2020年中国医生职业倦怠情况：系统评价与Meta分析

Burnout among doctors in China through 2020: A systematic review and meta-analysis.

作者信息

Zheng Qin, Yang Kun, Zhao Rui-Jie, Wang Xue, Ping Ping, Ou Zheng-Hang, Su Xiao-Peng, Zhang Jing, Qu Miao

机构信息

Neurology Department, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, 100029, China.

Evidence-based Department, Xuanwu Hospital Capital Medical University, Beijing, 100053, China.

出版信息

Heliyon. 2022 Jun 28;8(7):e09821. doi: 10.1016/j.heliyon.2022.e09821. eCollection 2022 Jul.

DOI:10.1016/j.heliyon.2022.e09821

PMID:35855985

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9287156/

Abstract

OBJECTIVE

To analyze surveys measuring the prevalence of burnout among Chinese doctors and reveal the overall prevalence, characteristics, timeline, and factors related to burnout.

METHODS

A comprehensive search was conducted on China National Knowledge Infrastructure, WANFANG, PubMed, EMBASE, PsycINFO and Cochrane Library databases from their inception to 28 February 2021. Random-effects meta-analyses, meta-regression and planned subgroup analyses were performed, and the standardized mean difference was adopted for comparisons between subgroups. Egger's and Begg's tests were performed to evaluate publication bias. Heterogeneity across the studies was tested using the I statistic. The study protocol was registered on PROSPERO (CRD42018104249).

RESULTS

In total, 3,210 records were reviewed; 64 studies including 48,638 Chinese doctors were eligible for meta-analysis. The prevalence of burnout increased continuously from 2008 to 2017 and decreased significantly from 2018 to 2020, a little increase from 2020 to 2021. The overall prevalence of burnout was 75.48% (95% CI, 69.20 to 81.26; I = 99.23%, P < 0.001), and high burnout was 9.37% (95% CI, 4.91 to 15.05, I = 98.88%, P < 0.001). The prevalence of emotional exhaustion was 48.64% (95% CI, 38.73 to 58.59; I = 99.53%, P < 0.001), depersonalization was 54.67% (95% CI, 46.95 to 62.27; I = 99.20%, P < 0.001), and reduced personal accomplishment was 66.53% (95% CI, 58.13 to 74.44; I = 99.37%, P < 0.001). Gender, marriage, professional title and specialty all influenced burnout.

CONCLUSIONS

The results showed that the total prevalence of doctor burnout in China is very high. The prevalence of burnout varies by location. Gender, marital status and professional title all affect burnout scores.

摘要

目的

分析衡量中国医生职业倦怠患病率的调查，揭示职业倦怠的总体患病率、特征、时间趋势以及相关因素。

方法

对中国知网、万方、PubMed、EMBASE、PsycINFO和Cochrane图书馆数据库从建库至2021年2月28日进行全面检索。进行随机效应荟萃分析、元回归分析和计划亚组分析，采用标准化均值差进行亚组间比较。采用Egger检验和Begg检验评估发表偏倚。使用I统计量检验各研究间的异质性。研究方案已在PROSPERO（CRD42018104249）注册。

结果

共检索到3210条记录；64项研究纳入48638名中国医生，符合荟萃分析条件。职业倦怠患病率从2008年到2017年持续上升，2018年到2020年显著下降，2020年到2021年略有上升。职业倦怠总体患病率为75.48%（95%CI，69.20至81.26；I=99.23%，P<0.001），高度职业倦怠为9.37%（95%CI，4.91至15.05，I=98.88%，P<0.001）。情感耗竭患病率为48.64%（95%CI，38.73至58.59；I=99.53%，P<0.001），去人格化患病率为54.67%（95%CI，46.95至62.27；I=99.20%，P<0.001），个人成就感降低患病率为66.53%（95%CI，58.13至74.44；I=99.37%，P<0.001）。性别、婚姻状况、职称和专业均会影响职业倦怠。