Department of Medical Oncology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Oncology Department, CHU Dr Benbadis, Constantine, Algeria.
Psychooncology. 2021 May;30(5):736-746. doi: 10.1002/pon.5624. Epub 2021 Feb 2.
Burnout (BO) among oncology professionals (OP) is increasingly being recognized. Early recognition and intervention can positively affect the quality of care and patient safety. This study investigated the prevalence, work and lifestyle factors affecting BO among OPs in the Middle East and North Africa (MENA).
An online survey was conducted among MENA OPs between 10 February and 15 March 2020, using the validated Maslach Burnout Inventory of emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA), including questions regarding demography/work-related factors and attitudes towards oncology. Data were analysed to measure BO prevalence and risk factors and explore a screening question for BO.
Of 1054 respondents, 1017 participants (64% medical oncologists, 77% aged less than 45 years, 55% female, 74% married, 67% with children and 40% practiced a hobby) were eligible. The BO prevalence was 68% with high levels of EE and DP (35% and 57% of participants, respectively) and low PA scores (49%). BO was significantly associated with age less than 44 years, administrative work greater than 25% per day and the thought of quitting oncology (TQ). Practising a hobby, enjoying oncology communication and appreciating oncology work-life balance were associated with a reduced BO score and prevalence. North African countries reported the highest BO prevalence. Lack of BO education/support was identified among 72% of participants and TQ-predicted burnout in 77%.
This is the largest BO study in MENA. The BO prevalence was high and several modifiable risk factors were identified, requiring urgent action. TQ is a simple and reliable screening tool for BO.
肿瘤专业人员（OP）的倦怠（BO）现象日益受到关注。早期识别和干预可以积极影响护理质量和患者安全。本研究调查了中东和北非（MENA）地区 OP 中 BO 的流行率、工作和生活方式因素。
2020 年 2 月 10 日至 3 月 15 日，采用经过验证的 Maslach 倦怠量表中的情绪耗竭（EE）、去人格化（DP）和个人成就感（PA）对 MENA 地区的 OP 进行了在线调查，包括人口统计学/工作相关因素和对肿瘤学的态度问题。分析数据以衡量 BO 的流行率和危险因素，并探讨 BO 的筛查问题。
在 1054 名受访者中，有 1017 名参与者（64%为医学肿瘤学家，77%年龄小于 45 岁，55%为女性，74%已婚，67%有子女，40%有业余爱好）符合条件。BO 的流行率为 68%，EE 和 DP 水平较高（分别为 35%和 57%的参与者），PA 评分较低（49%）。BO 与年龄小于 44 岁、每天行政工作超过 25%和有退出肿瘤学的想法（TQ）显著相关。从事业余爱好、喜欢肿瘤学交流和欣赏肿瘤学工作与生活平衡与降低 BO 评分和流行率相关。北非国家报告的 BO 流行率最高。72%的参与者认为缺乏 BO 教育/支持，77%的参与者认为 TQ 预测倦怠。
这是 MENA 地区最大的 BO 研究。BO 的流行率很高，确定了几个可改变的危险因素，需要采取紧急行动。TQ 是 BO 的一种简单可靠的筛查工具。
