影响，进而影响他们的心理健康。随后，如果临床医生出现职业倦怠或同情疲劳，患者护理质量和治疗结果可能会受到威胁。因此，这项描述性横断面研究的目的是评估以色列烧伤临床医生中职业倦怠和同情疲劳的患病率。来自烧伤、整形与重建外科以及重症监护科室的55名临床医生完成了四项经过验证的调查问卷，以评估职业倦怠（马氏职业倦怠量表）、抑郁（PRIME-MD）、健康相关生活质量（SF-8）和同情疲劳（职业生活质量量表第5版）。将烧伤临床医生与整形与重建外科以及重症监护临床医生进行比较。本研究发现，重症监护、整形与重建以及烧伤临床医生中职业倦怠的患病率很高（38.2%），与重症监护临床医生相比，烧伤临床医生的职业倦怠患病率大幅增加（OR = 24.3，= 0.017）。导致同情疲劳的其他因素包括没有孩子（= 0.016）、离婚（= 0.035）、年龄较小（= 0.019）以及注册护士（= 0.05）。职业倦怠增加了临床医生出现不良职业和个人后果的风险，并且与更少的自由时间相关（<0.001）、出现工作-家庭纠纷的风险增加（= 0.05）、抑郁增加（= 0.001）以及职业满意度降低（= 0.01）。职业倦怠还与更高的身体生活质量得分（平均差异 = 3.8，<0.001）和更低的心理生活质量得分（平均差异 = -3.5，<0.001）相关。照顾烧伤幸存者可能会导致职业倦怠、同情疲劳和替代性创伤。确定减轻这些问题的策略对于确保改善临床环境和患者治疗结果至关重要。
