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肺移植医师的倦怠综合征。

Burnout Syndrome in Lung Transplant Physicians.

机构信息

Section of Pulmonary, Critical Care, and Sleep, Department of Medicine, Baylor College of Medicine, Houston, TX, USA

Section of Pulmonary, Critical Care, and Sleep, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.

出版信息

Clin Med Res. 2023 Jun;21(2):63-68. doi: 10.3121/cmr.2023.1809.

Abstract

Burnout syndrome is common in physicians, but little is known about burnout in lung transplant physicians specifically. The purpose of this study was to explore burnout and its relationship to job factors and depression in lung transplant physicians. A cross-sectional study that included lung transplant pulmonologists and surgeons was performed via electronic survey. The lung transplant physicians surveyed practiced worldwide. The survey incorporated questions about demographics and job characteristics as well as the Maslach Burnout Inventory and Patient Health Questionnaire-2. Burnout was defined by high emotional exhaustion or depersonalization. Ninety physicians worldwide completed the survey. Of the 90 physicians who completed the entire survey, 44 (48.9%) had burnout with 38 (42.2%) having high emotional exhaustion, 15 (16.7%) having high depersonalization, and 9 (10.0%) with both. Of the respondents, 14 (15.6%) had high risk of depression, and of these, 13 also had high emotional exhaustion. There was a positive correlation between depression score and emotional exhaustion score (=0.67, <0.001). Depression was more common in surgeons compared with pulmonologists (35.7% versus 11.8%, =0.02). There was a trend toward more burnout by emotional exhaustion in physicians with more versus less work experience (68.4% versus 31.6%, =0.056). Emotional exhaustion is common in lung transplant physicians and is associated with depression and a negative impact on life.

摘要

burnout 综合征在医生中很常见,但人们对肺移植医生的 burnout 知之甚少。本研究旨在探讨肺移植医生的 burnout 及其与工作因素和抑郁的关系。采用电子调查的方法进行了一项包括肺移植肺科医生和外科医生的横断面研究。接受调查的肺移植医生在世界各地行医。该调查包括有关人口统计学和工作特征的问题,以及 Maslach 倦怠量表和患者健康问卷-2。倦怠的定义是情绪耗竭或去人性化程度高。全球有 90 名医生完成了这项调查。在完成整个调查的 90 名医生中,有 44 名(48.9%)有 burnout,其中 38 名(42.2%)情绪耗竭程度高,15 名(16.7%)去人性化程度高,9 名(10.0%)两者兼有。在回答者中,有 14 人(15.6%)有患抑郁症的高风险,其中 13 人也有情绪耗竭程度高。抑郁评分与情绪耗竭评分呈正相关(=0.67,<0.001)。与肺科医生相比,外科医生的抑郁更为常见(35.7%比 11.8%,=0.02)。与经验较少的医生相比,经验较多的医生的情绪衰竭倦怠更为常见(68.4%比 31.6%,=0.056)。情绪衰竭在肺移植医生中很常见,与抑郁和对生活的负面影响有关。

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