Khan Saajida, Ntatamala Itumeleng, Baatjies Roslynn, Adams Shahieda
Division of Occupational Medicine and Centre for Environmental and Occupational Health Research, School of Public Health, University of Cape Town, Cape Town, South Africa.
Department of Environmental and Occupational Studies, Faculty of Applied Sciences, Cape Peninsula University of Technology, Cape Town, South Africa.
S Afr J Psychiatr. 2024 Apr 8;30:2225. doi: 10.4102/sajpsychiatry.v30i0.2225. eCollection 2024.
Burnout, resulting from chronic workplace stress that has been unsuccessfully managed, has previously been documented in doctors. The coronavirus disease 2019 (COVID-19) pandemic has increased occupational challenges faced by doctors, potentiating their risk for burnout.
This study aimed to determine the prevalence and determinants of burnout among medical doctors during the COVID-19 pandemic.
Three public sector hospitals in Gqeberha, South Africa.
A cross-sectional study of 260 voluntary participants was conducted. Participants completed self-administered electronic questionnaires. Logistic regression analysis was performed to explore the determinants of burnout.
The prevalence of burnout in this study was 78%. Burnout was significantly associated with being a medical intern or community-service medical officer (adjusted odd ratio [AOR] = 6.72, 1.71-26.40), being in the lowest income band (AOR = 10.78, 2.55-45.49), and using alcohol to manage work-related stress (AOR = 3.01, 1.12-8.04). Job-related factors associated with burnout were experiencing high conflict at work (AOR = 5.04, 1.92-13.20) and high role ambiguity and role conflict (AOR = 4.49, 1.98-10.18). Low support at work (AOR = 9.99, 3.66-27.23), medium job satisfaction (AOR = 5.38, 2.65-10.93) and medium support at work (AOR = 3.39, 1.71-6.73) were positively associated with burnout. Participants with medium (AOR = 0.28, 0.10-0.80) and high levels of resilience (AOR = 0.08, 0.03-0.25) were protected against burnout. Coronavirus disease 2019-related factors were not significantly associated with burnout.
The burnout prevalence among South African medical doctors at public hospitals during the COVID-19 pandemic was high and strongly associated with job stress factors.
Given the increased prevalence of burnout among doctors and the strong associations with job stress factors, mitigation of burnout requires targeted organisational interventions.
职业倦怠是由长期未得到有效管理的工作场所压力导致的，此前在医生群体中已有记录。2019年冠状病毒病（COVID-19）大流行增加了医生面临的职业挑战，加剧了他们出现职业倦怠的风险。
本研究旨在确定COVID-19大流行期间医生职业倦怠的患病率及其决定因素。
南非伊丽莎白港的三家公立医院。
对260名自愿参与者进行了一项横断面研究。参与者完成了自行填写的电子问卷。进行逻辑回归分析以探索职业倦怠的决定因素。
本研究中职业倦怠的患病率为78%。职业倦怠与作为医学实习生或社区服务医务人员显著相关（调整后的优势比[AOR]=6.72，1.71 - 26.40）、处于最低收入阶层（AOR = 10.78，2.55 - 45.49）以及使用酒精来应对工作相关压力显著相关（AOR = 3.01，1.12 - 8.04）。与职业倦怠相关的工作因素包括在工作中经历高度冲突（AOR = 5.04，1.92 - 13.20）以及高度的角色模糊和角色冲突（AOR = 4.49，1.98 - 10.18）。工作中支持度低（AOR = 9.99，3.66 - 27.23）、中等工作满意度（AOR = 5.38，2.65 - 10.93）和中等工作支持度（AOR = 3.39，1.71 - 6.73）与职业倦怠呈正相关。具有中等（AOR = 0.28，0.10 - 0.80）和高心理韧性水平（AOR = 0.08，0.03 - 0.25）的参与者可预防职业倦怠。2019年冠状病毒病相关因素与职业倦怠无显著关联。
COVID-19大流行期间，南非公立医院医生的职业倦怠患病率很高，且与工作压力因素密切相关。
鉴于医生中职业倦怠患病率的增加以及与工作压力因素的紧密关联，缓解职业倦怠需要有针对性的组织干预措施。
