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医生职业倦怠与污名的关系。

Association between burnout and stigma in physicians.

机构信息

Mood Disorder Unit, Psychiatric Specialties Service, Geneva University Hospital, Geneva, Switzerland.

University of Geneva Faculty of Medicine, Department of Paediatrics, Unit of Development and Research in Medical Education (UDREM), Geneva University Hospital, Geneva, Switzerland.

出版信息

PLoS One. 2023 Apr 5;18(4):e0283556. doi: 10.1371/journal.pone.0283556. eCollection 2023.

Abstract

BACKGROUND

Physicians suffering from burnout are more likely to develop depression, substance dependence, and cardiovascular diseases, which can affect their practices. Stigmatization is a barrier to seeking treatment. This study aimed to understand the complex links between burnout among medical doctors and the perceived stigma.

METHODS AND FINDINGS

Online questionnaires were sent to medical doctors working in five different departments of the Geneva University Hospital. The Maslach Burnout Inventory (MBI) was used to assess burnout. The Stigma of Occupational Stress Scale in Doctors (SOSS-D) was used to measure the three stigma dimensions. Three hundred and eight physicians participated in the survey (response rate: 34%). Physicians with burnout (47%) were more likely to hold stigmatized views. Emotional exhaustion was moderately correlated with perceived structural stigma (r = 0.37, P < .001) and weakly correlated with perceived stigma (r = 0.25, P = 0.011). Depersonalization was weakly correlated with personal stigma (r = 0.23, P = 0.04) and perceived other stigma (r = 0.25, P = 0.018).

CONCLUSION

These results suggest the need to adjust for existing burnout and stigma management. Further research needs to be conducted on how high burnout and stigmatization impact collective burnout, stigmatization, and treatment delay.

摘要

背景

患有倦怠的医生更有可能患上抑郁症、物质依赖和心血管疾病,这会影响他们的行医。污名化是寻求治疗的障碍。本研究旨在了解医生倦怠与感知污名之间的复杂联系。

方法和发现

向日内瓦大学医院五个不同部门工作的医生发送了在线问卷。使用 Maslach 倦怠量表 (MBI) 评估倦怠。使用医生职业压力污名量表 (SOSS-D) 测量三个污名维度。308 名医生参与了调查(回应率:34%)。患有倦怠(47%)的医生更有可能持有污名化的观点。情绪衰竭与感知的结构性污名中度相关(r = 0.37,P <.001),与感知的污名弱相关(r = 0.25,P = 0.011)。去人性化与个人污名弱相关(r = 0.23,P = 0.04)和感知他人污名弱相关(r = 0.25,P = 0.018)。

结论

这些结果表明需要调整现有的倦怠和污名管理。需要进一步研究倦怠和污名化如何影响集体倦怠、污名化和治疗延迟。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8110/10075413/165cf96a8be0/pone.0283556.g001.jpg

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