Sanfilippo Filippo, Noto Alberto, Palumbo Gaetano J, Ippolito Mariachiara, Gagliardone Mariapia, Scarlata Maria, Bignami Elena, Sangalli Fabio, Cattaneo Sergio, Blangetti Ilaria, Scolletta Sabino, Locatelli Alessandro, Tritapepe Luigi, Lorini Ferdinando L, Arcadipane Antonio
Department of Anesthesia and Intensive Care, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione), Palermo, Italy.
Department of Anaesthesia and Intensive Care, Policlinico Universitario G. Martino, University of Messina, Messina, Italy.
J Cardiothorac Vasc Anesth. 2018 Dec;32(6):2459-2466. doi: 10.1053/j.jvca.2018.05.016. Epub 2018 May 16.
There is increasing burnout incidence among medical disciplines, and physicians working in emergency settings seem at higher risk. Cardiac anesthesiology is a stressful anesthesiology subspecialty dealing with high-risk patients. The authors hypothesized a high risk of burnout in cardiac anesthesiologists.
National survey conducted on burnout.
Italian cardiac centers.
Cardiac anesthesiologists.
The authors administered via email an anonymous questionnaire divided into 3 parts. The first 2 parts evaluated workload and private life. The third part consisted of the Maslach Burnout Inventory test with its 3 constituents: high emotional exhaustion, high depersonalization, and low personal accomplishment.
The authors measured the prevalence and risk of burnout through the Maslach Burnout Inventory questionnaire and analyzed factors influencing burnout. Among 670 contacts from 71 centers, 382 cardiac anesthesiologists completed the survey (57%). The authors found the following mean Maslach Burnout Inventory values: 14.5 ± 9.7 (emotional exhaustion), 9.1 ± 7.1 (depersonalization), and 33.7 ± 8.9 (personal accomplishment). A rate of 34%, 54%, and 66% of respondents scored in "high" or "moderate-high" risk of burnout (emotional exhaustion, depersonalization, and personal accomplishment, respectively). The authors found that, if offered to change subspecialty, 76% of respondents would prefer to remain in cardiac anesthesiology. This preference and parenthood were the only 2 investigated factors with a protective effect against all components of burnout. Significantly lower burnout scores were found in more experienced anesthesiologists.
A relatively high incidence of burnout was found in cardiac anesthesiologists, especially regarding high depersonalization and low personal accomplishment. Nonetheless, most of the respondents would choose to remain in cardiac anesthesiology.
医学各学科的职业倦怠发生率日益上升，在急诊环境中工作的医生似乎面临更高风险。心脏麻醉学是一个压力较大的麻醉学亚专业，负责处理高危患者。作者推测心脏麻醉医生存在较高的职业倦怠风险。
关于职业倦怠的全国性调查。
意大利心脏中心。
心脏麻醉医生。
作者通过电子邮件发放一份匿名问卷，问卷分为三个部分。前两部分评估工作量和私人生活。第三部分为马氏职业倦怠量表测试，包括三个组成部分：高情绪耗竭、高去个性化和低个人成就感。
作者通过马氏职业倦怠量表问卷测量职业倦怠的患病率和风险，并分析影响职业倦怠的因素。在来自71个中心的670名联系人中，382名心脏麻醉医生完成了调查（57%）。作者得出以下马氏职业倦怠量表的平均分值：情绪耗竭为14.5±9.7，去个性化为9.1±7.1，个人成就感为33.7±8.9。分别有34%、54%和66%的受访者在职业倦怠风险方面得分为“高”或“中度高”（情绪耗竭、去个性化和个人成就感）。作者发现，如果有机会更换亚专业，76%的受访者更愿意留在心脏麻醉学领域。这种偏好和为人父母是仅有的两个对职业倦怠所有组成部分具有保护作用的调查因素。经验更丰富的麻醉医生的职业倦怠得分显著更低。
心脏麻醉医生中职业倦怠的发生率相对较高，尤其是在高去个性化和低个人成就感方面。尽管如此，大多数受访者仍会选择留在心脏麻醉学领域。
