Department of Anaesthesiology and Critical Care Medicine, University Hospital Timone, AP-HM, Aix Marseille University, F-13005 Marseille, France.
Fédération Anesthésie Réanimation, Hôpital d'Instruction des Armées Sainte Anne, F-83000 Toulon, France.
Int J Environ Res Public Health. 2023 Jan 18;20(3):1771. doi: 10.3390/ijerph20031771.
Burnout syndrome (BOS) impacts health workers and has become a real public health issue. The primary objective of this observational study was to re-evaluate the incidence of BOS among anesthesiologists and intensivists (AI) in France, ten years after the SESMAT study, a French Physician Health Survey carried out among burnout salaried AI. The secondary objective was to investigate risks factors.
The REPAR survey is an observational study carried in France among AI, residents, and seniors, whatever their main mode of practice, in the framework of a self-questionnaire distributed on the Internet from 11 April 2018 to 1 July 2018. BOS was assessed using the Copenhagen Burnout Inventory (CBI). A score above 50% on two of the dimensions (personal burnout and work-related burnout) indicated BOS, as a main criterion. In order to investigate risks factors, questions were about sociodemographic characteristics, professional and extraprofessional environments, personality and mood using the Major Depression Inventory (MDI). A significance threshold of < 0.05 was retained.
Among 1519 questionnaires received, 1500 completed questionnaires were analyzed. There were 775 men (52%) and 721 women (48%), aged 23 to 74 years. Among those, 24% suffered from BOS, 9% showed depressive symptoms (MDI > 25) and 35% were considering changing jobs or stopping their studies. There was no significant difference with the SESMAT study for the general BOS score. After multivariate analysis, 12 variables were significantly associated with the main criterion.
Ten years after the SESMAT study, the incidence of BOS in AI has not decreased in the largest cohort of AI studied to date in France.
burnout 综合征（BOS）影响卫生工作者，已成为一个真正的公共卫生问题。本观察性研究的主要目的是在 SESMAT 研究十年后，重新评估法国麻醉师和重症监护医师（AI）中 BOS 的发生率，SESMAT 是一项针对 burnout 受薪 AI 的法国医师健康调查。次要目标是研究危险因素。
REPAR 调查是一项在法国进行的观察性研究，调查对象为 AI、住院医师和资深医师，无论其主要执业模式如何，均在 2018 年 4 月 11 日至 2018 年 7 月 1 日期间通过互联网进行自我问卷调查。使用哥本哈根倦怠量表（CBI）评估 BOS。如果两个维度（个人倦怠和工作倦怠）中的任何一个得分超过 50%，则表示存在 BOS，这是主要标准。为了研究危险因素，问题涉及社会人口学特征、专业和非专业环境、人格和情绪，使用 Major Depression Inventory（MDI）。保留 <0.05 的显著性阈值。
共收到 1519 份问卷，分析了 1500 份完整的问卷。其中男性 775 人（52%），女性 721 人（48%），年龄 23 至 74 岁。其中，24%的人患有 BOS，9%的人出现抑郁症状（MDI>25），35%的人考虑换工作或停止学业。与 SESMAT 研究相比，一般 BOS 评分没有显著差异。多变量分析后，有 12 个变量与主要标准显著相关。
在 SESMAT 研究十年后，法国迄今研究的最大 AI 队列中，AI 中的 BOS 发病率并未下降。
