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使用哥本哈根倦怠量表评估一家大型创伤中心医生的职业倦怠:横断面观察性研究。

Evaluation of physician burnout at a major trauma centre using the Copenhagen burnout inventory: cross-sectional observational study.

作者信息

Caesar Benjamin, Barakat Ahmed, Bernard Catherine, Butler Donna

机构信息

Trauma and Orthopaedics Department, Brighton and Sussex University Hospitals, Brighton, BN2 5BE, UK.

Emergency Department, Brighton and Sussex University Hospitals, Brighton, BN2 5BE, UK.

出版信息

Ir J Med Sci. 2020 Nov;189(4):1451-1456. doi: 10.1007/s11845-020-02223-5. Epub 2020 Apr 14.

DOI:10.1007/s11845-020-02223-5
PMID:32285375
Abstract

BACKGROUND

Healthcare workers are susceptible to burnout owing to the demanding nature of their profession. The sequela of this is an increased incidence of medical errors and decreased job satisfaction.

AIMS

This study aimed to assess the degree of burnout among physicians of different grades and specialties in a major trauma centre.

METHODS

This study was performed in a UK tertiary trauma centre (Brighton and Sussex University Hospitals) in which 165 doctors from four medical specialties working with acute admissions were given the Copenhagen burnout inventory questionnaire via email and responses were received anonymously. Mean scores were calculated, and a two-tailed P test was performed to assess for statistically significant difference between patient- and work-related factors.

RESULTS

The response rate was 77.57% (n = 165). General surgeons had the highest total burnout mean score of 50.00 with an SD of 12.78 followed by emergency medicine, acute medicine and finally orthopaedics. Junior doctors had an overall score of 53.42 with a standard deviation of 5.21, followed by consultants and registrars. The total burnout scores showed that 7.0% (n = 9) had low burnout scores while 56.3% (n = 72) had moderate burnout and 36.7% (n = 47) had high burnout scores. A two-tailed P test revealed a statistically significant difference between the work-related and patient-related subscales (P < 0.0001).

CONCLUSIONS

Ninety-three percent of responders demonstrated either moderate or high levels of burnout in this study. Work-related factors appeared to contribute more to occurrence of burnout rather than the patient-related or doctor-patient interactions.

摘要

背景

由于医疗行业的高要求,医护人员容易出现职业倦怠。其后果是医疗差错发生率增加,工作满意度下降。

目的

本研究旨在评估一家大型创伤中心不同级别和专业的医生的职业倦怠程度。

方法

本研究在英国一家三级创伤中心(布莱顿和萨塞克斯大学医院)进行,通过电子邮件向165名来自四个医学专业、负责急性入院患者的医生发放哥本哈根职业倦怠量表问卷,问卷回复采用匿名方式。计算平均得分,并进行双尾P检验,以评估患者相关因素和工作相关因素之间的统计学显著差异。

结果

回复率为77.57%(n = 165)。普通外科医生的职业倦怠总平均分最高,为50.00,标准差为12.78,其次是急诊医学、急性医学,最后是骨科。初级医生的总分为53.42,标准差为5.21,其次是顾问医生和住院医生。职业倦怠总分显示,7.0%(n = 9)的人职业倦怠得分较低,56.3%(n = 72)的人有中度职业倦怠,36.7%(n = 47)的人有高度职业倦怠得分。双尾P检验显示,工作相关分量表和患者相关分量表之间存在统计学显著差异(P < 0.0001)。

结论

在本研究中,93%的受访者表现出中度或高度职业倦怠。与工作相关的因素似乎比与患者相关的因素或医患互动对职业倦怠的发生贡献更大。

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