Ntalouka Maria P, Karakosta Agathi, Aretha Diamanto, Papaioannou Alexandra, Nyktari Vasileia, Chloropoulou Pelagia, Koraki Eleni, Pistioli Efstathia, Matsota Paraskevi K, Tzimas Petros, Arnaoutoglou Eleni M
Department of Anaesthesiology, Faculty of Medicine, University of Thessaly, Larissa University Hospital, Larissa, Greece.
Department of Anaesthesiology and Postoperative Intensive Care, Faculty of Medicine, University of Ioannina, Ioannina, Greece.
Psychiatriki. 2023 Oct 12;34(3):193-203. doi: 10.22365/jpsych.2023.010. Epub 2023 May 12.
COVID-19 pandemic resulted in an unprecedented crisis with extreme distress for the frontline physicians and increased risk of developing burnout. Burnout has a negative impact on patients and physicians, posing a substantial risk in patient safety, quality of care and physicians' overall wellbeing. We evaluated burnout prevalence and possible predisposing factors among anaesthesiologists in the COVID-19 referral university/tertiary hospitals in Greece. In this multicenter, cross-sectional study we have included anaesthesiologists, involved in the care of patients with COVID-19, during the fourth peak of the pandemic (11/2021), in the 7 referral hospitals in Greece. The validated Maslach Burnout Inventory (MBI) and Eysenck Personality Questionnaire (EPQ) were used. The response rate was 98% (116/118). More than half of the respondents were females (67.83%, median age 46 years). The overall Cronbach's alpha for MBI and EPQ was 0.894 and 0.877, respectively. The majority (67.24%) of anaesthesiologists were assessed as "high risk for burnout" and 21.55% were diagnosed with burnout syndrome. Almost half participants experienced high levels of all three dimensions of burnout; high emotional exhaustion (46.09%), high depersonalization (49.57%) and high levels of low personal accomplishment (43.49%). Multivariate logistic analysis revealed that neuroticism was an independent factor predicting "high risk for burnout" as well as burnout syndrome, whereas the "Lie scale" of EPQ exhibited a protective effect against burnout. Burnout prevalence in Greek anaesthesiologists working in COVID-19 referral hospitals during the fourth peak of the pandemic was high. Neuroticism was predictive of both "high risk for burnout" and "burnout syndrome".
新冠疫情引发了一场前所未有的危机,给一线医生带来了极大的困扰,并增加了职业倦怠的风险。职业倦怠对患者和医生都有负面影响,在患者安全、医疗质量和医生的整体幸福感方面构成了重大风险。我们评估了希腊新冠疫情转诊大学医院/三级医院麻醉医生的职业倦怠患病率及可能的诱发因素。在这项多中心横断面研究中,我们纳入了在疫情第四个高峰(2021年11月)期间,希腊7家转诊医院中参与新冠患者护理的麻醉医生。使用了经过验证的马氏职业倦怠量表(MBI)和艾森克人格问卷(EPQ)。回复率为98%(116/118)。超过一半的受访者为女性(67.83%,中位年龄46岁)。MBI和EPQ的总体克朗巴哈系数分别为0.894和0.877。大多数(67.24%)麻醉医生被评估为“职业倦怠高风险”,21.55%被诊断为职业倦怠综合征。几乎一半的参与者在职业倦怠的所有三个维度上都处于高水平;高情感耗竭(46.09%)、高去人格化(49.57%)和低个人成就感水平高(43.49%)。多因素逻辑分析显示,神经质是预测“职业倦怠高风险”以及职业倦怠综合征的独立因素,而EPQ的“说谎量表”对职业倦怠具有保护作用。在疫情第四个高峰期间,在希腊新冠转诊医院工作的麻醉医生职业倦怠患病率很高。神经质可预测“职业倦怠高风险”和“职业倦怠综合征”。