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厄瓜多尔卫生专业人员的 burnout 患病率及相关因素。

Prevalence and correlates of burnout in health professionals in Ecuador.

机构信息

Department of Psychology, Universidad Técnica Particular de Loja, Ecuador.

Department of Psychology, University of A Coruña, Spain.

出版信息

Compr Psychiatry. 2018 Apr;82:73-83. doi: 10.1016/j.comppsych.2017.11.011. Epub 2017 Dec 5.

Abstract

BACKGROUND

Although burnout is a widespread phenomenon among healthcare professionals, there are no studies about its prevalence in Ecuador. This study assesses the prevalence of burnout syndrome among Ecuadorian healthcare professionals and examine the relationship with their personal and organizational characteristics.

METHODS

A total of 2404 healthcare professionals (average age 40.0years; 68.4% women) from the capitals of all 24 provinces in Ecuador participated in this study. Trained psychologists assessed the presence of burnout by applying the Maslach Burnout Inventory. Sociodemographic variables, emotional distress, social support and coping styles as well as organizational variables were also collected.

RESULTS

Of all healthcare professionals surveyed, 2.6% presented burnout syndrome. By dimensions, 17.2% of the participants presented a high level of emotional exhaustion, 13.5% of depersonalization, and 18.2% had reduced personal accomplishment. Being non-mestizo, being classified as a probable case of mental disorder and using more passive coping were associated with a greater probability of presenting burnout; having >10years of experience was associated with a lower probability of burnout.

CONCLUSIONS

A significant number of active health professionals suffer from burnout. It is necessary to develop effective psychotherapeutic interventions for those who have the syndrome and to evaluate potential prevention strategies in those who have not yet developed it.

摘要

背景

burnout(倦怠)是医疗保健专业人员中普遍存在的现象,但在厄瓜多尔还没有关于其流行程度的研究。本研究评估了厄瓜多尔医疗保健专业人员 burnout 综合征的患病率,并探讨了其与个人和组织特征的关系。

方法

共有来自厄瓜多尔 24 个省首府的 2404 名医疗保健专业人员(平均年龄 40.0 岁,68.4%为女性)参与了这项研究。经过培训的心理学家通过应用 Maslach 倦怠量表评估了 burnout 综合征的存在。还收集了社会人口统计学变量、情绪困扰、社会支持和应对方式以及组织变量。

结果

在所有接受调查的医疗保健专业人员中,2.6%的人患有 burnout 综合征。就各维度而言,17.2%的参与者表现出高度的情绪疲惫,13.5%的人表现出去人性化,18.2%的人成就感降低。非梅斯蒂索人、被归类为可能患有精神障碍的人以及更多使用被动应对方式与出现 burnout 的可能性更大相关;有>10 年经验与 burnout 的可能性较低相关。

结论

相当数量的活跃卫生专业人员患有 burnout。对于患有该综合征的人,有必要制定有效的心理治疗干预措施,并对尚未出现该综合征的人评估潜在的预防策略。

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