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肿瘤专业人员 burnout 发生率:纳入 90 多项不同研究的系统评价和荟萃分析概述。

The prevalence of burnout in oncology professionals: an overview of systematic reviews with meta-analyses including more than 90 distinct studies.

机构信息

Departamento de Fisioterapia, Instituto de Biomedicina de Sevilla, Universidad de Sevilla, Calle Avenzoar, 6, 41009, Seville, IBiS, Seville, Spain.

CTS 1110: Understanding Movement and Self in Health From Science (UMSS) Research Group, Andalusia, Spain.

出版信息

Support Care Cancer. 2024 Feb 27;32(3):196. doi: 10.1007/s00520-024-08400-x.

Abstract

PURPOSE

This overview of reviews aimed to summarize the prevalence of burnout and the dimensions of burnout (emotional exhaustion, depersonalization, and personal accomplishment) in oncology professionals around the world.

METHODS

The CINAHL, Embase, PsycINFO, and PubMed databases were searched from inception to September 13, 2023. AMSTAR 2 was used to assess the quality of reviews. The overlap between reviews was calculated.

RESULTS

Twelve reviews were included. Overall, reviews showed that burnout was prevalent in oncologists and oncology nurses. On the other hand, no reviews meta-analyzed the prevalence of burnout in oncology radiation therapists. In addition, the dimensions of burnout, high emotional exhaustion, high depersonalization, and low personal accomplishment were highly prevalent across reviews in oncologists, oncology nurses, and oncology radiation therapists. In oncologists, the Americas (specifically Canada) showed the highest prevalence rates for high emotional exhaustion, whereas high depersonalization and low personal accomplishment were mainly prevalent in Europe and Asia, respectively. In oncology nurses, high emotional exhaustion and high depersonalization were mainly prevalent in Asia, whereas low personal accomplishment was more prevalent in the Americas (specifically Canada). The prevalence of overall levels of burnout was not meta-analyzed by continents.

CONCLUSION

Some methodological improvements may help to make more robust the findings of this overview (e.g., specific subgroup meta-analyses by oncology specialties), which may help readers reach more precise, direct, and consistent findings.

PROTOCOL REGISTRATION

https://doi.org/10.17605/OSF.IO/QPWG5 .

摘要

目的

本次综述旨在总结全球肿瘤专业人员的 burnout 患病率以及 burnout 的维度(情绪耗竭、去人性化和个人成就感)。

方法

从建库到 2023 年 9 月 13 日,我们在 CINAHL、Embase、PsycINFO 和 PubMed 数据库中进行了检索。使用 AMSTAR 2 评估综述的质量。计算了综述之间的重叠。

结果

共纳入 12 篇综述。总体而言,综述表明 burnout 在肿瘤学家和肿瘤护士中较为普遍。另一方面,没有综述对肿瘤放射治疗师 burnout 的患病率进行荟萃分析。此外,在肿瘤学家、肿瘤护士和肿瘤放射治疗师中,burnout 的各个维度(高情绪耗竭、高去人性化和低个人成就感)都非常普遍。在肿瘤学家中,情绪耗竭程度最高的是美洲(特别是加拿大),而高去人性化和低个人成就感主要集中在欧洲和亚洲。在肿瘤护士中,高情绪耗竭和高去人性化主要集中在亚洲,而低个人成就感则更集中在美洲(特别是加拿大)。由于各洲数据量不足,未能对整体 burnout 水平的患病率进行荟萃分析。

结论

一些方法学上的改进可能有助于使本次综述的发现更加可靠(例如,按肿瘤专业进行特定的亚组荟萃分析),这可能有助于读者获得更准确、直接和一致的发现。

方案注册

https://doi.org/10.17605/OSF.IO/QPWG5。

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