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放疗师职业倦怠:系统评价与荟萃分析。

Burnout in radiation therapists: Systematic review with meta-analysis.

机构信息

Faculty of Medicine, University of Coimbra, Coimbra, Portugal.

Laboratory of Biostatistics and Medical Informatics and IBILI, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.

出版信息

Eur J Cancer Care (Engl). 2019 May;28(3):e12938. doi: 10.1111/ecc.12938. Epub 2018 Oct 18.

DOI:10.1111/ecc.12938
PMID:30334308
Abstract

The main aim of this review is to evaluate the burnout levels experienced by radiation therapists. PubMed, Lilacs and Google Scholar were searched for articles reporting burnout levels in radiation therapists. Only studies explicitly assessing burnout and using a validated instrument were retrieved. Meta-analyses were undertaken, based on articles that used the Maslach Burnout Inventory to assess burnout, to determine 95% confidence intervals for the overall prevalence of radiation therapists with high burnout risk in three dimensions: emotional exhaustion, depersonalisation or low personal accomplishment. Additionally, meta-analyses were also performed to determine the overall mean reported for each of the three dimensions. A total of eleven studies were found to be eligible for inclusion in this systematic review, nine of which used the Maslach Burnout Inventory questionnaire. The 95% confidence intervals for radiation therapists with high emotional exhaustion scores, high depersonalisation scores and low personal accomplishment scores were [24.8; 54.6], [10.1; 40.2] and [17.4; 41.6] respectively. The 95% confidence intervals for the corresponding means were found to be [20.0; 26.2], [5.1; 8.8] and [35.9, 39.6] respectively. The meta-analysis revealed an arguably high prevalence of burnout in radiation therapists in spite of it varying substantially between studies.

摘要

本综述的主要目的是评估放射治疗师的 burnout 水平。在 PubMed、Lilacs 和 Google Scholar 上搜索报告放射治疗师 burnout 水平的文章。仅检索明确评估 burnout 并使用经过验证的工具的研究。对使用 Maslach 倦怠量表评估 burnout 的文章进行了荟萃分析,以确定在三个维度(情绪衰竭、去人性化或低个人成就感)中具有高 burnout 风险的放射治疗师的总体患病率的 95%置信区间。此外,还进行了荟萃分析,以确定三个维度中每个维度报告的总体平均值。共有 11 项研究被认为符合本系统综述的纳入标准,其中 9 项使用了 Maslach 倦怠量表问卷。具有高情绪衰竭评分、高去人性化评分和低个人成就感评分的放射治疗师的 95%置信区间分别为 [24.8; 54.6]、[10.1; 40.2] 和 [17.4; 41.6]。相应平均值的 95%置信区间分别为 [20.0; 26.2]、[5.1; 8.8] 和 [35.9, 39.6]。荟萃分析显示,尽管放射治疗师之间存在很大差异,但 burnout 在放射治疗师中具有相当高的患病率。

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