Sanliurfa Branch Office, The Council of Forensic Medicine, The Ministry of Justice, Sanliurfa, Republic of Turkey.
University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Republic of Turkey.
Leg Med (Tokyo). 2021 Jul;51:101881. doi: 10.1016/j.legalmed.2021.101881. Epub 2021 Apr 7.
This study aimed to investigate burnout among physicians during the first phase of the COVID-19 pandemic. This research was conducted in a pandemic hospital which is among the largest hospital complexes in Turkey. Internal medicine physicians actively working in many departments under the severe conditions in the diagnosis and treatment processes were included. Among the physicians constituting the study population, residents, attendings, and subspecialists from different fields were included. These physicians were working in the quarantine services, inpatient services, intensive care units, and polyclinics. A short and easy face-to-face survey, in which included questions on demographic information, medicolegal subjects, and questions from the Maslach Burnout Inventory, was used to collect data. While 58.2% of the physicians stated that they were extremely worried about malpractice in the pandemic period, 82.1% stated they needed training on medicolegal subjects, and 25.4% stated they were exposed to violence during work. Three sub-dimensions within the burnout inventory were compared with other parameters. The Cronbach alpha value was found highly reliable in the evaluation of the answers' internal consistency. The notable significance of burnout was interesting regarding physicians' anxiety on medicolegal issues and exposure to violence (p < 0.05). The findings obtained in this study suggest that healthcare workers' motivations will increase if they feel valued, their working conditions have been improved, and if they are in mentally well. This mental wellness may contribute to fighting public health crises such as a pandemic more efficiently with the lowest number of casualties.
这项研究旨在调查 COVID-19 大流行第一阶段期间医生的倦怠情况。本研究在一家大流行医院进行，该医院是土耳其最大的医院之一。研究对象包括在诊断和治疗过程中在严峻条件下积极在许多科室工作的内科医生。在构成研究人群的医生中，包括来自不同领域的住院医师、主治医生和亚专科医生。这些医生在检疫服务、住院服务、重症监护病房和门诊部工作。采用简短而易于进行的面对面调查收集数据，其中包括人口统计学信息、医疗法律主题和 Maslach 倦怠量表的问题。在大流行期间，58.2%的医生表示他们非常担心医疗事故，82.1%的医生表示他们需要医疗法律主题的培训，25.4%的医生表示他们在工作中遭受过暴力。将倦怠量表的三个子维度与其他参数进行了比较。评估答案内部一致性时，Cronbach alpha 值被发现高度可靠。倦怠的显著意义与医生对医疗法律问题的焦虑和暴露于暴力有关（p<0.05）。本研究的结果表明，如果医护人员感到被重视、工作条件得到改善并且心理健康，他们的积极性将会提高。这种心理健康可能有助于更有效地应对公共卫生危机，如大流行，从而将伤亡人数降至最低。
