Department of Nursing, Debre Berhan University, Debre Berhan, Ethiopia.
Department of Medicine, Bench Magi Hospital, Bench Magi, Ethiopia.
BMC Med Educ. 2019 Nov 8;19(1):413. doi: 10.1186/s12909-019-1864-8.
Burnout, a measure of professional distress, is more common among medical professionals. About half of medical students have this problem. However, little is known about the burnout status of medical students in Ethiopia. Therefore, the aim of this study was to assess the prevalence and associated factors of burnout among medical students of Debre Berhan University (DBU).
A cross-sectional study was conducted on randomly selected 151 medical students of DBU. Burnout was assessed using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Participants were reported as having burnout if they scored ≥27 on Emotional Exhaustion (EE), ≥13 on Depersonalization (DP) sub-scales, and ≤ 31 on Personal Accomplishment (PA) sub-scale of the MBI-HSS. EpiData version 3.1 was used for data entry while SPSS version 20 and STATA version 13 for windows were used for data analysis. Both univariable and multivariable binary logistic regression analyses were conducted. The degree of association between variables was assessed using odds ratio (OR) with 95% confidence interval (CI) at two-tailed p-value of < 0.05.
Of 144 medical students took part, 34.0% had symptoms of burnout. Regarding domains of burnout, 61.8% scored high on EE, 47.9% scored high on DP and 59.7% scored low on PA. Dissatisfaction with practice lecturer (AOR = 3.8, 95% CI (1.3, 11.6)), moderate social support (AOR = 0.2, 95% CI (0.1, 0.8)), and satisfaction with their education (AOR = 0.1 95% CI (0.0, 0.7)) were associated with burnout.
More than one-third of medical students at DBU had burnout. Individual and organizational level interventions targeting students who had poor social support, dissatisfied by their lecturer at the hospitals and their education are recommended.
burnout，一种衡量职业压力的指标，在医疗专业人员中更为常见。大约一半的医学生存在这个问题。然而，关于埃塞俄比亚医学生的 burnout 现状知之甚少。因此，本研究旨在评估 Debre Berhan 大学（DBU）医学生 burnout 的患病率及其相关因素。
本研究采用横断面研究，对 DBU 的 151 名随机选取的医学生进行研究。采用 Maslach Burnout Inventory-Human Services Survey（MBI-HSS）评估 burnout。如果 MBI-HSS 的情绪衰竭（EE）子量表得分≥27、去人格化（DP）子量表得分≥13、个人成就感（PA）子量表得分≤31，则报告参与者存在 burnout。EpiData 版本 3.1 用于数据录入，SPSS 版本 20 和 STATA 版本 13 for windows 用于数据分析。进行单变量和多变量二项逻辑回归分析。使用双侧 p 值<0.05 的比值比（OR）和 95%置信区间（CI）评估变量之间的关联程度。
144 名医学生中有 34.0%有 burnout 症状。在 burnout 的各个领域，61.8%的人 EE 得分高，47.9%的人 DP 得分高，59.7%的人 PA 得分低。对实习讲师不满意（OR=3.8，95%CI（1.3，11.6））、中等社会支持（OR=0.2，95%CI（0.1，0.8））和对教育满意（OR=0.1，95%CI（0.0，0.7））与 burnout 相关。
DBU 有超过三分之一的医学生有 burnout。建议针对社会支持较差、对医院讲师和教育不满的学生，采取个体和组织层面的干预措施。
