Gouveia Pedro Alves da Cruz, Ribeiro Maria Hosana Chaves, Aschoff Carlos Alberto de Moura, Gomes Doris Pires, Silva Nadine Anita Fonseca da, Cavalcanti Helton Alexsandro Firmino
Internal Medicine Service, Hospital das Clínicas, Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
Medicine Course, Health Sciences Center, UFPE, Recife, PE, Brazil.
Rev Assoc Med Bras (1992). 2017 Jun;63(6):504-511. doi: 10.1590/1806-9282.63.06.504.
: To determine the prevalence of burnout syndrome among resident physicians of various specialties and to evaluate associated factors.
: The Maslach Burnout Inventory questionnaire and a sociodemographic questionnaire were used to evaluate factors associated with the syndrome. Burnout was defined as the association of high emotional exhaustion, depersonalization and low professional achievement. Multivariate analysis was performed after adjustment of the Poisson model with the identification of risk factors and calculation of prevalence ratios (PR). Of the 250 resident physicians registered with Hospital das Clínicas of Pernambuco, 129 participated in the study.
: In the three domains that characterize burnout syndrome, we found a low level of professional achievement in 94.6% of resident physicians interviewed, a high level of depersonalization in 31.8%, and 59.7% with a high level of emotional exhaustion. The prevalence of burnout was 27.9%. Having suffered a stressful event in the last six months (PR: 8.10; 95CI 1.2-57.2) and being a student of surgical specialty (PR: 1.99; 95CI 1.2-3.3) were independently associated with burnout.
: The prevalence of burnout found in resident physicians is in accordance with previous Brazilian studies. Residents of surgical specialties and those who suffered some stressful event were identified as susceptible in this study. The early identification of risk factors is fundamental for the implementation of preventive measures against burnout syndrome.
确定各专业住院医师职业倦怠综合征的患病率,并评估相关因素。
采用马氏职业倦怠量表问卷和社会人口学问卷来评估与该综合征相关的因素。职业倦怠被定义为高情感耗竭、去人格化和低职业成就感的结合。在对泊松模型进行调整后,进行多变量分析,以识别风险因素并计算患病率比(PR)。在伯南布哥临床医院登记的250名住院医师中,129名参与了研究。
在构成职业倦怠综合征的三个领域中,我们发现,在接受访谈的住院医师中,94.6%的人职业成就感水平较低,31.8%的人去人格化水平较高,59.7%的人情感耗竭水平较高。职业倦怠的患病率为27.9%。在过去六个月内经历过压力事件(PR:8.10;95%置信区间1.2 - 57.2)以及是外科专业的学生(PR:1.99;95%置信区间1.2 - 3.3)与职业倦怠独立相关。
住院医师中发现的职业倦怠患病率与巴西以往的研究一致。在本研究中,外科专业住院医师以及那些经历过一些压力事件的人被确定为易感人群。早期识别风险因素对于实施预防职业倦怠综合征的措施至关重要。