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中国大陆重症监护医生职业倦怠的患病率:一项全国性横断面调查。

Prevalence of burnout among intensivists in mainland China: a nationwide cross-sectional survey.

机构信息

Department of Critical Care Medicine, Wuhan University Zhongnan Hospital, Wuhan, China.

Clinical Research Center of Hubei Critical Care Medicine, Wuhan, China.

出版信息

Crit Care. 2021 Jan 5;25(1):8. doi: 10.1186/s13054-020-03439-8.

DOI:10.1186/s13054-020-03439-8
PMID:33402210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7786985/
Abstract

BACKGROUND

Burnout has gained increasing attention worldwide; however, there is a lack of relevant research in China. This study investigated the prevalence and factors associated with burnout in physicians of the intensive care unit (ICU) in mainland China.

METHODS

This cross-sectional multicenter study included critical care physicians from all provinces in mainland China (except Tibet). A self-administered survey questionnaire was conducted. It included three parts: demographic information, lifestyle and work information, and the Maslach Burnout Inventory. The levels of burnout were calculated. The factors independently associated with burnout were analyzed by logistic regression.

RESULTS

Finally, 1813 intensivists participated in the survey. The participation rate was 90.7%. The prevalence of burnout and severe burnout was 82.1% (1489/1813) and 38.8% (704/1813), respectively. According to the logistic regression analysis, "difficulty in making treatment decisions" was independently associated with burnout [OR = 1.365, CI (1.060, 1.757)]. "Higher number of children" [OR = 0.714, CI (0.519, 0.981)] and higher "income satisfaction" [OR = 0.771, CI (0.619, 0.959)] were independent protective factors against severe burnout.

CONCLUSIONS

The burnout rate in ICU physicians in China is high. Difficult treatment decisions, the number of children, and income satisfaction are independently associated with burnout rates among ICU physicians in China.

TRIAL REGISTRATION

Burnout syndrome of the Chinese personnel working in intensive care units: a survey in China, ChiCTR-EOC-17013044, registered October 19, 2017. http://www.chictr.org.cn/showproj.aspx?proj=22329 .

摘要

背景

burnout(职业倦怠)在全球范围内受到越来越多的关注;然而,中国相关研究较少。本研究旨在调查中国大陆重症监护病房(ICU)医师 burnout 的发生率及其相关因素。

方法

本横断面多中心研究纳入中国大陆除西藏自治区外所有省份的重症监护医师。采用自行设计的调查问卷,内容包括人口统计学信息、生活方式和工作信息以及 Maslach 职业倦怠量表。计算 burnout 程度,采用 logistic 回归分析 burnout 的独立相关因素。

结果

最终共有 1813 名重症监护医师参与调查,参与率为 90.7%。 burnout 和重度 burnout 的发生率分别为 82.1%(1489/1813)和 38.8%(704/1813)。logistic 回归分析显示,“治疗决策困难”与 burnout 独立相关[OR=1.365,CI(1.060,1.757)]。“子女数量较多”[OR=0.714,CI(0.519,0.981)]和“收入满意度较高”[OR=0.771,CI(0.619,0.959)]是重度 burnout 的独立保护因素。

结论

中国 ICU 医师的 burnout 发生率较高。治疗决策困难、子女数量和收入满意度与中国 ICU 医师的 burnout 发生率独立相关。

试验注册

中国重症监护病房工作人员 burnout 综合征的调查:中国的一项调查,ChiCTR-EOC-17013044,于 2017 年 10 月 19 日注册。http://www.chictr.org.cn/showproj.aspx?proj=22329。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/7786985/1465e29a579f/13054_2020_3439_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/7786985/ab9102288679/13054_2020_3439_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/7786985/1465e29a579f/13054_2020_3439_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/7786985/ab9102288679/13054_2020_3439_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/7786985/1465e29a579f/13054_2020_3439_Fig2_HTML.jpg

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