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伊朗骨科医生和住院医师职业倦怠的发生率

The Frequency of Burnout among Iranian Orthopedic Surgeons and Residents.

作者信息

Ghoraishian Mohammad, Zare Mehrjardi Hadi, Askari Jafar, Abrisham Seyed-Mohammad Jalil, Sobhan Mohammad Reza

机构信息

Department of Orthopedic Surgery Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Clinical Research Development Center of Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Arch Bone Jt Surg. 2022 Jan;10(1):78-84. doi: 10.22038/abjs.2021.52914.2625.

Abstract

BACKGROUND

Burnout is an emotional, psychological, and physical exhaustion syndrome with feelings of negativism toward one's job and reduced attention to clients. This complication is caused by the lack of control over work-related stress. Physicians, especially surgeons, are at higher risk for burnout due to critical responsibility and heavy workload. Given the importance and consequences of this dilemma, the present study aimed to investigate the frequency of burnout among orthopedic surgeons and residents.

METHODS

The present cross-sectional, analytical study was conducted in 2019 in the cities of Tehran and Yazd, in Iran. A total of 180 orthopedic surgeons and residents participated in the study. A demographic characteristics form and the Maslach Burnout Inventory (MBI) were employed to assess burnout in the participants.

RESULTS

The mean age of the participants was 42.8 years, and 94.4%, 23.9%, 52.2%, and 23.9% of the participants were male, residents, general orthopedic specialists, and fellowship-trained orthopedics, respectively. Out of 180 participants, 90 (50%) cases were suffering from burnout, of whom 26.7%, 16.1%, and 7.2% got a pathological score in one, two, and three criteria. No significant relationship was observed between burnout and gender, marital status, years of experience, and the average number of surgeries per week. However, there was a significant association between burnout and younger age, lower academic rank or being a resident, working in the public sector, and spending less time in leisure and sports activities.

CONCLUSION

The prevalence of burnout (50%) among orthopedists was remarkable and worrying. The frequency of burnout was higher among residents and the ones working in the public sector. This study demonstrates that the issue of burnout and its related risk factors have to be addressed in Iranian orthopedic surgeons and residents.

摘要

背景

职业倦怠是一种情绪、心理和身体上的疲惫综合征,伴有对工作的消极态度和对客户关注度的降低。这种并发症是由于缺乏对与工作相关压力的控制所致。由于肩负重大责任和工作量繁重,医生,尤其是外科医生,面临职业倦怠的风险更高。鉴于这一困境的重要性和后果,本研究旨在调查骨科医生和住院医师职业倦怠的发生率。

方法

本横断面分析研究于2019年在伊朗德黑兰和亚兹德市进行。共有180名骨科医生和住院医师参与了该研究。采用人口统计学特征表格和马氏职业倦怠量表(MBI)来评估参与者的职业倦怠情况。

结果

参与者的平均年龄为42.8岁,分别有94.4%、23.9%、52.2%和23.9%的参与者为男性、住院医师、普通骨科专家和接受过专科培训的骨科医生。在180名参与者中,90例(50%)存在职业倦怠,其中26.7%、16.1%和7.2%在一个、两个和三个标准上获得了病理评分。未观察到职业倦怠与性别、婚姻状况、工作年限和每周平均手术数量之间存在显著关系。然而,职业倦怠与年龄较小、学术级别较低或为住院医师、在公共部门工作以及在休闲和体育活动上花费时间较少之间存在显著关联。

结论

骨科医生中职业倦怠的患病率(50%)显著且令人担忧。住院医师和在公共部门工作的人员职业倦怠的发生率更高。本研究表明,伊朗骨科医生和住院医师中职业倦怠问题及其相关风险因素必须得到解决。

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本文引用的文献

1
Beyond burnout: looking deeply into physician distress.超越倦怠:深入探究医师痛苦。
Can J Ophthalmol. 2020 Jun;55(3 Suppl 1):7-16. doi: 10.1016/j.jcjo.2020.01.014. Epub 2020 Mar 20.

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