Department of Anesthesia and Intensive Care, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione), Via Tricomi 5, 90127 Palermo, Italy.
Department of Anaesthesia and Intensive Care, Policlinico Universitario G. Martino, University of Messina, Messina, Italy.
Biomed Res Int. 2017;2017:8648925. doi: 10.1155/2017/8648925. Epub 2017 Nov 28.
Burnout syndrome has reached epidemic levels among physicians (reported around 50%). Anesthesiology is among the most stressful medical disciplines but there is paucity of literature as compared with others. Analysis of burnout is essential because it is associated with safety and quality of care. We summarize evidence on burnout in anesthesiology.
We conducted a systematic review (MEDLINE up to 30.06.2017). We included studies reporting burnout in anesthesiology with no restriction on role or screening test used.
Fifteen surveys/studies described burnout in anesthesiology, including different workers profiles (nurses, residents, consultants, and directors). All studies used the Maslach Burnout Inventory test but with significant differences for risk stratification. Burnout prevalence greatly varied across studies (10%-41% high risk, up to 59% at least moderate risk). Factors most consistently associated with burnout were strained working pattern, working as younger consultant, and having children. There was no consistent relationship between burnout and hospital characteristics, gender, or marital status.
Burnout prevalence among anesthesiologists is relatively high across career stages, and some risk factors are reported frequently. However, the small number of studies as well as the large differences in their methodology and in reporting approach warrants further research in this field.
倦怠综合征在医生中已达到流行水平（报告称约为 50%）。麻醉科是压力最大的医学学科之一，但与其他学科相比，相关文献却很少。对倦怠进行分析至关重要，因为它与安全性和护理质量有关。我们总结了麻醉学中倦怠的证据。
我们进行了系统评价（截至 2017 年 6 月 30 日的 MEDLINE）。我们纳入了报告麻醉科倦怠的研究，对角色或使用的筛选测试没有限制。
15 项调查/研究描述了麻醉科的倦怠情况，包括不同的工作人员（护士、住院医师、顾问和主任）。所有研究均使用了 Maslach 倦怠量表，但风险分层存在显著差异。倦怠的患病率在研究中差异很大（10%-41%为高危，至少有 59%为中危）。与倦怠最常相关的因素是紧张的工作模式、作为年轻顾问工作和有孩子。倦怠与医院特征、性别或婚姻状况之间没有一致的关系。
麻醉师在整个职业生涯阶段的倦怠率相对较高，一些危险因素经常被报道。然而，由于研究数量较少，以及在方法学和报告方法上存在较大差异，因此需要在该领域进行进一步研究。
