Becker Natalia Dalla Costa, Carlos da Rocha Adilson, Follador Franciele Aní Caovilla, Wendt Guilherme Welter, Ferreto Lirane Elize Defante, Fortes Paulo Nunes, Amorim João Paulo Arruda
Department of Health Sciences, Postgraduate Program in Applied Health Sciences, Francisco Beltrão, Western Paraná State University, Paraná, Brazil.
Department of Social Sciences, Francisco Beltrão, Western Paraná State University, Paraná, Brazil.
Front Health Serv. 2021 Nov 16;1:760034. doi: 10.3389/frhs.2021.760034. eCollection 2021.
This investigation sought to identify the prevalence of Burnout Syndrome (BS) among Brazilian medical doctors (BS) and the associations with risk factors and protective factors. Out of 206 registered MD from a medium-sized municipality, 121 were enrolled in this cross-sectional study. Convenience sampling was used. Based on Cohen's , a power of 98% and a 0.05 alpha was achieved. MD responded to sociodemographic questions and to the Portuguese-version of the Maslach Burnout Inventory-Human Services Survey (MBI). Risk and protective factors linked with BS were examined with regression analyses. The age of the participants ranged from 25 to 69 years (M = 40.89; SD = 10.13) and 73.6% were male. The prevalence of BS was 7.5%. Differential aspects were related to BS. For instance, while not reporting satisfaction with the institution (β = 16.16, < 0.001) and not practicing physical exercise (β = 7.39, = 0.014) were associated with higher scores in the BS composite score, those who did not intend to change their careers (β = -17.15, < 0.001) and participants who saw mental health specialists (β = -8.99, = 0.007) scored lower, accounting for nearly a half of the BS composite score ( = 46%). The prevalence of BS in this study falls within the range previously reported among healthcare professionals (i.e., 2.6-11.8%). Moreover, data suggested that commitment with the occupation and with the participant's own mental health could boost reactions against the deleterious effects of the BS. In this sense, organizations can develop strategies for preventing BS, a process that is known to be chronic and, to some extent, preventable.
本调查旨在确定巴西医生中职业倦怠综合征（BS）的患病率，以及与风险因素和保护因素的关联。在一个中等规模城市的206名注册医生中，有121名参与了这项横断面研究。采用的是便利抽样。根据科恩法则，实现了98%的检验效能和0.05的显著性水平。医生们回答了社会人口学问题，并填写了葡萄牙语版的马氏职业倦怠量表-人类服务调查（MBI）。通过回归分析研究了与职业倦怠综合征相关的风险和保护因素。参与者的年龄在25岁至69岁之间（M = 40.89；SD = 10.13），73.6%为男性。职业倦怠综合征的患病率为7.5%。职业倦怠综合征存在一些差异方面。例如，对机构不满意（β = 16.16，p < 0.001）和不进行体育锻炼（β = 7.39，p = 0.014）与职业倦怠综合征综合得分较高相关，而那些不打算更换职业的人（β = -17.15，p < 0.001）和看过心理健康专家的参与者（β = -8.99，p = 0.007）得分较低，这几乎占职业倦怠综合征综合得分的一半（R² = 46%）。本研究中职业倦怠综合征的患病率在先前报道的医疗保健专业人员范围内（即2.6%-11.8%）。此外，数据表明对职业的投入以及对参与者自身心理健康的关注可以增强对职业倦怠综合征有害影响的抵抗力。从这个意义上说，组织可以制定预防职业倦怠综合征的策略，这一过程已知是慢性的，但在一定程度上是可预防的。
