Lazarescu I, Dubray B, Joulakian M B, Blanchard P, Chauvet B, Mahé M-A, Mornex F, Rocher F, Thureau S
Département de radiothérapie, centre Henri-Becquerel, 1, rue d'Amiens, 76000 Rouen, France; CNRS, Laboratoire QuantIF, EA4108-Litis, FR UMR 3638, 1, rue d'Amiens, 76000 Rouen, France.
Département de radiothérapie, centre Henri-Becquerel, 1, rue d'Amiens, 76000 Rouen, France; CNRS, Laboratoire QuantIF, EA4108-Litis, FR UMR 3638, 1, rue d'Amiens, 76000 Rouen, France.
Cancer Radiother. 2018 Dec;22(8):784-789. doi: 10.1016/j.canrad.2018.02.005. Epub 2018 Oct 19.
Cancer caregivers are at high risk of burn-out, with potential severe consequences on professionals' health and on patients' care. We have investigated the prevalence of burn-out and its impact in terms of psychological morbidity among French radiation oncologists.
An anonymous online questionnaire was advertised in all French senior radiation oncologists and residents, including demographical data, job-related stress factors, drug use, the Maslach Burn-out Inventory (MBI) and the General Health Questionnaire (GHQ-12).
The response rates were 37% (76 out of 204) for radiation oncologists and 22% (166 out of 751) for residents. Sixty-four (84%) radiation oncology residents and 104 (63%) radiation oncologists met criteria for moderate/severe burn-out (odd ratio 2.1 [95% confidence interval 1.0-4.8], P=0.03). Radiation oncology residents were more prone to depersonalization (P<0.001) and lower personal accomplishment (P<0.001). Burn-out was more frequent in radiation oncologists working for public facilities. Symptoms of depression (GHQ-12≥4) were reported by 42% of residents and 36% of radiation oncologists (P=0.40). Psychological morbidity, suicidal ideation and anxiolytic consumption were more frequent in burnt out responders.
Our figures are in the highest range of published data. Active screening and prevention of burn-out should be implemented and particularly aimed at radiation oncology residents.
癌症护理人员面临着职业倦怠的高风险，这可能会对专业人员的健康和患者护理产生严重后果。我们调查了法国放射肿瘤学家职业倦怠的患病率及其对心理疾病的影响。
在所有法国资深放射肿瘤学家和住院医师中开展了一项匿名在线问卷调查，内容包括人口统计学数据、与工作相关的压力因素、药物使用情况、马氏职业倦怠量表（MBI）和一般健康问卷（GHQ-12）。
放射肿瘤学家的回复率为37%（204人中76人），住院医师的回复率为22%（751人中166人）。64名（84%）放射肿瘤学住院医师和104名（63%）放射肿瘤学家符合中度/重度职业倦怠标准（比值比2.1[95%置信区间1.0-4.8]，P=0.03）。放射肿瘤学住院医师更容易出现去个性化（P<0.001）和个人成就感较低（P<0.001）的情况。在公共机构工作的放射肿瘤学家职业倦怠更为常见。42%的住院医师和36%的放射肿瘤学家报告有抑郁症状（GHQ-12≥4）（P=0.40）。职业倦怠的受访者中，心理疾病、自杀意念和使用抗焦虑药的情况更为常见。
我们的数据处于已发表数据的最高范围。应实施积极的职业倦怠筛查和预防措施，尤其针对放射肿瘤学住院医师。
