Senior Lecturer of the Department of Psychosomatics and Psychotherapy, Faculty of Clinical Psychology, Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia.
Associate Professor of the Department of Psychosomatics and Psychotherapy, Faculty of Clinical Psychology, Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia.
Clin Med Res. 2022 Mar;20(1):23-33. doi: 10.3121/cmr.2022.1642. Epub 2022 Feb 7.
To study burnout of Russian physicians in the conditions of COVID-19 pandemic and how their work with coronavirus-infected patients influenced it. According to a three-factor model of burnout developed by Maslach and Jackson, this syndrome includes emotional exhaustion, depersonalization, and reduction of personal accomplishment. A cross-sectional survey study. Large medical practice. Physicians of different specialties. Data collection was conducted from June 23 to July 12, 2020. We developed a Google form including a questionnaire and psychological inventories and placed it in a medical portal. Maslach Burnout Inventory - Human Services Survey for Medical Personnel was used to study burnout; the Hospital Anxiety and Depression Scale was used to determine anxiety and depression. Of all the physicians who took part in the study (N = 599), 31.2 % worked with coronavirus-infected patients. Of the medical personnel who treated COVID-19 patients, 63.6% noted increased workload during the pandemic. Compared to other physicians, they more often had a high degree of emotional exhaustion (43.3 % vs 33.0 %, φ* = 2.404, ≤ 0.01) and depersonalization (41.7 % vs 34, 0%, φ* = 1.803, ≤ 0.05). An overwhelming majority of physicians, without any dependence on work with infected patients, had an absence of anxiety and depression. The identified interrelations between the symptoms of burnout, anxiety, depression; age and career stage in medical personnel were identical, except for weak correlations between age and emotional exhaustion (rs = -0.097, ≤ 0.05), as well as career stage and personal accomplishment (rs = 0.102, ≤ 0.05) in those physicians who worked with COVID-19 patients. The structure of burnout was identical in all physicians and did not depend on interaction with the infected patients. Public health authorities should reduce the workload on physicians involved in treating infected patients against the backdrop of the pandemic. Psychotherapeutic measures focused on preventing burnout should reduce its number among physicians interacting with patients infected with the coronavirus.
研究 COVID-19 大流行期间俄罗斯医生的倦怠情况，以及他们与冠状病毒感染患者的工作如何影响倦怠。根据 Maslach 和 Jackson 开发的倦怠三因素模型，该综合征包括情绪耗竭、去人格化和个人成就感降低。横断面调查研究。大型医疗实践。不同专业的医生。数据收集于 2020 年 6 月 23 日至 7 月 12 日进行。我们开发了一个包含问卷和心理量表的 Google 表格，并将其放置在医疗门户中。使用 Maslach 倦怠量表-医疗人员人力服务调查来研究倦怠；使用医院焦虑和抑郁量表来确定焦虑和抑郁。在参与研究的所有医生中（N = 599），31.2%的人治疗过冠状病毒感染患者。在治疗 COVID-19 患者的医务人员中，63.6%的人在大流行期间工作量增加。与其他医生相比，他们更经常出现高度情绪耗竭（43.3%对 33.0%，φ*=2.404， ≤ 0.01）和去人格化（41.7%对 34.0%，φ*=1.803， ≤ 0.05）。绝大多数医生，无论是否与感染患者一起工作，都没有焦虑和抑郁。在医务人员中，倦怠、焦虑和抑郁症状之间的确定关联；年龄和职业阶段相同，除了与情绪耗竭的年龄弱相关（rs=-0.097， ≤ 0.05）以及与 COVID-19 患者一起工作的医生的职业阶段和个人成就感（rs=0.102， ≤ 0.05）。在所有医生中，倦怠的结构都是相同的，与与感染患者的相互作用无关。公共卫生当局应在大流行背景下减轻参与治疗感染患者的医生的工作量。针对预防倦怠的心理治疗措施应减少与冠状病毒感染患者互动的医生中的倦怠人数。
