El Kettani Assiya, Serhier Zineb, Othmani Mohammed Bennani, Agoub Mohamed, Battas Omar
Laboratoire d'Informatique Médicale, Faculté de Médecine et de Pharmacie de Casablanca, Maroc.
Laboratoire de Neurosciences Cliniques et Santé Mentale, Faculté de Médecine et de Pharmacie de Casablanca, Maroc.
Pan Afr Med J. 2017 Aug 2;27:243. doi: 10.11604/pamj.2017.27.243.6257. eCollection 2017.
We conducted a descriptive cross-sectional study of a sample of 300 physicians using self-administered questionnaire over the period 2013- 2014. Burnout has been operationally defined through a French translation of the Maslach Burnout Inventory (MBI).
A total of 191 physicians participated in the study (response rate 63.7%) with a female predominance at 79.1% and an average age of 26.7 years (N = 3). The average scores of sub-dimensions of the MBI: emotional exhaustion, depersonalization and personal fulfilment were (33.7±10.7), (12.2±6.5) and (30.6±8.3) respectively. 31.8% of participants suffered from severe burnout. It was associated with communication problems within the healthcare team (p < 0.01), insufficient accompaniment (p < 0.05), dissatisfaction among seniors (p = 0.01), fear of making medical errors (p<0.05), use of a psychotherapist (p<0.001), use of psychotropic drugs (p = 0.001), anxiety disorders (p < 0.01), depression (p < 0.01) and suicidal ideation (p < 0.05). Protective factors were: sense of equity within the healthcare team (p < 0.01) and practice of leisure (p<0.05). Changing career direction was associated with severe burnout (p<0.05).
These results are consistent with those of previous studies and justify the importance of a prevention program at different levels.
我们在2013年至2014年期间，使用自填式问卷对300名医生样本进行了描述性横断面研究。职业倦怠通过《马氏职业倦怠量表》（MBI）的法语译本进行操作性定义。
共有191名医生参与了研究（应答率63.7%），女性占主导，比例为79.1%，平均年龄26.7岁（N = 3）。MBI各子维度的平均得分：情感耗竭、去个性化和个人成就感分别为（33.7±10.7）、（12.2±6.5）和（30.6±8.3）。31.8%的参与者患有严重职业倦怠。它与医疗团队内部的沟通问题（p < 0.01）、支持不足（p < 0.05）、上级不满（p = 0.01）、对医疗差错的恐惧（p<0.05）、使用心理治疗师（p<0.001）、使用精神药物（p = 0.001）、焦虑症（p < 0.01）、抑郁症（p < 0.01）和自杀意念（p < 0.05）相关。保护因素为：医疗团队内部的公平感（p < 0.01）和休闲活动（p<0.05）。改变职业方向与严重职业倦怠相关（p<0.05）。
这些结果与先前研究的结果一致，证明了在不同层面开展预防项目的重要性。
