Department of Anesthesiology, Pain and Intensive Care Medicine, Hospital São Paulo, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2024 Sep 2;22:eAO0271. doi: 10.31744/einstein_journal/2024AO0271. eCollection 2024.
To evaluate the prevalence of burnout among the intensive care unit team of a university hospital after the second wave of COVID-19 and identify the key factors associated with its development.
This single-center study included 395 employees from a multidisciplinary team. The participants completed a questionnaire based on the Maslach Burnout Inventory. Multivariate analysis was used to identify the factors associated with burnout.
Of 395 participants, 220 responded to the questionnaire (response rate: 56%). The prevalence of Burnout syndrome, defined as a severe score in at least one dimension, was 64.5% (142/220). Emotional distress was the most prevalent dimension, with a severe score affecting 50.5% (111/220) of the participants, followed by depersonalization at 39.1% (86/220). Only 5.9% (13/220) had severe scores in all three dimensions. Multivariate analysis revealed that being a physician was significantly associated with severe burnout symptoms in at least one dimension (odds ratio (OR), 1.32; 95% confidence interval (95%CI): 1.57-9.05; p=0.003). Additionally, having two or more jobs was associated with burnout in the three dimensions (OR=1.65; 95%CI=1.39-19.59; p=0.01).
This study highlights the alarming prevalence of burnout among intensive care unit teams, particularly among physicians, following the second wave of COVID-19. This emphasizes the need for targeted interventions and support systems to mitigate burnout and reduce its negative impact on healthcare professionals' well-being and patient care.
评估大学附属医院重症监护病房团队在第二波 COVID-19 后出现倦怠的流行情况，并确定与倦怠发展相关的关键因素。
这项单中心研究纳入了来自多学科团队的 395 名员工。参与者完成了基于 Maslach 倦怠量表的问卷。采用多变量分析来确定与倦怠相关的因素。
在 395 名参与者中，有 220 名（应答率：56%）回答了问卷。定义为至少一个维度严重评分的倦怠综合征的患病率为 64.5%（142/220）。情感困扰是最普遍的维度，有 50.5%（111/220）的参与者出现严重评分，其次是去人性化，占 39.1%（86/220）。只有 5.9%（13/220）的参与者在所有三个维度上均出现严重评分。多变量分析显示，作为医生与至少一个维度的严重倦怠症状显著相关（优势比（OR），1.32；95%置信区间（95%CI）：1.57-9.05；p=0.003）。此外，有两份或更多份工作与三个维度的倦怠相关（OR=1.65；95%CI=1.39-19.59；p=0.01）。
本研究强调了 COVID-19 第二波疫情后，重症监护病房团队，特别是医生中出现的令人震惊的倦怠流行情况。这强调了需要采取有针对性的干预措施和支持系统来减轻倦怠，并减少其对医疗保健专业人员福祉和患者护理的负面影响。
