Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Szent Imre Street 14/B, Kaposvár, Hungary; Dr. József Baka Diagnostic, Radiation Oncology, Research and Teaching Center, "Moritz Kaposi" Teaching Hospital, Guba Sándor Street 40, 7400 Kaposvár, Hungary.
Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Szent Imre Street 14/B, Kaposvár, Hungary.
Radiography (Lond). 2023 May;29(3):503-508. doi: 10.1016/j.radi.2023.02.008. Epub 2023 Feb 13.
Oncology care professionals are exposed to high levels of stress that can lead to burnout. The aim of this study was to investigate the prevalence of burnout among nurses, oncologists and radiographers working in oncology patient care during the COVID -19 pandemic.
Our electronic questionnaire was sent to e-mail contacts registered in the system of the Hungarian Society of Oncologists and to all oncology staff via an internal information system in each cancer center. Burnout was measured using the Maslach Burnout Inventory, which measures depersonalization (DP), emotional exhaustion (EE), and personal accomplishment (PA). Demographic and work-related characteristics were collected in our self-designed questionnaire. Descriptive statistics, chi-square tests, two-sample t-tests, analyzes of variance, Mann-Whitney and Kruskal-Wallis tests were performed.
A total of 205 oncology care workers' responses were analyzed. Oncologists (n = 75) were found to be significantly more committed to DP and EE (p = 0.001; p = 0.001). Working more than 50 h per week and being on-call had a negative effect on the EE dimension (p = 0.001; p = 0.003). Coming up with the idea of working abroad had a negative effect on all three dimensions of burnout (p ≤ 0.05). Respondents who did not leave their job due to their current life situation had significantly higher DE, EE, and lower PA (p ≤ 0.05). Intention to leave current profession was specific in (n = 24/78; 30.8%) of nurses (p = 0.012).
Our results suggest that male gender, being an oncologist, working more than 50 h per week and taking on call duties have a negative impact on individual burnout. Future measures to prevent burnout should be integrated into the professionals' work environment, regardless of the impact of the current pandemic.
Prevention and oncopsychological training should be developed gradually at the organisational or personal level to avoid early burnout of professionals.
肿瘤学护理专业人员面临着高水平的压力，这可能导致职业倦怠。本研究的目的是调查在 COVID-19 大流行期间从事肿瘤患者护理的护士、肿瘤医生和放射技师中职业倦怠的发生率。
我们的电子问卷通过匈牙利肿瘤学家协会系统中的电子邮件联系人以及每个癌症中心的内部信息系统发送给所有肿瘤学工作人员。使用 Maslach 职业倦怠量表（MBI）测量倦怠，该量表测量去人格化（DP）、情绪衰竭（EE）和个人成就感（PA）。在我们自行设计的问卷中收集了人口统计学和工作相关特征。进行了描述性统计、卡方检验、两样本 t 检验、方差分析、Mann-Whitney 和 Kruskal-Wallis 检验。
共分析了 205 名肿瘤护理人员的回复。与肿瘤医生（n=75）相比，发现他们对 DP 和 EE 的承诺明显更高（p=0.001；p=0.001）。每周工作超过 50 小时和值班对 EE 维度有负面影响（p=0.001；p=0.003）。提出去国外工作的想法对所有三个倦怠维度都有负面影响（p≤0.05）。由于当前的生活状况而没有离职的受访者的 DE、EE 明显更高，PA 明显更低（p≤0.05）。由于当前生活状况而不打算离开当前职业的护士意向，在（n=24/78；30.8%）中是特定的（p=0.012）。
我们的结果表明，男性、肿瘤医生、每周工作超过 50 小时和值班对个体倦怠有负面影响。未来应将预防职业倦怠的措施纳入专业人员的工作环境中，无论当前大流行的影响如何。
应在组织或个人层面上逐步制定预防和肿瘤心理学培训计划，以避免专业人员的早期倦怠。
