Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
BMJ Open. 2023 Aug 8;13(8):e068402. doi: 10.1136/bmjopen-2022-068402.
To investigate the relationship between burn-out and spiritual health among medical doctors.
Systematic literature review and narrative synthesis of cross-sectional studies.
Any setting, worldwide.
Five databases were searched from inception to March 2022, including Medline, Embase, PsycINFO, Scopus and Web of Science.
Any study design that involved medical doctors (and other healthcare staff if assessed alongside medical doctors), that measured (in any way) both burn-out (or similar) and spiritual health (or similar) medical doctors.
All records were double screened. Data extraction was performed by one reviewer and a proportion (10%) checked by a second reviewer. Quality was assessed using the Appraisal of Cross-sectional Studies tool. Due to the heterogeneity of the included studies, a narrative review was undertaken without a meta-analysis.
Searches yielded 1049 studies. 40 studies met eligibility criteria and were included in this review. Low reported levels of spirituality were associated with high burn-out scores and vice versa. Religion was not significantly associated with lower levels of burn-out. Few studies reported statistically significant findings, few used validated spiritual scores and most were vulnerable to sampling bias.
Published research suggests that burn-out is linked to spiritual health in medical doctors but not to religion. Robust research is needed to confirm these findings and develop effective interventions.
CRD42020200145.
调查医生 burnout 与精神健康之间的关系。
系统文献回顾和横断面研究的叙述性综合。
全球任何地点。
从创建到 2022 年 3 月，在 5 个数据库中进行了搜索，包括 Medline、Embase、PsycINFO、Scopus 和 Web of Science。
任何涉及医生（如果与医生一起评估还包括其他医护人员）的研究设计，以任何方式测量（或类似）医生的 burnout（或类似）和精神健康（或类似）。
所有记录均进行了双重筛选。由一名审查员进行数据提取，并由另一名审查员检查一部分（10%）。使用横断面研究评估工具评估质量。由于纳入研究的异质性，进行了叙述性综述，而没有进行荟萃分析。
搜索结果产生了 1049 项研究。40 项研究符合入选标准，并纳入本综述。报告的低水平的灵性与高 burnout 评分相关，反之亦然。宗教与较低的 burnout 水平没有显著关联。很少有研究报告有统计学意义的结果，很少使用经过验证的精神评分，而且大多数研究容易受到抽样偏差的影响。
已发表的研究表明，burnout 与医生的精神健康有关，但与宗教无关。需要进行强有力的研究来证实这些发现并开发有效的干预措施。
PROSPERO 注册号：CRD42020200145。
