Department of Gastrointestinal Endoscopy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán , Mexico City, Mexico.
Department of Gastroenterology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán , Mexico City, Mexico.
Postgrad Med. 2020 Apr;132(3):275-281. doi: 10.1080/00325481.2019.1707486. Epub 2020 Jan 10.
Burnout syndrome (BOS) is characterized by emotional exhaustion, depersonalization and reduced personal accomplishment. It affects doctors, patients and their inter-relationship. There is a lack of data on BOS in Mexico. The main objective of the present study is to evaluate the prevalence of BOS in physician members of the Mexican gastroenterological association (MGA) and Mexican association for gastrointestinal endoscopy (MAGE).
Cross sectional, prospective study through anonymous electronic survey via e-mail, sent to members of the MGA (n = 1192) and MAGE (n = 600). The survey included questions about basic sociodemographic information, Maslach Burnout Inventory, and factors potentially associated with BOS. Continuous variables were summarized as means and ANOVA or Kruskal-Wallis test were used to compare groups. Nominal variables were summarized as proportions and Fisher's exact test or Χ2 test were used, as appropriate.
A total of 1792 e-mail invitations were delivered and 411 answers were received with a response rate of 22.9%. The prevalence of BOS according to the Maslach Burnout Inventory was 26.3% (108/411). The prevalence of BOS according to the single-item self-defined burnout question (SISDBOQ) was 32.6% (134/411). The Kappa coefficient for emotional exhaustion between the SISDBOQ and Maslach inventory was 0.48 (p = 0.0001). Factors associated with BOS included performing endoscopic procedures (OR 2.9 (1.2-6.6); p = 0.008), lack of support from colleagues upon complications (OR 0.2 (0.1-0.4); p = 0.0001), receiving frequent reprimands from superiors (OR 2.4 (1.5-3.8); p = 0.0001), work unrelated to medicine (OR 2.4 (1.4-3.9); p = 0.0001), work violence/harassment (OR 3.0 (1.9-4.9); p = 0.0001) and living in a big city (OR 1.9 (1.2-3); p = 0.005).
BOS is a frequent entity in Mexican gastroenterologists and endoscopists. There are potentially modifiable factors associated with BOS.
burnout 综合征（BOS）的特点是情绪耗竭、去人性化和个人成就感降低。它影响医生、患者及其相互关系。墨西哥缺乏关于 BOS 的数据。本研究的主要目的是评估墨西哥胃肠病学协会（MGA）和墨西哥胃肠内镜协会（MAGE）医生成员中 BOS 的患病率。
通过电子邮件向 MGA（n=1192）和 MAGE（n=600）成员发送匿名电子调查的横断面、前瞻性研究。该调查包括基本社会人口统计学信息、Maslach 倦怠量表和可能与 BOS 相关的因素。连续变量以平均值表示，使用 ANOVA 或 Kruskal-Wallis 检验进行组间比较。名义变量以比例表示，Fisher 精确检验或 Χ2 检验，视情况而定。
共发出 1792 封电子邮件邀请，收到 411 份回复，回复率为 22.9%。根据 Maslach 倦怠量表，BOS 的患病率为 26.3%（108/411）。根据单一项目自我定义的倦怠问卷（SISDBOQ），BOS 的患病率为 32.6%（134/411）。SISDBOQ 与 Maslach 量表之间的情绪衰竭 Kappa 系数为 0.48（p=0.0001）。与 BOS 相关的因素包括进行内镜检查（OR 2.9（1.2-6.6）；p=0.008）、并发症时同事缺乏支持（OR 0.2（0.1-0.4）；p=0.0001）、经常受到上级斥责（OR 2.4（1.5-3.8）；p=0.0001）、与医学无关的工作（OR 2.4（1.4-3.9）；p=0.0001）、工作暴力/骚扰（OR 3.0（1.9-4.9）；p=0.0001）和居住在大城市（OR 1.9（1.2-3）；p=0.005）。
BOS 在墨西哥胃肠病学家和内镜医生中是一种常见的疾病。与 BOS 相关的因素可能是可以改变的。
