Møller Cecilie Markvard, Clausen Thomas, Aust Birgit, Eiberg Jonas Peter
Department of Cardiothoracic and Vascular Surgery, University Hospital Aarhus, Aarhus, Denmark; The Danish Society of Vascular Surgery, Denmark.
The National Research Centre for the Working Environment (NRCWE), Copenhagen, Denmark.
J Vasc Surg. 2022 May;75(5):1750-1759.e3. doi: 10.1016/j.jvs.2021.11.042. Epub 2021 Nov 14.
Little is known about burnout among European vascular surgeons (VSs). In this study, the prevalence of burnout and its associated risk factors were investigated among all VSs and vascular surgeons in training (VSTs) in Denmark.
An anonymous electronic survey was distributed to all clinical active VSs and VSTs on January 1, 2020. Validated assessment tools were used to measure burnout and aspects of the psychosocial work environment.
A total of 104 VSs and VSTs were invited to participate, and 82% (n = 85) completed the survey. The majority of the respondents were male (60%; n = 50) and VSs (67%; n = 61). Of the respondents, 82% (n = 70) reported either light (54%; n = 46), moderate (22%; n = 19), or severe (6%; n = 5) personal burnout. More than 50% (n = 47) reported work-related burnout, light (39%; n = 33), moderate (9%; n = 8), and severe (7%; n = 6), respectively, whereas 35% (n = 30) reported patient-related burnout, light (31%; n = 26), moderate (2%; n = 2), and severe (2%; n = 2), respectively. Respondents with more than four 24-hour on-call shifts per month had significantly higher work-related burnout scores, whereas respondents with home-living children and those aged 45 to 59 years showed significantly higher personal and patient-related burnout, respectively. There were strong associations between personal and work-related burnout and the psychosocial work environment, especially work organization and interpersonal relations, but not job demands. The prevalence of burnout was unevenly distributed across departments, with the most affected department having a burnout occurrence twice the least affected department.
Based on a national survey conducted among all clinical active VSs and VSTs in Denmark, more than 80% (n = 70) suffered from burnout, of whom 28% (n = 24) suffered from moderate to severe personal burnout. The strong association with the psychosocial work environment, and the significant differences between departments, suggest that burnout is modifiable through changes in the work environment.
欧洲血管外科医生（VSs）职业倦怠的情况鲜为人知。在本研究中，我们调查了丹麦所有在职血管外科医生和血管外科住院医师（VSTs）的职业倦怠患病率及其相关危险因素。
2020年1月1日，我们向所有在职临床血管外科医生和血管外科住院医师发放了一份匿名电子调查问卷。使用经过验证的评估工具来测量职业倦怠和心理社会工作环境的各个方面。
总共邀请了104名血管外科医生和血管外科住院医师参与，82%（n = 85）完成了调查。大多数受访者为男性（60%；n = 50）且是血管外科医生（67%；n = 61）。在受访者中，82%（n = 70）报告有轻度（54%；n = 46）、中度（22%；n = 19）或重度（6%；n = 5）的个人职业倦怠。超过50%（n = 47）报告有工作相关的职业倦怠，分别为轻度（39%；n = 33）、中度（9%；n = 8）和重度（7%；n = 6），而35%（n = 30）报告有患者相关的职业倦怠，分别为轻度（31%；n = 26）、中度（2%；n = 用2）和重度（2%；n = 2）。每月值4个以上24小时班的受访者工作相关职业倦怠得分显著更高，而有在家居住子女的受访者和45至59岁的受访者分别显示出更高的个人和患者相关职业倦怠。个人和工作相关职业倦怠与心理社会工作环境之间存在很强的关联，尤其是工作组织和人际关系，但与工作要求无关。职业倦怠的患病率在各科室分布不均，受影响最大的科室职业倦怠发生率是受影响最小科室的两倍。
基于对丹麦所有在职临床血管外科医生和血管外科住院医师进行的全国性调查，超过80%（n = 70）的人患有职业倦怠，其中28%（n = 24）患有中度至重度个人职业倦怠。与心理社会工作环境的强关联以及各科室之间的显著差异表明，职业倦怠可通过改变工作环境来改善。
