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利雅得地区阿卜杜勒-阿齐兹国王医疗城初级保健医生的职业倦怠患病率及其对自我报告的患者护理的影响。

Prevalence of burnout and its impact on self-reported patient care among primary health care physicians at King Abdul-Aziz Medical City in Riyadh region.

作者信息

Alshreem Rawan Muraya, Baraja Muneera, Almogbel Ebtehal Solaiman

机构信息

Department of Family Medicine, Ministry of Health, Qassim Health Cluster, Family Medicine Academy, Buraidah, Kingdom of Saudi Arabia.

Department of Family Medicine, Ministry of the National Guard-Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.

出版信息

J Family Med Prim Care. 2022 Aug;11(8):4624-4630. doi: 10.4103/jfmpc.jfmpc_1622_21. Epub 2022 Aug 30.

Abstract

BACKGROUND

Burnout is known worldwide as a work-related syndrome associated with physical illness and mental health problems. It has a significant impact on doctors' health and patient care.

AIM

To assess the prevalence of burnout, its associated risk factors, and its impact on self-reported patient care among the doctors of the Family Medicine Department in King Abdul-Aziz Medical City (KAMC), Riyadh.

METHOD

A cross-sectional study was conducted among 150 physicians. Data were collected using the 22-items Maslach Burnout Inventory (MBI) to measure emotional exhaustion, depersonalization, and personal achievement as well as questions about demographic factors, work characteristics, and impact of burnout on self-reported patient care.

RESULTS

A total of 150 physicians responded to the questionnaire. In terms of high burnout, 32 doctors (21.3%) had emotional exhaustion, 57 doctors (38%) had depersonalization, and 41 doctors (27.3%) scored low for personal achievement. Staff physicians had high emotional exhaustion (27.8%, = 0.028), family medicine residents, however, reported higher depersonalization and low personal achievement (42.9%, 45.7%, = 0.675, = 0.009, respectively). Being a staff physician, military, with long years in practice, working more than 8 hours per day, and covering ER shifts were strongly associated with a high level of burnout. High-level burnout demonstrated a statistically significant impact on patient care with suboptimal performance among the doctors of this study.

CONCLUSION

Burnout seems to be a common problem in family medicine doctors at KAMC. It was associated with personal and workload indicators affecting their self-reported patient care significantly.

摘要

背景

职业倦怠作为一种与身体疾病和心理健康问题相关的工作相关综合征,在全球范围内广为人知。它对医生的健康和患者护理有重大影响。

目的

评估利雅得阿卜杜勒 - 阿齐兹国王医疗城(KAMC)家庭医学科医学科医生职业倦怠的患病率、相关危险因素及其对自我报告的患者护理的影响。

方法

对150名医生进行了横断面研究。使用22项马氏职业倦怠量表(MBI)收集数据,以测量情感耗竭、去个性化和个人成就感,以及有关人口统计学因素、工作特征和职业倦怠对自我报告的患者护理影响的问题。

结果

共有150名医生回复了问卷。在职业倦怠程度较高方面,32名医生(21.3%)存在情感耗竭,57名医生(38%)存在去个性化,41名医生(27.3%)个人成就感得分较低。在职医生情感耗竭程度较高(27.8%,P = 0.028),然而,家庭医学住院医师报告的去个性化程度较高且个人成就感较低(分别为42.9%,45.7%,P = 0.675,P = 0.009)。作为在职医生、军人、从业年限长、每天工作超过8小时以及承担急诊轮班与高水平的职业倦怠密切相关。在本研究的医生中,高水平的职业倦怠对患者护理表现出统计学上的显著影响,表现欠佳。

结论

职业倦怠似乎是KAMC家庭医学医生中的一个常见问题。它与个人和工作量指标相关,对他们自我报告的患者护理有显著影响。

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