Servicio de Pediatría. Sanatorio de la Trinidad Ramos Mejía, Buenos Aires, Argentina.
Historia Clínica Electrónica Galeno. Gestión de Datos, Argentina.
Arch Argent Pediatr. 2021 Oct;119(5):310-316. doi: 10.5546/aap.2021.eng.310.
Health care workers experience a tremendous strain while performing their activities, very frequently leading to stress, burnout syndrome, and psychopathological impact. The COVID-19 pandemic may cause physicians to suffer these effects even to a greater extent. Our objective was to describe the frequency of stress, burnout syndrome, anxiety, and depression during the pandemic, and analyze the associations with different independent outcome measures.
Observational, cross-sectional study conducted 2 months after the lockdown was established in Argentina. Clinical specialists, surgeons, emergency physicians, and those with no direct contact with patients were surveyed using a sociodemographic questionnaire and 3 self-administered inventories: Health Professions Stress Inventory, Maslach Burnout Inventory, and Hospital Anxiety and Depression Scale.
The prevalence of stress was 93.7 % (95 % confidence interval [CI]: 90.33-96.2), burnout syndrome 73.5 % (95 % CI: 68.2-78.4), anxiety 44 % (95 % CI: 38.4-49.8), and depression 21.9 % (95 % CI: 17.3-26.9). No association was observed between the frequency and medical specialty. The frequency of burnout syndrome, anxiety, and depression was significantly higher among residents and physicians working in the emergency department.
Residents and emergency physicians working 24-hour shifts showed significantly higher percentages of burnout syndrome, anxiety, and depression compared to staff and head physicians. These findings may be associated with a higher workload and less experience. It is compulsory to take preventive and therapeutic measures to protect those in the pandemic front line.
医护人员在工作时承受着巨大的压力，这常常导致他们产生压力、 burnout 综合征和心理病理影响。COVID-19 大流行可能会导致医生遭受这些影响，甚至更为严重。我们的目的是描述大流行期间的压力、 burnout 综合征、焦虑和抑郁的频率，并分析与不同独立结果测量的相关性。
这是一项在阿根廷实施封锁措施 2 个月后进行的观察性、横断面研究。使用社会人口学问卷和 3 种自我管理的量表对临床专家、外科医生、急诊医生以及那些没有直接接触患者的医生进行调查：职业压力量表、 Maslach burnout 量表和医院焦虑抑郁量表。
压力的发生率为 93.7%（95%可信区间：90.33-96.2）， burnout 综合征为 73.5%（95%可信区间：68.2-78.4），焦虑为 44%（95%可信区间：38.4-49.8），抑郁为 21.9%（95%可信区间：17.3-26.9）。频率与医疗专业之间没有相关性。在住院医师和在急诊部门工作的医生中， burnout 综合征、焦虑和抑郁的发生率明显更高。
与主治医生和主任医生相比，24 小时轮班工作的住院医师和急诊医生表现出更高的 burnout 综合征、焦虑和抑郁发生率。这些发现可能与更高的工作量和较少的经验有关。必须采取预防和治疗措施来保护大流行一线的人员。
