Department of Clinical Pathology, National Cancer Institute, Cairo University, Cairo, Egypt.
Department of Chest, Abbassia Chest Hospital, Ministry of Health and Population (MOHP), Cairo, Egypt.
Front Public Health. 2020 Dec 3;8:590190. doi: 10.3389/fpubh.2020.590190. eCollection 2020.
COVID-19 has been recognized as a pandemic by the World Health Organization, and physicians are at the frontline to confront the disease. Burnout syndrome (BOS) is a syndrome resulting from chronic workplace stress that has not been successfully managed. The objective of this study is to evaluate the frequency and associated risk factors of BOS among a sample of Egyptian physicians during the COVID-19 pandemic. Using Maslach Burnout Inventory Human Services Survey, a cross-sectional electronic survey was conducted to assess BOS among the target group. Two hundred and twenty physicians participated in the study. The frequency of BOS among the research group was 36.36%. The possibility of development of BOS increased two times with the need to buy personal protective equipment (PPE) from participants' own money, with harassment by patients' families, and was less likely to develop in doctors with older age. While male gender was a predictor of depersonalization (DP), female gender showed a significant association with higher emotional exhaustion (EE). Infection or death from COVID-19 among colleagues or relatives showed significant association with elevated EE and lowered personal achievement (PA), respectively. COVID-19 pandemic added new factors to the development of BOS in our research group. Several measures should be taken to support physicians at this stage. These measures include psychological support, organizing work hours, adjusting salaries, and providing personal protective equipment and training on safety measures.
世界卫生组织已将 COVID-19 认定为大流行疾病,医生们站在对抗该疾病的最前线。倦怠综合征(BOS)是一种由慢性工作场所压力导致且未得到有效管理的综合征。本研究旨在评估 COVID-19 大流行期间埃及医生群体中 BOS 的发生频率及其相关危险因素。 采用 Maslach 倦怠量表(MBI)人力服务调查,对目标人群进行了横断面电子调查以评估 BOS。 共有 220 名医生参与了该研究。研究组中 BOS 的发生率为 36.36%。需要用自己的钱购买个人防护设备(PPE)、受到患者家属的骚扰会使发生 BOS 的可能性增加两倍,而年龄较大的医生则不太可能发生 BOS。虽然男性是去人格化(DP)的预测因素,但女性与更高的情绪耗竭(EE)显著相关。同事或亲属感染或死于 COVID-19 与 EE 升高和个人成就感(PA)降低分别显著相关。 COVID-19 大流行在我们的研究组中增加了 BOS 发展的新因素。在此阶段应采取多项措施来支持医生。这些措施包括提供心理支持、组织工作时间、调整工资、提供个人防护设备以及进行安全措施培训。