Department of Cardiothoracic Surgery/Cardiac ICU Section, Heart Hospital, Hamad Medical Corporation, Doha, Qatar; Department of Critical Care Medicine, Beni Suef University, Beni Suef, Egypt; Weill Cornell Medical College-Qatar, Doha, Qatar.
Weill Cornell Medical College-Qatar, Doha, Qatar; Department of Medicine, Medical Intensive Care Unit (MICU), Hamad General Hospital, Doha, Qatar.
J Cardiothorac Vasc Anesth. 2022 Aug;36(8 Pt B):2891-2899. doi: 10.1053/j.jvca.2022.02.018. Epub 2022 Feb 18.
This study aimed at investigating the effects of an extracorporeal membrane oxygenation (ECMO) service on Burnout syndrome (BOS) development in the intensive care unit (ICU).
The authors conducted a cross-sectional descriptive study.
Eight ICUs within 5 tertiary hospitals in 1 country.
Intensive care practitioners (nurses, physicians, and respiratory therapists).
Using an online questionnaire, the Maslach Burnout Inventory Human Services Survey for Medical Personnel. In addition, demographic variables, workload, salary satisfaction, and caring for COVID-19 patients were assessed. Participants were divided based on working in an ICU with ECMO (ECMO-ICU) and without (non-ECMO-ICU) ECMO service, and burnout status (burnout and no burnout).
The response rate for completing the questionnaire was 36.4% (445/1,222). Male patients represented 53.7% of the participants. The overall prevalence of burnout was 64.5%. The overall burnout prevalence did not differ between ECMO- and non-ECMO-ICU groups (64.5% and 63.7, respectively). However, personal accomplishment (PA) score was significantly lower among ECMO-ICU personnel compared with those in a non-ECMO-ICU (42.7% v 52.6, p = 0.043). Significant predictors of burnout included profession (nurse or physician), acquiring COVID-19 infection, knowing other practitioners who were infected with COVID-19, salary dissatisfaction, and extremes of workload.
Burnout was equally prevalent among participants from ECMO- and non-ECMO-ICU, but PA was lower among participants in the ICU with an ECMO service. The reported high prevalence of burnout, and its predictors, requires special attention to try to reduce its occurrence.
本研究旨在探讨体外膜肺氧合（ECMO）服务对重症监护病房（ICU）中 burnout 综合征（BOS）发展的影响。
作者进行了一项横断面描述性研究。
一个国家的 5 家三级医院中的 8 个 ICU。
重症监护从业者（护士、医生和呼吸治疗师）。
使用在线问卷，即 Maslach Burnout Inventory Human Services Survey for Medical Personnel。此外，还评估了人口统计学变量、工作量、薪酬满意度和照顾 COVID-19 患者。根据是否在有（ECMO-ICU）和没有（非 ECMO-ICU）ECMO 服务的 ICU 工作以及是否有 burnout 状态（有 burnout 和无 burnout）对参与者进行分组。
完成问卷的应答率为 36.4%（445/1,222）。男性患者占参与者的 53.7%。整体 burnout 患病率为 64.5%。ECMO-和非 ECMO-ICU 组之间的总体 burnout 患病率没有差异（分别为 64.5%和 63.7%）。然而，ECMO-ICU 人员的个人成就感（PA）评分明显低于非 ECMO-ICU 人员（42.7%比 52.6%，p=0.043）。burnout 的显著预测因素包括职业（护士或医生）、感染 COVID-19、了解其他感染 COVID-19 的从业者、薪酬不满和工作量极端。
ECMO-和非 ECMO-ICU 参与者的 burnout 患病率相当，但 ICU 中使用 ECMO 服务的参与者的 PA 较低。报告的 burnout 高患病率及其预测因素需要特别关注，以尝试降低其发生。
