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本文引用的文献

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Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review.工作场所干预措施以改善护士、医生和医疗保健专业人员的幸福感并减少倦怠:系统评价。
BMJ Open. 2023 Jun 29;13(6):e071203. doi: 10.1136/bmjopen-2022-071203.
2
Physician exhaustion and work engagement during the COVID-19 pandemic: A longitudinal survey into the role of resources and support interventions.COVID-19 大流行期间医生的疲惫和工作投入:资源和支持干预作用的纵向调查。
PLoS One. 2023 Feb 1;18(2):e0277489. doi: 10.1371/journal.pone.0277489. eCollection 2023.
3
Changes in Burnout and Satisfaction With Work-Life Integration in Physicians During the First 2 Years of the COVID-19 Pandemic.COVID-19 大流行的头 2 年期间医生的倦怠和工作-生活融合满意度的变化。
Mayo Clin Proc. 2022 Dec;97(12):2248-2258. doi: 10.1016/j.mayocp.2022.09.002. Epub 2022 Sep 14.
4
Frontline physician burnout during the COVID-19 pandemic: national survey findings.新冠疫情期间一线医生职业倦怠:全国调查结果。
BMC Health Serv Res. 2022 Mar 19;22(1):365. doi: 10.1186/s12913-022-07728-6.
5
Changes in Pediatric Faculty Burnout During the COVID-19 Pandemic.新冠疫情期间儿科教职人员职业倦怠的变化
Hosp Pediatr. 2021 Dec 1. doi: 10.1542/hpeds.2021-006045.
6
Compassion fatigue, burnout, and compassion satisfaction in pediatric subspecialists during the SARS-CoV-2 pandemic.儿科亚专科医生在 SARS-CoV-2 大流行期间的同情疲劳、倦怠和同情满足感。
Pediatr Res. 2022 Jan;91(1):143-148. doi: 10.1038/s41390-021-01635-y. Epub 2021 Jul 1.
7
The Use of Electronic Health Record Tools to Improve Evidence-Based Treatment of Adolescent Depression in Primary Care.利用电子健康记录工具改善初级保健中青少年抑郁症的循证治疗。
Acad Pediatr. 2021 Sep-Oct;21(7):1195-1202. doi: 10.1016/j.acap.2021.05.022. Epub 2021 Jun 5.
8
Burnout syndrome in pediatric urology: A perspective during the COVID-19 pandemic - Ibero-American survey.儿科泌尿科中的倦怠综合征:COVID-19 大流行期间的观点-伊比利亚-美洲调查。
J Pediatr Urol. 2021 Jun;17(3):402.e1-402.e7. doi: 10.1016/j.jpurol.2021.01.015. Epub 2021 Jan 22.
9
The Impact of COVID-19 on Physician Burnout Globally: A Review.新冠疫情对全球医生职业倦怠的影响:一项综述
Healthcare (Basel). 2020 Oct 22;8(4):421. doi: 10.3390/healthcare8040421.
10
The Association Between Burnout and Pediatrician Management of Adolescent Depression. burnout 与儿科医生对青少年抑郁的管理之间的关联。
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720943335. doi: 10.1177/2150132720943335.

儿科医生在 COVID-19 大流行前后的倦怠情况。

Pediatrician Burnout Before and After the COVID-19 Pandemic.

机构信息

Eastern Michigan University, Ypsilanti, MI, USA.

Oregon Health Sciences University, Portland, OR, USA.

出版信息

J Prim Care Community Health. 2023 Jan-Dec;14:21501319231194148. doi: 10.1177/21501319231194148.

DOI:10.1177/21501319231194148
PMID:37599442
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10441537/
Abstract

OBJECTIVE

During the surge of the COVID-19 pandemic, burnout among physicians increased significantly. In the spring of 2023, the COVID national emergency was terminated in the U.S. To investigate whether provider burnout rates have returned to pre-pandemic levels, the current study compared dimensions of burnout among pediatricians pre- and post-pandemic.

METHOD

As part of 2 separate behavioral health trainings held at a Midwest academic health center in 2019 and virtually in 2023, data on burnout was collected from 52 pediatricians pre-pandemic and 38 pediatricians post-pandemic. Participants completed an online survey during the trainings and responded to items reflecting 3 dimensions of burnout: emotional exhaustion, depersonalization, and personal accomplishment.

RESULTS

There were no statistically significant differences in pre- and post-pandemic burnout amongst pediatricians in terms of total scores, number of pediatricians who met the clinical cutoff for each dimension, number of cutoffs met, or number of providers reporting elevated burnout on at least 1 dimension ( > .05 for all comparisons). Participants were 1.77 times more likely to meet the cutoff for emotional exhaustion post-pandemic than pre-pandemic. Over half of providers met this cutoff post-pandemic, compared to only 35% pre-pandemic.

CONCLUSIONS

While post-pandemic rates of burnout among pediatricians appear to be statistically similar to pre-pandemic levels, there appear to be clinically significant differences in emotional exhaustion between groups. With 63% of the post-pandemic group meeting the cutoff score for at least 1 dimension, it is imperative for the healthcare system to consider ways to mitigate burnout.

摘要

目的

在 COVID-19 大流行期间,医生的倦怠感显著增加。2023 年春季,美国终止了 COVID-19 全国紧急状态。为了调查医务人员的倦怠率是否已恢复到大流行前的水平,本研究比较了大流行前后儿科医生倦怠的各个维度。

方法

作为在中西部学术医疗中心于 2019 年和 2023 年虚拟举行的 2 次独立行为健康培训的一部分,从 52 名大流行前的儿科医生和 38 名大流行后的儿科医生中收集了倦怠数据。参与者在培训期间完成了在线调查,并回答了反映倦怠的 3 个维度的项目:情绪耗竭、去人性化和个人成就感。

结果

在总得分、达到每个维度临床临界值的儿科医生人数、达到的临界值数量或报告至少 1 个维度( > .05 所有比较)的倦怠度升高的提供者数量方面,大流行前后的儿科医生倦怠程度没有统计学差异。与大流行前相比,大流行后参与者出现情绪耗竭临界值的可能性高 1.77 倍。超过一半的提供者在大流行后达到了这一临界值,而大流行前只有 35%。

结论

尽管大流行后儿科医生的倦怠率似乎在统计学上与大流行前水平相似,但两组之间在情绪耗竭方面似乎存在临床显著差异。在大流行后组中,有 63%的人至少有 1 个维度的得分达到临界值,因此医疗保健系统必须考虑采取措施来减轻倦怠。