Occupational Health Department, Centro Hospitalar de São João, Alameda Prof. Hernâni Monteiro, Porto, Portugal.
EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas, Porto, Portugal.
Occup Med (Lond). 2018 May 17;68(3):207-210. doi: 10.1093/occmed/kqy039.
A high level of burnout has been described in health professionals. However, literature regarding other hospital employees is scarce.
To assess the prevalence of burnout in different professional groups of hospital staff and how the professional category is associated with levels of burnout.
Employees of a University Hospital in Portugal completed a self-administered online questionnaire in 2014-2015. We used the Portuguese version of the Maslach Burnout Inventory-Human Services Survey and scored three dimensions of burnout (emotional exhaustion, depersonalization, personal accomplishment) as low, average or high. We estimated odds ratios (OR) and 95% confidence intervals (95% CI) by logistic regression, adjusting for age, sex, use of anxiolytic/antidepressant drugs and job satisfaction.
There was a 10% response rate; 368 questionnaires were available for analysis. High levels of burnout due to emotional exhaustion were observed in all professional categories. Nurses, administrative staff and technicians more frequently scored higher levels of emotional exhaustion (59%, 50% and 50%, respectively) and lack of personal accomplishment (41%, 52% and 38%, respectively) than physicians and healthcare assistants. Not all professionals scored highly for depersonalization. Emotional exhaustion scores were significantly lower in healthcare assistants than nurses (adjusted OR 0.26, 95% CI 0.10-0.64).
Burnout affects all professional categories of hospital staff. Future studies should use larger, more representative samples of hospital staff, perform longitudinal analyses and analyse data on specifics of each professional category and other potential confounders.
高倦怠水平在卫生专业人员中已有描述。然而，关于其他医院员工的文献却很少。
评估医院员工不同职业群体的倦怠发生率，以及职业类别与倦怠水平的关系。
2014-2015 年，葡萄牙一家大学医院的员工完成了一份在线自我管理问卷。我们使用了葡萄牙版 Maslach 倦怠量表-人类服务调查，并将倦怠的三个维度（情绪耗竭、去人性化、个人成就感）评分低、中、高。我们通过逻辑回归调整年龄、性别、使用抗焦虑/抗抑郁药物和工作满意度来估计比值比（OR）和 95%置信区间（95%CI）。
响应率为 10%，可分析的问卷有 368 份。所有职业群体均出现情绪耗竭的高倦怠水平。护士、行政人员和技术人员的情绪耗竭（分别为 59%、50%和 50%）和个人成就感缺乏（分别为 41%、52%和 38%）评分高于医生和医疗助理。并非所有专业人员的去人性化评分都很高。与护士相比，医疗助理的情绪耗竭评分显著较低（调整后的 OR 0.26，95%CI 0.10-0.64）。
倦怠影响医院员工的所有职业群体。未来的研究应使用更大、更具代表性的医院员工样本，进行纵向分析，并分析每个专业类别和其他潜在混杂因素的具体数据。
