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面对疫情:土耳其医生的职业倦怠

Facing the Pandemic: Burnout in Physicians in Turkey.

作者信息

Tarhan Şengül, Ömeroğlu Şimşek Gökçen, Direk Tecirli Neşe, Uçan Eyup Sabri, Atik Merve, İtil Bahriye Oya, Kılınç Oğuz

机构信息

Department of Chest Diseases, Dokuz Eylül University School of Medicine, İzmir, Turkey.

Department of Pulmonary Diseases, Dokuz Eylül University School of Medicine, İzmir, Turkey.

出版信息

Turk Thorac J. 2021 Nov;22(6):439-445. doi: 10.5152/TurkThoracJ.2021.20240.

Abstract

OBJECTIVE

During the COVID-19 pandemic, physicians have been working for long hours, with the fear of contracting the disease and infecting their families. Therefore, there are great concerns about the mental health of physicians. In this research, we aimed to reveal the factors that affect the burnout among physicians working during the pandemic.

MATERIAL AND METHODS

This is a cross-sectional study involving physicians working during the pandemic in health institutions that admit COVID-19 patients. A questionnaire form consisting of the "Sociodemographic Data Form" and the "Maslach Burnout Inventory (MBI)" was used. The questionnaire was sent to the contact numbers of physicians via the internet. The target population was reached through the communication groups of the Turkish Thoracic Society and other professional associations, the communication groups of health institutions, and also through personal correspondence. Burnout was evaluated with the scores of each participant from the 3 subscales of Emotional Exhaustion (EE), Depersonalization (DP), and Lack of Accomplishment (LA).

RESULTS

Of the 1177 physicians who participated in the survey, 893 answered the survey completely. Females comprised 56.70% (n = 506) of the respondents, and the mean age was 38.63 (±11.65). The residents (41%, n = 366) and specialists (31%, n = 277) made up the majority of the physicians. Eighty-six percent (n = 768) of the physicians had difficulty in obtaining personal protective equipment (PPE). It was determined that 81.7% (n = 730) of the 893 physicians were actively working in pandemic units (outpatient clinics, emergencies, inpatient clinics, intensive care units), and burnout was significantly higher in these physicians (P < .01). After excluding other confounding factors by regression analysis, their Maslach total scores and EE scores were found to be significantly high (P = .001).

CONCLUSION

Working in pandemic units and facing difficulty in accessing PPE are identified as the most important risk factors for burnout. Hence, we can say that working with PPE, and with the managers' discretion and support, the physicians' burnout can be prevented.

摘要

目的

在新冠疫情期间,医生长时间工作,且担心感染疾病并传染给家人。因此,医生的心理健康受到极大关注。在本研究中,我们旨在揭示影响疫情期间工作的医生职业倦怠的因素。

材料与方法

这是一项横断面研究,涉及在收治新冠患者的医疗机构中疫情期间工作的医生。使用了一份由“社会人口学数据表”和“马氏职业倦怠量表(MBI)”组成的问卷。问卷通过互联网发送至医生的联系方式。通过土耳其胸科学会及其他专业协会的交流群、医疗机构的交流群以及个人通信联系到目标人群。用情感耗竭(EE)、去个性化(DP)和成就感低落(LA)这3个分量表中每位参与者的得分来评估职业倦怠。

结果

在参与调查的1177名医生中,893名完整回答了调查问卷。女性占受访者的56.70%(n = 506),平均年龄为38.63(±11.65)。住院医师(41%,n = 366)和专科医生(31%,n = 277)占医生的大多数。86%(n = 768)的医生在获取个人防护装备(PPE)方面存在困难。经确定,893名医生中有81.7%(n = 730)在疫情科室(门诊、急诊、住院部、重症监护室)积极工作,这些医生的职业倦怠明显更高(P < .01)。通过回归分析排除其他混杂因素后,发现他们的马氏总分和EE得分显著偏高(P = .001)。

结论

在疫情科室工作以及获取PPE困难被确定为职业倦怠的最重要风险因素。因此,可以说通过配备PPE以及管理者的斟酌处理与支持,能够预防医生的职业倦怠。

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