Asghar Arifa A, Faiq Arisha, Shafique Shiza, Siddiqui Faiza, Asghar Noureen, Malik Shanza, Kamal Syeda Duaa, Hanif Ayesha, Qasmani Muhammad F, Ali Syed U, Munim Summaiya, Solangi Alishba, Zafar Amna, Sohail Muhammad O, Aimen Abeeha
Internal Medicine, Dow University of Health Sciences (DUHS), Karachi, PAK.
Internal Medicine, Bahria University Medical and Dental College, Karachi, PAK.
Cureus. 2019 Jun 11;11(6):e4879. doi: 10.7759/cureus.4879.
Objectives Burnout is a psychophysiological syndrome, consisting of a triad of emotional and physical exhaustion, exhibition of impersonal attitude and loss of a sense of achievement for oneself. This study aimed to pinpoint its risk factors, measure its current prevalence in medical students of Karachi, Pakistan and accentuate the areas of focus to benefit the primary care-oriented community as a whole. Methods This cross-sectional study included responses from 600 medical students in Karachi (third to final year). A self-administered questionnaire using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), multi-dimensional mood state questionnaire and perceived stress scale was used, along with a section about burnout prevention assessment. Data were analyzed using SPSS version 24.0 (IBM Corp., Armonk, NY) and chi-square tests used to find significant associations. Results One-fifth (n=109, 18.2%) of our subjects were burned out. The syndrome was significantly observed in those who operated on insufficient sleep (p-value 0.028) and in those having anger management issues and non-dominating temperaments (p-value 0.05). Furthermore, it was statistically significant in those who gave up easily, in those who had no hobbies and had no time to exercise and pray (p-value <0.05). It was more prevalent in pupils of private medical colleges whereas two of its three constitutive factors, Emotional Exhaustion (p-value 0.03) and Personal Achievement (p-value <0.001) were significantly higher in pupils of public sector universities. Conclusion The deleterious repercussions of burnout syndrome warrant the need for extensive efforts towards the propagation of its awareness.
目标 职业倦怠是一种心理生理综合征，由情绪和身体疲惫、表现出冷漠态度以及丧失个人成就感这三个要素组成。本研究旨在找出其风险因素，测量其在巴基斯坦卡拉奇医科学生中的当前患病率，并强调关注领域，以使整个以初级保健为导向的社区受益。方法 这项横断面研究纳入了卡拉奇600名医科学生（三年级至最后一年）的回复。使用了一份自填式问卷，该问卷采用了马氏职业倦怠量表-人类服务调查（MBI-HSS）、多维度情绪状态问卷和感知压力量表，还设有一个关于职业倦怠预防评估的部分。数据使用SPSS 24.0版（IBM公司，纽约州阿蒙克）进行分析，并使用卡方检验来发现显著关联。结果 我们的研究对象中有五分之一（n = 109，18.2%）出现职业倦怠。在睡眠不足的学生（p值0.028）以及有情绪管理问题和非主导性格的学生（p值0.05）中，该综合征的发生率显著较高。此外，在容易放弃的学生、没有爱好且没有时间锻炼和祈祷的学生中，该综合征在统计学上也具有显著意义（p值<0.05）。私立医学院的学生中职业倦怠更为普遍，而其三个构成因素中的两个，即情感耗竭（p值0.03）和个人成就感（p值<0.001）在公立大学的学生中显著更高。结论 职业倦怠综合征的有害影响表明有必要做出广泛努力来提高对其的认识。
