Hospital Público de Valdeorras, O Barco de Valdeorras, Galicia, Spain.
Hospital Comarcal Don Benito Villanueva de la Serena, Villanueva de la Serena, Badajoz, Spain.
Int J Soc Psychiatry. 2023 Nov;69(7):1682-1692. doi: 10.1177/00207640231174364. Epub 2023 May 25.
Burnout syndrome (BS) has a negative impact among health professionals.
Our research objective is to quantify the level of burnout in health workers of the Spanish National Health System during the COVID-19 pandemic using and comparing two independent measurement instruments.
Cross-sectional, descriptive and multicenter study conducted through an anonymous online survey among health workers of the National Health System, measuring the level of burnout using the Maslach Burnout Inventory (MBI) and the Copenhagen Burnout Inventory (CBI).
A total of 448 questionnaires were analyzed, the mean age of the participants was 43.53 years (range: 20-64), 365 (81.5%) women. 161 (35.9%) participants presented BS measured with the MBI and 304 (67.9%) measured with the CBI. Regarding work contract, those who had greater job stability presented a higher degree of cynicism with respect to the eventual ones ( = .010), the eventual ones presenting higher mean scores in professional efficacy ( = .034). Urban workers had higher scores of exhaustion ( < .001) and cynicism ( < .001) than those living in rural areas. When comparing both tests, a high predictive value for exhaustion and cynicism was found to measure BS through the CBI (AUC = 0.92 and 0.84, respectively) and a low AUC with respect to the predictive value for efficacy (AUC = 0, 59).
The results obtained show a high level of BS among the health workers who participated in our study. Both tests have an excellent correlation in the degree of exhaustion and cynicism, but not in efficacy. The BS measurement must be performed with at least two validated instruments to increase its reliability.
burnout 综合征（BS）对卫生专业人员有负面影响。
我们的研究目的是使用和比较两种独立的测量工具来量化西班牙国家卫生系统卫生工作者在 COVID-19 大流行期间的 burnout 水平。
横断面、描述性和多中心研究，通过对国家卫生系统的卫生工作者进行匿名在线调查进行，使用 Maslach Burnout Inventory（MBI）和 Copenhagen Burnout Inventory（CBI）测量 burnout 水平。
共分析了 448 份问卷，参与者的平均年龄为 43.53 岁（范围：20-64），365 名（81.5%）女性。161 名（35.9%）参与者使用 MBI 测量存在 BS，304 名（67.9%）参与者使用 CBI 测量存在 BS。关于工作合同，那些工作稳定性更大的人对最终合同的愤世嫉俗程度更高（ = .010），最终合同的职业效能平均得分更高（ = .034）。城市工作者的疲惫（ < .001）和愤世嫉俗（ < .001）得分高于农村地区工作者。在比较这两种测试时，发现 CBI 测量 BS 的疲惫和愤世嫉俗具有较高的预测值（AUC = 0.92 和 0.84），而职业效能的预测值 AUC 较低（AUC = 0，0.59）。
研究结果表明，参与研究的卫生工作者的 BS 水平较高。两种测试在疲惫和愤世嫉俗程度上具有极好的相关性，但在效能上则不然。BS 测量必须使用至少两种经过验证的工具来提高其可靠性。
