Mazhar Syeda Batool, Gilani Sidra, Ain Qurra Tul, Khan Saifullah
MCH Centre, Pakistan Institute of Medical Sciences, Islamabad.
ENT Department, KRL Hospital, Islamabad, Pakistan.
J Pak Med Assoc. 2019 Mar;69(3):349-354.
To determine the frequency of burnout and its associated factors among doctors in a tertiary care setting.
The descriptive study was conducted at Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from October 1, 2016, to January 31, 2017, and comprised doctors working there regardless of age, gender and professional experience. A self-reported questionnaire with demographic data and Maslach Burnout Inventory was used. Levels of each component of and composite burnout score were calculated and associated with each independent variable. Data was analysed using SPSS 21.
Of the 365 doctors, 238(65.2%) were females, 200(54.8%) were single, and the overall mean age was 28.68}4.58 years. Besides, 172(58%) subjects were postgraduate residents, 77 (21%) belonged to Obstetrics and Gynaecology, 198(54.2%) had 1-in-4 rota, and 123(33.7%) had job duration of 1-4 years. High burnout was reported by 49(13.5%) and moderate burnout by 227(62.2%) doctors respectively. Severe burnout frequency was the highest in Anaesthesia department 9(36%) followed by 18(23.4%) doctors in Obstetrics and Gynaecology. Overall, 140(38%) doctors reported high degree of emotional exhaustion, 100(27%) had high degree of depersonalization and 208(57%) had severely reduced personal accomplishment. Of the total, 120(33%) doctors wanted to leave their jobs.
Different levels of burnout were found in doctors. Amongst the three components of burnout, severely reduced personal accomplishment was the highest.
确定三级医疗机构中医生职业倦怠的发生率及其相关因素。
2016年10月1日至2017年1月31日在巴基斯坦伊斯兰堡的巴基斯坦医学科学研究所开展了这项描述性研究，研究对象包括在该机构工作的医生，不受年龄、性别和专业经验限制。使用了一份包含人口统计学数据和马氏职业倦怠量表的自填式问卷。计算职业倦怠各组成部分的水平和综合倦怠得分，并将其与每个自变量相关联。数据采用SPSS 21进行分析。
365名医生中，238名（65.2%）为女性，200名（54.8%）为单身，总体平均年龄为28.68±4.58岁。此外，172名（58%）受试者为研究生住院医师，77名（21%）属于妇产科，198名（54.2%）实行四分之一轮班制，123名（33.7%）工作年限为1 - 4年。分别有49名（13.5%）医生报告有高度职业倦怠，227名（62.2%）医生报告有中度职业倦怠。严重职业倦怠发生率在麻醉科最高，为9名（36%），其次是妇产科的18名（23.4%）医生。总体而言，140名（38%）医生报告有高度情感耗竭，100名（27%）有高度去个性化，208名（57%）个人成就感严重降低。总计120名（33%）医生想要离职。
医生中存在不同程度的职业倦怠。在职业倦怠的三个组成部分中，个人成就感严重降低的比例最高。
