Kilova Kristina, Stoyanova Rumyana, Harizanova Stanislava, Baltov Marin
Department of Medical Informatics, Biostatistics and E-Learning, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria.
Department of Health Management and Health Economics, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria.
Healthcare (Basel). 2024 May 10;12(10):987. doi: 10.3390/healthcare12100987.
The objective of the present study is to analyze the link between the degree of professional burnout among general practitioners in Bulgaria during a pandemic and their satisfaction with the balance between their personal lives and professional lives. A cross-sectional study was conducted during the fourth wave of the COVID-19 pandemic from December 2021 to January 2022 among 377 general practitioners. We identified the presence and level of burnout syndrome among GPs using V. Boyko's method for diagnostics of the severity of symptoms and the phases of formation and completion of the 'occupational burnout' process. Descriptive statistics and parametric and non-parametric tests were used for the analysis. For the significance level of the null hypothesis, we assumed that < 0.05 at a 95% confidence interval. A total of 96.3% of the GPs had a high level of burnout during the COVID-19 pandemic. They worked more than 8 h a day (74.8%) and more than 5 days a week (69.0%). A total of 86.3% of them were not satisfied with the spare time they had and stated that they could not balance their work and personal lives (67.1%) since the pandemic was announced. A link was found between the level of professional burnout and long working hours ( = 0.022), dissatisfaction with free time ( = 0.028), and the inability to balance work and personal life ( = 0.000), as well as concerns related to safety during the pandemic ( = 0.048). Unrealistically high levels of burnout during the COVID-19 pandemic due to a disturbed work-life balance is a reason to re-evaluate health policies and involve more hospital care doctors at the frontlines to fight against severe infectious diseases. The results of this study could be used to inform policy makers, healthcare managers, and other stakeholders about the factors that have had profound impacts on GPs' stress levels during the COVID-19 pandemic.
本研究的目的是分析保加利亚全科医生在疫情期间的职业倦怠程度与他们对个人生活和职业生活平衡的满意度之间的联系。在2021年12月至2022年1月的新冠疫情第四波期间，对377名全科医生进行了一项横断面研究。我们使用V. 博伊科诊断“职业倦怠”过程症状严重程度及形成和完成阶段的方法，确定了全科医生中倦怠综合征的存在情况和程度。分析采用描述性统计以及参数检验和非参数检验。对于原假设的显著性水平，我们假定在95%置信区间下p < 0.05。在新冠疫情期间，共有96.3%的全科医生有高度倦怠。他们每天工作超过8小时（74.8%），每周工作超过5天（69.0%）。共有86.3%的人对自己拥有的业余时间不满意，并表示自疫情宣布以来他们无法平衡工作和个人生活（67.1%）。研究发现，职业倦怠程度与长时间工作（p = 0.022）、对业余时间不满意（p = 0.028）、无法平衡工作和个人生活（p = 0.000）以及对疫情期间安全的担忧（p = 0.048）之间存在联系。由于工作与生活平衡受到干扰，新冠疫情期间出现的不切实际的高度倦怠是重新评估卫生政策并让更多医院护理医生参与抗击严重传染病一线工作的一个理由。本研究结果可用于让政策制定者、医疗保健管理人员和其他利益相关者了解在新冠疫情期间对全科医生压力水平产生深远影响的因素。
