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女性医生:巴西 COVID-19 大流行期间的倦怠。

Women Physicians: Burnout during the COVID-19 Pandemic in Brazil.

机构信息

Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brasil.

Cardiocare, Curitiba, PR - Brasil.

出版信息

Arq Bras Cardiol. 2022 Aug;119(2):307-316. doi: 10.36660/abc.20210938.

Abstract

BACKGROUND

COVID-19 has placed a tremendous burden on physicians worldwide, especially women physicians, affected by increased workload and loss of quality of life.

OBJECTIVE

To assess the effects of the COVID-19 pandemic on the quality of life, burnout and spirituality of Brazilian women physicians directly or indirectly providing care to COVID-19 patients.

METHODS

Prospective, observational study performed from July 28 to September 27, 2020, in Brazil, with women physicians from 47 specialities, the most frequent being cardiology (22.8%), with no age restriction. They voluntarily answered an online survey with questions on demographic and socioeconomic characteristics, quality of life (WHOQOL-brief), spirituality (WHOQOL-SRPB), and statements from the Oldenburg Burnout Inventory. Statistical analysis used the R software, beta regression, classification trees, and polychoric correlation matrix, with a 5% of significance level.

RESULTS

Of the 769 respondents, 61.6% reported signs of burnout. About 64% reported wage loss of up to 50% during the pandemic. Some reported lack of energy for daily tasks, frequent negative feelings, dissatisfaction with capability for work, and caring for others not adding meaning to their lives. Negative feelings correlated negatively with satisfaction with sexual life and personal relations, and energy for daily tasks. The inability to remain optimistic in times of uncertainty correlated positively with feeling unsafe daily and not acknowledging that caring for others brings meaning to life.

CONCLUSION

This study showed a high frequency of burnout among Brazilian women physicians who answered the survey during the COVID-19 pandemic. Nevertheless, they presented with a relatively good quality of life and believed that spirituality comforted and reassured them in hard times.

摘要

背景

COVID-19 给全世界的医生带来了巨大的负担,尤其是女性医生,她们的工作量增加,生活质量下降。

目的

评估 COVID-19 大流行对直接或间接照顾 COVID-19 患者的巴西女性医生的生活质量、倦怠和灵性的影响。

方法

2020 年 7 月 28 日至 9 月 27 日在巴西进行了一项前瞻性、观察性研究,研究对象为来自 47 个专业的女性医生,其中最常见的是心脏病学(22.8%),无年龄限制。她们自愿回答了一份在线调查问卷,内容包括人口统计学和社会经济特征、生活质量(WHOQOL-简短)、灵性(WHOQOL-SRPB)以及奥登堡倦怠量表的陈述。统计分析使用 R 软件、贝塔回归、分类树和偏相关矩阵,显著性水平为 5%。

结果

在 769 名受访者中,61.6%报告有倦怠迹象。大约 64%的人报告在大流行期间工资损失高达 50%。一些人报告说,他们缺乏完成日常任务的精力,经常感到负面情绪,对自己的工作能力不满,照顾他人并没有给他们的生活带来意义。负面情绪与对性生活和人际关系的满意度呈负相关,与日常任务的精力呈负相关。在不确定时期无法保持乐观与每天感到不安全和不承认照顾他人给生活带来意义呈正相关。

结论

这项研究显示,在 COVID-19 大流行期间回答调查的巴西女性医生中,倦怠的发生率很高。然而,她们的生活质量相对较好,并且相信灵性在困难时期给她们带来了安慰和安心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e2/9363062/2ae71ef8fc5f/0066-782X-abc-119-02-0307-gf01.jpg

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