Yeddes Imene, Meddeb Khadija, Mokrani Amina, Boukhris Imene, Khiari Houyem
Department of Nuclear Medicine, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Department of Medical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Tunis Med. 2023 Oct 5;101(10):759-764.
Oncologists are often confronted with patients at the end of their lives who are suffering. This can lead to anxiety and depressive disorders (ADD), affecting the quality of the doctors's quality of life.
To compare the level of ADD among doctors practicing at Salah Azaiez Institute (SAI) in Tunis with doctors who do not treat cancer patients, while identifying any factors associated with these disorders.
We conducted a comparative and analytical study of 141 physicians:53 oncologists practicing at the Salah Institut Azaiez and 91 at other hospital structures (Charles Nicolle's Hospital and Rabta's Hospital), matched by age and gender for a period of 2 months, started from 02 May to 30 June 2022.
Our research showed that SAI's doctors were significantly more exposed to anxiety disorders (p= 0.016) compared with other doctors (47.2% vs. 37.5%), without being more exposed to depressive disorders. SAI's doctors reported more associated stress factors, notably exposure to body image-distorting tumors (p<0.001), exposure to the suffering of loved ones (p=0.006), lack of human resources (p=0.017), perceived unsuitability of premises (p=0.001) and overwork (p=0.013). These doctors consumed more alcohol (p=0.04). In addition, 58.5% of SAI's doctors felt that their profession significantly affected their quality of life, compared to 45% of doctors in other hospitals (p=0.04).
All the doctors questioned, "all specialties combined", showed varying rates of anxiety and depressive disorders. However, anxiety disorders were significantly higher among SAI's doctors, for whom stress factors had a greater impact.
肿瘤学家经常面对生命末期饱受痛苦的患者。这可能导致焦虑和抑郁障碍(ADD),影响医生的生活质量。
比较在突尼斯萨拉赫·阿扎耶兹研究所(SAI)执业的医生与不治疗癌症患者的医生之间的ADD水平,同时确定与这些障碍相关的任何因素。
我们对141名医生进行了一项对比分析研究:53名在萨拉赫·阿扎耶兹研究所执业的肿瘤学家和91名在其他医院机构(查尔斯·尼科勒医院和拉卜塔医院)执业的医生,按年龄和性别匹配,为期2个月,从2022年5月2日至6月30日。
我们的研究表明,与其他医生相比,SAI的医生患焦虑障碍的风险显著更高(p = 0.016)(47.2%对37.5%),但患抑郁障碍的风险并未更高。SAI的医生报告了更多相关的压力因素,特别是接触身体形象扭曲的肿瘤(p < 0.001)、接触亲人的痛苦(p = 0.006)、人力资源不足(p = 0.017)、感觉场所不合适(p = 0.001)和工作过度(p = 0.013)。这些医生饮酒更多(p = 0.04)。此外,58.5%的SAI医生认为他们的职业对他们的生活质量有显著影响,而其他医院的医生这一比例为45%(p = 0.04)。
所有接受询问的医生,“所有专科加起来”,都表现出不同程度的焦虑和抑郁障碍。然而,SAI的医生中焦虑障碍显著更高,压力因素对他们的影响更大。