Ofei-Dodoo Samuel, Kellerman Rick, Gilchrist Karissa, Casey Eastin M
University of Kansas School of Medicine-Wichita, Department of Family and Community Medicine.
University of Kansas School of Medicine-Wichita, Family Medicine Residency Program at Ascension Via Christi.
Kans J Med. 2019 May 15;12(2):33-39. eCollection 2019 May.
The medical literature suggests disturbingly high rates of burnout among US physicians. The objective of this study was to determine the rates of burnout, other forms of distress, and overall quality of life among physicians in Sedgwick County.
The study involved a convenience sample of 197 physicians who were active member physicians of the Medical Society of Sedgwick County (MSSC). Between July and August 2018, we surveyed 872 physicians who were active members of the MSSC. The survey assessed manifestations of burnout, symptoms of depression and suicidal ideation, fatigue, and quality of life. The authors used standard descriptive summary statistics, Mann-Whitney test/independent samples -Test, Fisher's exact test, and correlations to analyze the data.
The participation rate was 44.6%, with 49.5% of the respondents reporting manifestations of burnout. Although 85% of the participants rated their overall quality of life as good/very good, 45% screened positive for depression, 5% had thoughts of suicide during the past year, and 44% reported excessive fatigue during the past week. Those with manifestations of burnout were 2.13 (100% vs 46.9%, p < 0.01) times more likely to report thoughts of suicidal ideation, 2.43 (72.6% vs 30.4%; p < 0.001) times more likely to screen positive for depression, and 1.89 (67.5% vs 35.8%; p < 0.001) times more likely to have high degrees of fatigue. All of the participants who had suicidal ideation reported manifestations of burnout.
Burnout was prevalent among active member physicians of the MSSC. Burnout among the participants was associated with symptoms of depression, fatigue, suicidal ideation, and intention of leaving the medical profession via early retirement and/or career change.
医学文献显示,美国医生职业倦怠率高得惊人。本研究的目的是确定塞奇威克县医生的职业倦怠率、其他形式的困扰以及总体生活质量。
本研究采用便利抽样法,选取了197名塞奇威克县医学协会(MSSC)的在职会员医生。2018年7月至8月期间,我们对872名MSSC在职会员医生进行了调查。该调查评估了职业倦怠的表现、抑郁症状、自杀意念、疲劳以及生活质量。作者使用标准描述性汇总统计、曼-惠特尼检验/独立样本t检验、费舍尔精确检验和相关性分析数据。
参与率为44.6%,49.5%的受访者报告有职业倦怠表现。尽管85%的参与者将他们的总体生活质量评为良好/非常好,但45%的人抑郁筛查呈阳性,5%的人在过去一年中有自杀念头,44%的人报告在过去一周内有过度疲劳。有职业倦怠表现的人出现自杀意念的可能性高2.13倍(100%对46.9%,p<0.01),抑郁筛查呈阳性的可能性高2.43倍(72.6%对30.4%;p<0.001),出现高度疲劳的可能性高1.89倍(67.5%对35.8%;p<0.001)。所有有自杀意念的参与者都报告有职业倦怠表现。
职业倦怠在MSSC的在职会员医生中很普遍。参与者的职业倦怠与抑郁症状、疲劳、自杀意念以及通过提前退休和/或职业转变离开医疗行业的意愿有关。