American College of Lifestyle Medicine, Chesterfield, MO, USA.
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Am J Health Promot. 2023 Nov;37(8):1121-1132. doi: 10.1177/08901171231182875. Epub 2023 Jun 27.
To identify reasons for burnout, characterize the effect of lifestyle medicine (LM) practice on burnout, and assess the risk of burnout in relation to the proportion of LM practice.
Analysis of mixed methods data from a large, cross-sectional survey on LM practice.
Web-based survey platform.
Members of an LM medical professional society at the time of survey administration.
Practitioner members of a medical professional society were recruited to a cross-sectional, online survey. Data were collected on LM practice and experiences with burnout. Free-text data were thematically grouped and counted, and the association of burnout with the proportion of lifestyle-based medical practice was analyzed using logistic regression.
Of 482 respondents, 58% reported currently feeling burned out, 28% used to feel burned out but no longer do, and 90% reported LM had positively impacted their professional satisfaction. Among LM practitioners surveyed, practicing more LM was associated with a 43% decrease (0.569; 95% CI: 0.384, 0.845; = 0.0051) in the odds of experiencing burnout. Top reasons for positive impact included professional satisfaction, sense of accomplishment, and meaningfulness (44%); improved patient outcomes and patient satisfaction (26%); enjoyment of teaching/coaching and engaging in relationships (22%); and helps me personally: quality of life and stress (22%).
Implementing LM as a greater proportion of medical practice was associated with lower likelihood of burnout among LM practitioners. Results suggest that increased feelings of accomplishment due to improved patient outcomes and reduced depersonalization contribute to reduced burnout.
确定倦怠的原因，描述生活方式医学（LM）实践对倦怠的影响，并评估与 LM 实践比例相关的倦怠风险。
对来自关于 LM 实践的大型横断面调查的混合方法数据进行分析。
基于网络的调查平台。
在调查管理时，LM 医学专业协会的从业者成员。
医学专业协会的从业者成员被招募参加一项横断面、在线调查。收集了关于 LM 实践和倦怠体验的数据。对自由文本数据进行主题分组和计数，并使用逻辑回归分析倦怠与基于生活方式的医学实践比例的关系。
在 482 名受访者中，58%的人报告目前感到倦怠，28%的人曾经感到倦怠但现在没有，90%的人报告 LM 对他们的职业满意度产生了积极影响。在接受调查的 LM 从业者中，实践更多的 LM 与倦怠体验的几率降低 43%（0.569；95%CI：0.384，0.845； = 0.0051）相关。积极影响的首要原因包括职业满意度、成就感和意义感（44%）；改善患者结局和患者满意度（26%）；享受教学/指导和建立关系（22%）；并帮助我个人：生活质量和压力（22%）。
作为医学实践的更大比例实施 LM 与 LM 从业者倦怠的可能性降低相关。结果表明，由于改善了患者结局和减少了去人性化，成就感的增加导致倦怠减少。
