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肾病学家中的倦怠综合征——一个亟待解决的问题——波兰肾脏病学会全国性调查结果。

Burnout syndrome among nephrologists - a burning issue - results of the countrywide survey by the Polish Society of Nephrology.

机构信息

Medical University of Lodz, Department of Nephrology, Hypertension and Kidney Transplantation, Pomorska Str. 251, 92-213, Lodz, Poland.

Polish Society of Nephrology.

出版信息

BMC Nephrol. 2020 May 12;21(1):177. doi: 10.1186/s12882-020-01829-2.

DOI:10.1186/s12882-020-01829-2
PMID:32398009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7218642/
Abstract

BACKGROUND

Burnout syndrome in physicians is associated with adverse patient safety events, poorer quality of care and reduced patients' satisfaction. There has been scarce information on the risk factors of burnout affecting professionals working in the renal care settings. As yet the phenomenon has not been studied in the population of Polish nephrologists therefore a nationwide cross-sectional study was established by the Polish Society of Nephrology to assess the prevalence of the syndrome.

METHODS

The survey, that consisted of the abbreviated Maslach Burnout Inventory, questions about strategies for dealing with burnout symptoms and demographic data, was distributed during two main national meetings that gather nephrologists in Poland. 177 participants filled out the survey - 64% of participants were women, 88% were specialists and 12% - doctors in training.

RESULTS

52% of participants demonstrated a high level of depersonalization and almost half of the study group showed high level of emotional exhaustion. Reduced personal accomplishment was more pronounced in doctors working mostly in dialysis units compared to other nephrologists (p = 0.017). 37% of participants reported that they treat some patients as they were impersonal objects and 48% felt emotionally drained from their work. 59% of participants would like to take part in the remedy program.

CONCLUSIONS

Burnout syndrome seems to be an important problem in the population of Polish nephrologists. Doctors working mostly in dialysis settings might be at increased risk of reduced personal accomplishment. The results of the survey may be useful to prepare burnout remedy program.

摘要

背景

医生职业倦怠与不良的患者安全事件、护理质量下降和患者满意度降低有关。关于影响肾脏护理专业人员职业倦怠的风险因素的信息很少。波兰肾病学家群体中尚未研究过这一现象,因此波兰肾脏病学会进行了一项全国性横断面研究,以评估该综合征的患病率。

方法

该调查包括简化的 Maslach 职业倦怠量表、应对职业倦怠症状的策略问题和人口统计学数据,在两次主要的全国会议期间分发,这些会议聚集了波兰的肾病学家。177 名参与者填写了调查,其中 64%的参与者为女性,88%为专家,12%为培训医生。

结果

52%的参与者表现出高度的去人性化,近一半的研究组表现出高度的情绪疲惫。与其他肾病学家相比,主要在透析单位工作的医生的个人成就感降低更为明显(p=0.017)。37%的参与者表示他们对待一些患者就像对待没有感情的物体一样,48%的人觉得工作让他们情绪疲惫。59%的参与者愿意参加补救计划。

结论

职业倦怠综合征似乎是波兰肾病学家群体中的一个重要问题。主要在透析环境中工作的医生可能面临个人成就感降低的风险增加。调查结果可能有助于制定职业倦怠补救计划。

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