Faculty of Health Sciences, University Beira Interior, Covilhã, Portugal.
Internal Medicine and Palliative Care Service, Portuguese Institute of Oncology Francisco Gentil Coimbra, Coimbra, Portugal.
BMC Palliat Care. 2023 Oct 13;22(1):155. doi: 10.1186/s12904-023-01273-7.
Palliative care is an approach that improves the quality of life of patients and their families who are facing challenges associated with life-threatening illness, through the prevention and relief of suffering. Palliative care health professionals are considered a risk group for the development of burnout, since they live with severe disease and death, on a daily basis. With this work, the authors intend to evaluate the quality of life and risk of burnout in a group of health professionals, who work in a tertiary hospital dedicated to cancer patients.
The authors conducted a quantitative, descriptive, correlational and transversal study on palliative care professionals working with cancer patients. The evaluation protocol used to collect data included a sociodemographic questionnaire, WHO Quality of life Assessment instrument and Maslach Burnout Inventory. Statistical analysis was performed using the SPSS®Statistics program.
In the sample, there is a predominance of female gender (79,4%) with a mean age of 43,2 ± 10,8 years. The most representative professional group was nursing (47,1%). The sample response rate was 91.9%. Analyzing Maslach Burnout Inventory score, it appears that physicians and nurses have higher levels of exhaustion when compared to the other groups. In relation to quality of life (QoL), it was observed that in all dimensions, there was a homogeneous distribution of responses. It was verified that it was not possible to establish any relationship between the dimensions of burnout and QoL. Thus, the various dimensions behaved independently.
Physicians and nurses had the highest burnout levels in the most dimensions of Burnout score, in which they were followed by the operational assistants, who had moderate scores. Despite hight prevalence of Burnout, there is no correlation between Burnout and quality of life in this population. The perception of QoL is very satisfactory in the sample studied may result from the fact that these individuals have developed adequate self-protection strategies, thus preventing QoL from being affected by Burnout.
Prevention, diagnosis and intervention at burnout level is an important measure to be taken in health organizations, since the consequences that come from the experiences experienced by professionals will be reflected both in the quality of services provided to patients and in the QoL and well-being of professionals. Interventions are needed to promote better coping mechanisms when dealing with stress in this population. After this study, a Burnout Consultation was created at the Institution, to support professionals at risk or already affected.
姑息治疗是一种通过预防和缓解痛苦来提高面临危及生命的疾病相关挑战的患者及其家属生活质量的方法。姑息治疗卫生专业人员被认为是倦怠的高发人群，因为他们每天都要面对严重的疾病和死亡。通过这项工作，作者旨在评估一组在专门治疗癌症患者的三级医院工作的卫生专业人员的生活质量和倦怠风险。
作者对姑息治疗癌症患者的专业人员进行了一项定量、描述性、相关性和横断面研究。用于收集数据的评估方案包括社会人口学问卷、世界卫生组织生活质量评估工具和马斯拉赫倦怠量表。统计分析使用 SPSS®Statistics 程序进行。
在样本中，女性（79.4%）占主导地位，平均年龄为 43.2±10.8 岁。最具代表性的专业群体是护理（47.1%）。样本的回复率为 91.9%。分析马斯拉赫倦怠量表的评分，与其他群体相比，医生和护士的倦怠程度更高。关于生活质量（QoL），在所有维度中，反应分布均匀。发现倦怠的各个维度与 QoL 之间没有关系。因此，各个维度表现独立。
在倦怠评分的大多数维度中，医生和护士的倦怠水平最高，其次是操作人员，他们的倦怠程度中等。尽管倦怠的发生率很高，但在该人群中，倦怠与生活质量之间没有相关性。在研究样本中，对生活质量的感知非常满意，这可能是因为这些人已经制定了适当的自我保护策略，从而防止生活质量受到倦怠的影响。
在卫生组织中采取预防、诊断和干预倦怠水平是一项重要措施，因为专业人员所经历的经历带来的后果将反映在为患者提供的服务质量以及专业人员的生活质量和福祉上。需要采取干预措施，以促进该人群在应对压力时更好地应对机制。在这项研究之后，该机构创建了一个倦怠咨询处，为有风险或已经受到影响的专业人员提供支持。
