Vinnikov Denis, Dushpanova Anar, Kodasbaev Almat, Romanova Zhanna, Almukhanova Aizhan, Tulekov Zhangir, Toleu Esbol, Ussatayeva Gainel
1Al-Fabari Kazakh National University, al-Farabi avenue 71, Almaty, Kazakhstan 050040.
2Biological institute, National Research Tomsk State University, Tomsk, Russian Federation 634050.
Arch Public Health. 2019 Apr 10;77:13. doi: 10.1186/s13690-019-0345-1. eCollection 2019.
No data exist in the published literature on burnout in physicians from Central Asia. The aim of this analysis was to assess burnout prevalence in doctors and nurses of a cardiological hospital in Almaty, Kazakhstan and ascertain whether smoking, alcohol and physical activity may predict job-associated burnout.
The staff of the City Cardiological Centre of Almaty ( = 259, 82% females) filled in the questionnaire with the questions on demographics, lifestyle, including smoking, alcohol and physical activity, as well as fatigue (using Fatigue Severity Scale (FSS)) and burnout using Maslach Burnout Inventory (MBI) Human Services Survey for Medical Personnel. We compared the scores of emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA) between doctors and nurses.
We found significant differences in the smoking prevalence, alcohol use and regular physical activity, but no mean scores of burnout between men and women. High DP was prevalent in 52% doctors and 45% nurses, whereas high EE was found in 32 and 26% and PA in 16 and 32%, accordingly. In contrast with EE and DP, PA score was greater in nurses (median 38, interquartile range (IQR) 17) compared to doctors (median 41, IQR 9). Age, sex, work duration, smoking or physical activity could not predict higher burnout, whereas FSS score was associated with higher burnout of all dimensions ( < 0.05), and never-alcohol could predict higher PA burnout (p < 0.05).
In Kazakhstan cardiologists, high prevalence of DP burnout should target specific preventive strategies and the association of alcohol use with PA needs further deeper insight.
关于中亚地区医生职业倦怠的已发表文献中尚无相关数据。本分析旨在评估哈萨克斯坦阿拉木图一家心脏病医院医生和护士的职业倦怠患病率，并确定吸烟、饮酒和体育活动是否可预测与工作相关的职业倦怠。
阿拉木图市心脏病中心的工作人员（n = 259，82%为女性）填写了一份问卷，内容涉及人口统计学、生活方式（包括吸烟、饮酒和体育活动）、疲劳（使用疲劳严重程度量表（FSS））以及使用马氏职业倦怠量表（MBI）医疗人员人类服务调查评估职业倦怠。我们比较了医生和护士在情感耗竭（EE）、去个性化（DP）和个人成就感（PA）方面的得分。
我们发现男性和女性在吸烟率、饮酒情况和定期体育活动方面存在显著差异，但职业倦怠的平均得分无差异。52%的医生和45%的护士存在高DP，相应地，32%和26%的医生和护士存在高EE，16%和32%的医生和护士存在高PA。与EE和DP相比，护士的PA得分（中位数38，四分位间距（IQR）17）高于医生（中位数41，IQR 9）。年龄、性别、工作时长、吸烟或体育活动均无法预测更高的职业倦怠，而FSS得分与所有维度的更高职业倦怠相关（p < 0.05），从不饮酒可预测更高的PA职业倦怠（p < 0.05）。
在哈萨克斯坦，心脏病专家中DP职业倦怠的高患病率应针对特定的预防策略，饮酒与PA之间的关联需要进一步深入研究。
