Liaqat Naeem, Dar Sajid Hameed, Waheed Khadija
Department Of Paediatric Surgery, Rawalpindi Medical University, Rawalpindi.
Department Of Paediatric Surgery, Services Hospital, Lahore.
J Pak Med Assoc. 2019 Nov;69(11):1730-1733. doi: 10.5455/JPMA.300916..
This study was to assess the prevalence of Burnout syndrome among physicians, medical students and other healthcare professionals as they are considered more prone to it. It has been reported to be as high as >85% among surgeons, due to the sensitive and exhaustive nature of their job. The objective was to determine the prevalence of burnout among Paediatric surgeons (PS) of Pakistan. For this cross-sectional study, all PS working in Pakistan were included. In order to assess burnout, Maslach Burnout Inventory (MBI) was used. Burnout was found among 15% of the PS. In this group, it was also found that 17.5% of PS had high Emotional Exhaustion (EE), 12.5% had high Depersonalisation (DEP) and 30% had low Personal and Professional Achievement (PPA). Also 35% of PS were experiencing burnout in at least one domain. The significant protective factors we found in this group was having a non-doctor spouse for low EE (P=0.014), FCPS fellowship degree for low DEP (P=0.011), more than 2 post-graduation degrees for high PPA (P=0.008) and private practice for high PPA (P=0.020). We concluded that a large number of PS are facing burnout, and at the same time, a large proportion of them are at risk of moderate levels burnout from EE, DEP and PPA.
本研究旨在评估医生、医学生及其他医疗保健专业人员中职业倦怠综合征的患病率，因为他们被认为更容易出现这种情况。据报道，由于工作性质敏感且繁重，外科医生中的职业倦怠患病率高达85%以上。本研究的目的是确定巴基斯坦小儿外科医生（PS）中职业倦怠的患病率。在这项横断面研究中，纳入了所有在巴基斯坦工作的小儿外科医生。为了评估职业倦怠，使用了马氏职业倦怠量表（MBI）。研究发现15%的小儿外科医生存在职业倦怠。在这组人群中，还发现17.5%的小儿外科医生有高度情感耗竭（EE），12.5%有高度去个性化（DEP），30%有低度个人成就感和职业成就感（PPA）。此外，35%的小儿外科医生至少在一个领域存在职业倦怠。我们在这组人群中发现的显著保护因素包括：配偶不是医生可降低情感耗竭程度（P = 0.014）；获得巴基斯坦皇家外科学院研究员学位可降低去个性化程度（P = 0.011）；拥有两个以上研究生学位可提高个人成就感和职业成就感（P = 0.008）；从事私人执业可提高个人成就感和职业成就感（P = 0.020）。我们得出结论，大量小儿外科医生面临职业倦怠，同时，他们中的很大一部分人有因情感耗竭、去个性化和个人成就感和职业成就感而出现中度职业倦怠的风险。
