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新冠疫情期间肿瘤科医生心理弹性与倦怠综合征的相关性。

Correlation between psychological resilience and burnout syndrome in oncologists amid the Covid-19 pandemic.

机构信息

Department of Medical Oncology and Hematology, General Hospital Pula, Pula, Croatia.

Department of Hematology, Oncology and Clinical Immunology, General Hospital Varazdin, Varazdin, Croatia.

出版信息

Support Care Cancer. 2023 Mar 10;31(4):207. doi: 10.1007/s00520-023-07660-3.

Abstract

PURPOSE

Oncologists are predisposed to developing burnout syndrome. Like other health care professionals worldwide, oncologists have endured additional, extreme challenges during the Covid-19 pandemic. Psychological resilience presents a potential protective mechanism against burnout. This cross-sectional study examines whether psychological resilience eased burnout syndrome among Croatian oncologists during the pandemic.

METHODS

An anonymized self-reporting questionnaire was electronically distributed by the Croatian Society for Medical Oncology to 130 specialist and resident oncologists working in hospitals. Available for completion from September 6-24, 2021, the survey comprised demographic questions; the Oldenburg Burnout Inventory (OLBI), covering exhaustion and disengagement; and the Brief Resilience Scale (BRS). The response rate was 57.7%.

RESULTS

Burnout was moderate or high for 86% of respondents, while 77% had moderate or high psychological resilience. Psychological resilience was significantly negatively correlated with the OLBI exhaustion subscale (r =  - .54; p < 0.001) and the overall OLBI score (r =  - .46; p < 0.001). Scheffe's post hoc test showed that oncologists with high resilience scored significantly lower on the overall OLBI (M = 2.89; SD = 0.487) compared to oncologists with low resilience (M = 2.52; SD = 0.493).

CONCLUSION

The findings thus indicate that oncologists with high psychological resilience are at significantly lower risk of developing burnout syndrome. Accordingly, convenient measures to encourage psychological resilience in oncologists should be identified and implemented.

摘要

目的

肿瘤学家容易出现倦怠综合征。与全球其他医疗保健专业人员一样,肿瘤学家在 COVID-19 大流行期间也面临着额外的极端挑战。心理弹性是预防倦怠的潜在保护机制。本横断面研究旨在探讨在大流行期间,心理弹性是否减轻了克罗地亚肿瘤学家的倦怠综合征。

方法

由克罗地亚肿瘤医学学会以匿名形式向 130 名在医院工作的专科医生和住院医生发放电子问卷调查。该调查于 2021 年 9 月 6 日至 24 日完成,内容包括人口统计学问题、涵盖疲惫和疏离的奥登堡倦怠量表(OLBI)以及简短韧性量表(BRS)。回复率为 57.7%。

结果

86%的受访者倦怠程度为中度或高度,而 77%的受访者心理弹性为中度或高度。心理弹性与 OLBI 疲惫分量表(r =  - .54;p < 0.001)和整体 OLBI 评分(r =  - .46;p < 0.001)呈显著负相关。Scheffe 的事后检验显示,心理弹性高的肿瘤学家在整体 OLBI 上的得分明显低于心理弹性低的肿瘤学家(M = 2.89;SD = 0.487)(M = 2.52;SD = 0.493)。

结论

这些发现表明,心理弹性高的肿瘤学家发生倦怠综合征的风险显著降低。因此,应确定并实施方便的措施来鼓励肿瘤学家的心理弹性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c014/10006256/6c00e596726f/520_2023_7660_Fig1_HTML.jpg

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