Yslado Mendez Rosario M, Sanchez-Broncano Junior, Mendoza Ramirez Gina D, Villarreal-Zegarra David
Universidad Nacional Santiago Antúnez de Mayolo, Ancash, Peru.
Escuela de Psicología, Universidad Continental, Lima, Peru.
Heliyon. 2024 Apr 27;10(9):e30125. doi: 10.1016/j.heliyon.2024.e30125. eCollection 2024 May 15.
Burnout syndrome (BS) is a prevalent occupational health problem in health professionals. To describe the prevalence and factors associated with BS in Peruvian health professionals.
A systematic review and meta-analysis were performed. The key terms "burnout" and "professional exhaustion" were used with words related to Peru. The databases consulted were LILACS/Virtual Health Library, Medline/PubMed, Science Direct, EBSCO, Scopus, SciELO, and RENATI-SUNEDU; articles published between January 2000 to December 2020 were considered for inclusion. Methodological quality was evaluated using the Newcastle-Ottawa scale.
Thirty studies were identified (8 scientific articles and 22 graduate theses). The median sample size was 78, with an interquartile range of 50-110. A meta-analysis was performed to calculate a dichotomic prevalence of burnout syndrome in health professionals of 25 % (95%CI: 9 %-45 %; I2 = 97.14 %; 5 studies). Also, our meta-analysis estimated the overall prevalence of mild burnout (27 %; 95%CI: 16%-41 %; I2 = 96.50 %), moderate burnout (48 %; 95%CI: 32%-65 %; I2 = 97.54 %), and severe burnout (17 %; 95%CI: 10%-24 %; I2 = 92.13 %; 18 studies). We present meta-analyses by region, profession, hospital area, and by dimension of the Maslach Burnout Inventory. Overall, the studies presented adequate levels of quality in 96.7 % of the included studies (n = 29). In addition, our narrative review of factors associated with BS and its three dimensions identified that different studies find associations with labor, socio-demographic, individual, and out-of-work factors.
There is a higher prevalence of moderate BS in Peruvian health professionals at MINSA and EsSalud hospitals in Peru, with severity differing by region of Peru, type of profession, work area, and dimensions of BS.
职业倦怠综合征（BS）是卫生专业人员中普遍存在的职业健康问题。旨在描述秘鲁卫生专业人员中职业倦怠综合征的患病率及其相关因素。
进行了一项系统评价和荟萃分析。使用了关键词“职业倦怠”和“职业耗竭”以及与秘鲁相关的词汇。所查阅的数据库包括拉丁美洲和加勒比卫生科学数据库/虚拟健康图书馆、医学索引/医学期刊数据库、科学Direct、EBSCO、Scopus、科学电子图书馆在线和秘鲁国家电子文献与教育资源网；纳入2000年1月至2020年12月期间发表的文章。使用纽卡斯尔-渥太华量表评估方法学质量。
共识别出30项研究（8篇科学文章和22篇研究生论文）。样本量中位数为78，四分位间距为50-110。进行荟萃分析以计算卫生专业人员职业倦怠综合征的二分患病率为25%（95%置信区间：9%-45%；I²=97.14%；5项研究）。此外，我们的荟萃分析估计轻度职业倦怠的总体患病率为27%（95%置信区间：16%-41%；I²=96.50%），中度职业倦怠为48%（95%置信区间：32%-65%；I²=97.54%），重度职业倦怠为17%（95%置信区间：10%-24%；I²=92.13%；18项研究）。我们按地区、职业、医院科室以及马氏职业倦怠量表维度进行了荟萃分析。总体而言，96.7%的纳入研究（n=29）呈现出足够的质量水平。此外，我们对与职业倦怠综合征及其三个维度相关因素的叙述性综述发现，不同研究发现其与工作、社会人口统计学、个人和工作外因素有关。
秘鲁卫生部（MINSA）和秘鲁社会保障局（EsSalud）医院的秘鲁卫生专业人员中中度职业倦怠综合征的患病率较高，其严重程度因秘鲁地区、职业类型、工作领域和职业倦怠综合征维度而异。
