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《哥本哈根倦怠量表西班牙语版在墨西哥住院医师中验证》。

Validation of the Spanish Version of the Copenhagen Burnout Inventory in Mexican Medical Residents.

机构信息

Unidad de Investigación Epidemiológica y en Servicios de Salud/Centro De Investigación Biomédica Del Noreste, Delegación Nuevo León, Instituto Mexicano del Seguro Social, Monterrey, México.

Unidad de Investigación Epidemiológica y en Servicios de Salud/Centro De Investigación Biomédica Del Noreste, Delegación Nuevo León, Instituto Mexicano del Seguro Social, Monterrey, México; Universidad Autónoma de Nuevo León, Facultad de Salud Pública y Nutrición, Monterrey, México.

出版信息

Arch Med Res. 2022 Sep;53(6):617-624. doi: 10.1016/j.arcmed.2022.08.001. Epub 2022 Aug 24.

DOI:10.1016/j.arcmed.2022.08.001
PMID:36030114
Abstract

BACKGROUND

Studies on the psychometric properties of the Copenhagen Burnout Inventory (CBI) in medical residents are scarce despite their susceptibility to burnout. Moreover, none of these studies were conducted in Spanish.

AIM OF THE STUDY

To analyze the psychometric properties of the Spanish version of the CBI among Mexican medical residents.

METHODS

This cross-sectional study was conducted online on medical residents from a public medical institution (n = 525). The English version of the CBI (19 items organized into three domains: personal-related burnout, work-related burnout, and patient-related burnout) was translated into Spanish and again into English. Content, convergent, discriminant, and concurrent validity were assessed, along with reliability.

RESULTS

The CBI Spanish version showed acceptable content, convergent and concurrent validity. Exploratory factor analysis showed two factors, but confirmatory factor analysis showed three factors with adequate fit (Root Mean Square Error of Approximation = 0.08, Comparative Fit Index = 0.95, Tucker-Lewis Index = 0.94, and Standardized Root Mean Square Residual = 0.04). There was no good discrimination between personal-related and work-related burnout. Cronbach's alpha coefficients for the personal-related, work-related, and patient-related burnout domains were 0.94, 0.95, and 0.93, respectively.

CONCLUSIONS

The Spanish version of the CBI in Mexican medical residents is reliable, and it meets adequate content, convergent and concurrent validity. The construct validity was not consistent. This should not diminish the importance of the CBI.

摘要

背景

尽管医学住院医师容易出现 burnout,但关于哥本哈根倦怠量表(CBI)在医学住院医师中的心理测量学特性的研究却很少。此外,这些研究中没有一项是在西班牙语环境下进行的。

研究目的

分析墨西哥医学住院医师中 CBI 西班牙语版本的心理测量学特性。

方法

这是一项在一家公立医疗机构的医学住院医师中进行的横断面在线研究(n=525)。CBI 的英文版本(19 个项目分为三个领域:个人相关倦怠、工作相关倦怠和患者相关倦怠)被翻译成西班牙语,然后再翻译成英语。评估了内容、收敛、区别和同时效度以及可靠性。

结果

CBI 西班牙语版本表现出可接受的内容、收敛和同时效度。探索性因素分析显示有两个因素,但验证性因素分析显示有三个因素具有较好的拟合度(近似均方根误差为 0.08,比较拟合指数为 0.95,Tucker-Lewis 指数为 0.94,标准化均方根残差为 0.04)。个人相关倦怠和工作相关倦怠之间没有很好的区分。个人相关、工作相关和患者相关倦怠领域的 Cronbach's alpha 系数分别为 0.94、0.95 和 0.93。

结论

墨西哥医学住院医师的 CBI 西班牙语版本是可靠的,并且满足了足够的内容、收敛和同时效度。结构效度不一致。这不应该降低 CBI 的重要性。

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