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肿瘤学家的倦怠及其相关因素:系统文献回顾和荟萃分析。

Burnout in oncologists and associated factors: A systematic literature review and meta-analysis.

机构信息

Cardiff University, Cardiff, UK.

出版信息

Eur J Cancer Care (Engl). 2019 May;28(3):e13094. doi: 10.1111/ecc.13094. Epub 2019 May 14.

Abstract

BACKGROUND

Oncologists may be particularly at risk of burnout. This systematic literature review and meta-analysis explores the prevalence of burnout and associated factors in oncologists.

METHODS

The authors assessed 26 studies that utilised the Maslach Burnout Inventory (MBI) tool to measure burnout. Pooled prevalence rates were calculated via meta-analysis (MetaXL) using random effects models.

RESULTS

Approximately 5,768 oncologists provided burnout data. A significant number experience burnout as highlighted by the pooled prevalence rates for MBI subscales of: emotional exhaustion at 32%; depersonalisation at 24%; and low personal accomplishment at 37%. Eighteen of the studies reported factors found to be significantly associated with high levels of burnout in oncology physicians. These were grouped into demographic differences, individual factors and work factors.

CONCLUSION

Burnout was found to affect a significant proportion of oncologists. Burnout was associated with being single, being younger in age, reduced psychological well-being, difficulties outside of work, workplace demands and workplace stress. Burnout has considerable implications for oncology physicians and patient safety. Further insight into individual factors, and factors associated with lower burnout would be beneficial.

摘要

背景

肿瘤学家可能特别容易出现倦怠。本系统文献回顾和荟萃分析探讨了肿瘤学家倦怠的流行率及其相关因素。

方法

作者评估了 26 项使用 Maslach 倦怠量表(MBI)工具来衡量倦怠的研究。使用随机效应模型的 MetaXL 通过荟萃分析计算了合并患病率。

结果

大约有 5768 名肿瘤学家提供了倦怠数据。有相当数量的人经历了倦怠,这突出表现在 MBI 子量表的合并患病率上:情绪衰竭为 32%;去人性化 24%;个人成就感低为 37%。18 项研究报告了与肿瘤医生高水平倦怠显著相关的因素。这些因素分为人口统计学差异、个体因素和工作因素。

结论

倦怠影响了相当一部分肿瘤学家。倦怠与单身、年龄较小、心理健康状况较差、工作以外的困难、工作场所需求和工作压力有关。倦怠对肿瘤医生和患者安全有重大影响。进一步深入了解个体因素和与较低倦怠相关的因素将是有益的。

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