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职业倦怠对同理心的影响。

Impact of burnout on empathy.

机构信息

Trainee Intern, University of Otago, Christchurch and Canterbury District Health Board.

Research Fellow, Department of Surgery, University of Otago, Christchurch.

出版信息

N Z Med J. 2021 Feb 19;134(1530):12-20.

Abstract

AIM

Burnout has a damaging effect on both the wellbeing of medical professionals and patients alike. Empathy is an important part of the therapeutic relationship and could be damaged by burnout. We aimed to describe the prevalence of burnout, assess levels of empathy and explore the relationship between burnout and empathy among senior medical officers (SMOs). We hypothesised that there would be a negative correlation between empathy and burnout.

METHOD

This was a cross-sectional observational study involving SMOs from a variety of specialities. The focus is on SMOs with relatively prolonged contact times with patients. Email invitations were sent out requesting participation in an electronic survey on the QuestionPro platform. The survey comprised 42 questions enquiring about demographics, empathy (Jefferson Scale of Physician Empathy) and burnout (Copenhagen Burnout Inventory). Correlational analyses were performed.

RESULTS

Three hundred and fourteen invitations were sent out and 178 responses were received (56.7% response rate). Forty-five percent of SMOs surveyed were experiencing high levels of personal burnout. There was a statistically significant negative correlation between empathy and patient-related burnout (p=0.018).

CONCLUSIONS

The results show high levels of personal burnout among SMOs and suggest that empathy reduces as patient-related burnout increases. The nature of this relationship is a complex one, and other contributing variables should be considered.

摘要

目的

倦怠对医疗专业人员和患者的健康都有不良影响。同理心是治疗关系的重要组成部分,可能会因倦怠而受损。我们旨在描述倦怠的流行程度,评估同理心的水平,并探讨高级医务人员(SMO)中倦怠与同理心之间的关系。我们假设同理心和倦怠之间存在负相关关系。

方法

这是一项涉及来自各种专业的 SMO 的横断面观察性研究。重点是与患者接触时间相对较长的 SMO。通过电子邮件向他们发送邀请,要求他们参与 QuestionPro 平台上的电子调查。该调查包含 42 个问题,询问人口统计学信息、同理心(医生同理心杰斐逊量表)和倦怠(哥本哈根倦怠量表)。进行了相关分析。

结果

共发出 314 份邀请,收到 178 份回复(56.7%的回复率)。调查的 SMO 中有 45%经历了高度的个人倦怠。同理心与与患者相关的倦怠之间存在统计学上显著的负相关(p=0.018)。

结论

结果显示 SMO 中存在高水平的个人倦怠,并表明同理心随着与患者相关的倦怠增加而减少。这种关系的性质很复杂,应该考虑其他相关变量。

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