Department of Orthopedic Surgery, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Beijing, People's Republic of China.
J Arthroplasty. 2018 Apr;33(4):1253-1257. doi: 10.1016/j.arth.2017.10.049. Epub 2017 Nov 3.
Burnout is a major concern in human service occupations, mainly characterizing in emotional exhaustion and depersonalization. There is very limited research dealing with burnout in orthopedic surgeons. Exploring burnout prevalence, risk factors, and intraoperative irritability-related incidences is necessary to improve the quality of life for surgeons.
The study population consisted of 202 registered adult reconstructive doctors in China. Burnout was measured using a normalized translated version of the Maslach Burnout Inventory-Human Service Survey. Demographics, professional characteristics, and intraoperative irritability-related questions were also collected by electronic questionnaires. Statistical analysis was performed using SPSS 22.0.
The overall rate of burnout was 85.1%. Variables significantly associated with high emotional exhaustion scores included poor sleeping time per day (P = .008), more nights on call per week (P = .048), and absence of research (P = .014). For depersonalization, absence of marriage (P < .001) and more nights on call per week (P < .001) were selected as risk factors. The incidence of losing temper in operation is 58.9%, significantly higher in senior surgeons (P = .001). Three major reasons for irritation during operations included delays by companies providing operative devices, poor coordination of assistants, and slow movements of instrument nurses. Intraoperative irritability was found to be significantly correlated with burnout, especially in emotional exhaustion. Residents were the population having the least opportunities to lose temper in operation.
Burnout is highly prevalent in Chinese adult reconstructive surgeons, and it had some correlations with irritability. Further research is needed to determine more risk factors and reduce intraoperative irritability-related incidences.
倦怠是人类服务职业中的一个主要关注点，主要表现为情绪疲惫和去人性化。很少有研究涉及矫形外科医生的倦怠问题。探讨倦怠的患病率、风险因素以及与术中易怒相关的发生率对于提高外科医生的生活质量是必要的。
研究人群包括中国 202 名注册的成人重建医生。使用标准化的马斯拉赫倦怠量表-人类服务调查的翻译版本来衡量倦怠。还通过电子问卷收集人口统计学、专业特征和与术中易怒相关的问题。使用 SPSS 22.0 进行统计分析。
倦怠的总体发生率为 85.1%。与高情绪疲惫评分显著相关的变量包括每天睡眠时间差（P=0.008）、每周夜间值班次数多（P=0.048）和缺乏研究（P=0.014）。对于去人性化，未婚（P<0.001）和每周夜间值班次数多（P<0.001）被选为风险因素。手术中发脾气的发生率为 58.9%，高级外科医生明显更高（P=0.001）。手术中烦躁的三个主要原因包括提供手术器械的公司延迟、助手协调不佳以及器械护士动作缓慢。术中易怒与倦怠显著相关，尤其是在情绪疲惫方面。住院医师是手术中最不容易发脾气的人群。
倦怠在中国成人重建外科医生中非常普遍，并且与易怒有关。需要进一步研究以确定更多的风险因素并减少与术中易怒相关的发生率。
