Yuguero Oriol, Forné Carles, Esquerda Montserrat, Pifarré Josep, Abadías María José, Viñas Joan
Emergency Service, University Hospital Arnau de Vilanova, Lleida Biomedical Research Institute of Lleida (IRBLleida) Biostatistics Unit, Biomedical Research Institute of Lleida (IRBLleida) Department of Basic Medical Sciences, University of Lleida, Lleida Borja Institute of Bioethics, Barcelona Mental Health Service, University Hospital Santa Maria Faculty of Medicine, University of Lleida, Lleida, Spain.
Medicine (Baltimore). 2017 Sep;96(37):e8030. doi: 10.1097/MD.0000000000008030.
The objective of this study is to assess the association between levels of empathy and burnout of emergency professionals in all the assistance levels.A cross-sectional observational study was conducted in the health region of Lleida and the Pyrenees with 100 professionals from the field of Urgency. Participation reached 40.8%. Empathy and burnout were measured using the Spanish versions of the Jefferson Scale of Physician Empathy (JSPE) and Maslach Burnout Inventory (MBI) respectively. The total MBI score and its 3 dimensions (emotional exhaustion, depersonalization, and personal accomplishment) were analyzed. The JSPE and MBI scores were categorized into tertiles that were identified as "low," "moderate," and "high" levels.The median (interquartile range) was 112 (102-123) and 37 (27-53.5) for the JSPE and MBI scores respectively. Professionals with high burnout (MBI≥47) showed the lowest levels of empathy, that is, JSPE score of 105 (98-114); those with moderate burnout (31≤MBI < 47) had a JSPE score of 114 (104.5-120.5); and those with low burnout (MBI < 31) had a JSPE score of 120.5 (105.8-127.2). In addition, the highest levels of empathy were associated with the lowest levels of burnout, especially in depersonalization, and to a lesser extent in personal accomplishment. There were no differences in empathy and burnout for any of the other study variables.Our findings suggest that the empathy of emergency professionals is associated with burnout. Hence, reducing professional burnout could help keep emergency professionals' empathy levels high, which in turn would ensure a better quality of care. Nevertheless, it would be necessary to carry out prospective studies to describe the profiles of burnout and empathy as well as their association and evolution.
本研究的目的是评估各级急救专业人员的同理心水平与职业倦怠之间的关联。在莱里达和比利牛斯山的卫生区域开展了一项横断面观察性研究，研究对象为100名急救领域的专业人员，参与率达40.8%。分别使用西班牙文版的《医生同理心杰斐逊量表》（JSPE）和《马氏职业倦怠量表》（MBI）来测量同理心和职业倦怠。分析了MBI总分及其3个维度（情感耗竭、去个性化和个人成就感）。将JSPE和MBI得分分为三分位数，分别确定为“低”、“中”和“高”水平。JSPE和MBI得分的中位数（四分位间距）分别为112（102 - 123）和37（27 - 53.5）。职业倦怠程度高（MBI≥47）的专业人员同理心水平最低，即JSPE得分为105（98 - 114）；职业倦怠程度中等（31≤MBI＜47）的人员JSPE得分为114（104.5 - 120.5）；职业倦怠程度低（MBI＜31）的人员JSPE得分为120.5（105.8 - 127.2）。此外，同理心水平最高与职业倦怠程度最低相关，尤其是在去个性化方面，在个人成就感方面相关性较小。其他任何研究变量在同理心和职业倦怠方面均无差异。我们的研究结果表明，急救专业人员的同理心与职业倦怠有关。因此，减少职业倦怠有助于保持急救专业人员较高的同理心水平，进而确保更高的护理质量。然而，有必要开展前瞻性研究来描述职业倦怠和同理心的特征及其关联和演变。
