迈向国家系统层面的干预：沙特研究生医疗专业项目学员职业倦怠特征分析
Towards a National System-Level Intervention: Characterization of Burnout Among Trainees of Saudi Postgraduate Healthcare Professions Programs.
作者信息
Alomar Saud, Alosaimi Fahad D, Faden Maher, Alhaider Sami A, Alsaywid Basim S, Nakshabandi Ziad, Khamis Nehal
机构信息
Child Health Excellence Center, King Abdullah bin Abdulaziz University Hospital, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia.
Department of Psychiatry, College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia.
出版信息
Healthcare (Basel). 2025 Feb 21;13(5):473. doi: 10.3390/healthcare13050473.
BACKGROUND/OBJECTIVES: High levels of burnout among healthcare professionals and trainees represent a global problem with identified profound impacts. The collection of national data for better characterization of this problem can guide more needs-sensitive targeted interventions. We aimed to identify the prevalence of burnout, the associated factors, and their impacts among trainees of Saudi postgraduate healthcare professions training programs.
METHODS
We conducted an anonymous, cross-sectional survey of 11,500 Saudi Commission for Health Specialties trainees from February to May 2019. The survey included items for socio-demographic data, physical health, and work-related items. We used validated instruments to measure burnout (Maslach Burnout Inventory), stress (Perceived Stress Scale), and depression (Patient Health Questionnaire-9).
RESULTS
A total of 6606 postgraduate trainees from different healthcare professions responded (mean age of 28.8 ± 3 years). Fifty-six percent reported burnout symptoms. Burnout was lower among female trainees (aOR, 0.73; 95% CI, 0.65-0.82) and higher in trainees working ≥40 h/week (aOR, 1.19; 95% CI, 1.03-1.37) and doing ≥six on-call shifts/month (aOR, 1.18; 95% CI, 1.03-1.37). Harassment and discrimination increased the risk of burnout by 57% and 60% (aOR = 1.57, 95% CI: 1.36-1.80 and aOR, 1.60; 95% CI, 1.38-1.86), respectively. Burnout trainees had 3.57 adjusted odds to report major depression (95% CI 3.11-4.09), were 1.25 times more likely to report major stress (95% CI 1.36-1.80), and were 1.8 times more likely to complain of sleep disorders (95% CI 1.60-2.04).
CONCLUSION
This study identified several personal and work-related risk factors and impacts of burnout among our postgraduate trainees. The findings were helpful in guiding the expansion of the national Da'em well-being and prevention of burnout program efforts to a targeted system-level intervention.
背景/目的：医疗保健专业人员和实习生中存在的高水平职业倦怠是一个全球性问题，已确认会产生深远影响。收集国家数据以更好地描述这一问题，可为更具需求敏感性的针对性干预措施提供指导。我们旨在确定沙特研究生医疗保健专业培训项目实习生中职业倦怠的患病率、相关因素及其影响。
方法
2019年2月至5月，我们对11500名沙特卫生专业委员会实习生进行了一项匿名横断面调查。该调查包括社会人口统计学数据、身体健康和工作相关项目的内容。我们使用经过验证的工具来测量职业倦怠（马氏职业倦怠量表）、压力（感知压力量表）和抑郁（患者健康问卷-9）。
结果
共有来自不同医疗保健专业的6606名研究生实习生做出回应（平均年龄28.8±3岁）。56%的人报告有职业倦怠症状。女性实习生职业倦怠发生率较低（调整后比值比，0.73；95%置信区间，0.65-0.82），每周工作≥40小时的实习生职业倦怠发生率较高（调整后比值比，1.19；95%置信区间，1.03-1.37），每月值≥6次班的实习生职业倦怠发生率也较高（调整后比值比，1.18；95%置信区间，1.03-1.37）。骚扰和歧视分别使职业倦怠风险增加57%和60%（调整后比值比 = 1.57，95%置信区间：1.36-1.80；调整后比值比，1.60；95%置信区间，1.38-1.86）。有职业倦怠的实习生报告重度抑郁症的调整后几率为3.57（95%置信区间3.11-4.09），报告重度压力的可能性是其他人的1.25倍（95%置信区间1.36-1.80），抱怨睡眠障碍的可能性是其他人的1.8倍（95%置信区间1.60-2.04）。
结论
本研究确定了我们研究生实习生中职业倦怠的几个个人和工作相关风险因素及其影响。这些发现有助于指导将国家Da'em幸福感和职业倦怠预防计划扩展为有针对性的系统层面干预措施。
Zotero 插件