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[匈牙利医生的职业倦怠与心理韧性]

[Burnout and resilience among Hungarian physicians].

作者信息

Győrffy Zsuzsa

机构信息

Magatartástudományi Intézet, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Nagyvárad tér 4., 1089.

出版信息

Orv Hetil. 2019 Jan;160(3):112-119. doi: 10.1556/650.2019.31258.

Abstract

INTRODUCTION

The burnout of healthcare workers is of outstanding significance in both national and international studies.

AIM

Based on a representative, national physician survey (n = 5013), the aim of this study was to describe burnout indicators and the correspondence between them and working conditions. Moreover, we were aiming to compare the results with our 2013 physician survey and to analyze the potential relationship between burnout and resilience.

METHOD

We analyzed the results of the online quantitative survey with multiple variables descriptively. The connection between the respective dimensions of burnout and resilience was studied with logistic regression.

RESULTS

In comparison with data from 2013, the medium and high level proportions of depersonalization and personal accomplishment were similar (49% versus 49.9% and 65.1% versus 68.9%). Since 2013 (49%), we experienced a decrease in depersonalization (40.2%). Those working in in-patient care, at multiple workplaces and shift hours regularly have a higher chance of burnout. Our multivariable analysis has shown that the lack of resilience is an important predictor for the medium and high levels of emotional exhaustion, depersonalization and personal accomplishment.

CONCLUSION

Our results have shown that internal resources, coping strategies and resilience play a key role in burnout and its decrease. Orv Hetil. 2018; 160(3): 112-119.

摘要

引言

医护人员的职业倦怠在国内外研究中都具有突出的重要性。

目的

基于一项具有代表性的全国性医生调查(n = 5013),本研究旨在描述职业倦怠指标及其与工作条件之间的对应关系。此外,我们旨在将结果与2013年的医生调查结果进行比较,并分析职业倦怠与心理韧性之间的潜在关系。

方法

我们对在线定量调查的结果进行了多变量描述性分析。采用逻辑回归研究职业倦怠各维度与心理韧性之间的联系。

结果

与2013年的数据相比,去个性化和个人成就感的中高水平比例相似(分别为49%对49.9%和65.1%对68.9%)。自2013年(49%)以来,我们经历了去个性化水平的下降(40.2%)。在住院护理岗位工作、在多个工作场所工作以及定期轮班的人员出现职业倦怠的几率更高。我们的多变量分析表明,缺乏心理韧性是情绪耗竭、去个性化和个人成就感中高水平的重要预测因素。

结论

我们的结果表明,内部资源、应对策略和心理韧性在职业倦怠及其缓解中起着关键作用。《匈牙利医学周报》。2018年;160(3): 112 - 119。

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