Yehia Aline Camile, Moreira Janaina, Premaor Melissa Orlandin
Pós-Graduação em Ciências Aplicadas à Saúde do Adulto, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Department of Pediatrics, Medical School, Federal University of Minas Gerais, Belo Horizonte, Brazil.
PLoS One. 2025 Apr 7;20(4):e0321443. doi: 10.1371/journal.pone.0321443. eCollection 2025.
In recent years, there has been an increase in the concern for the mental health of resident physicians. The COVID-19 pandemic may have further contributed negatively to the mental health of this population.
We aimed to evaluate the probability of Burnout Syndrome in resident physicians involved in COVID-19 care services during the Pandemic and possible factors associated with it.
A cross-sectional study was conducted in two tertiary hospitals in Belo Horizonte, Brazil, between the 5th of June and the 14th of September 2022. A survey including the instruments Oldenburg Burnout Inventory (OLBI), Depression, Anxiety and Stress Scale (DASS-21), Patient Health Questionnaire (PHQ-9), and the Brief Resilient Coping Scale (BRCS) was applied.
From the 181 resident physicians invited to participate, 104 agreed. The mean age (SD) was 29.9 (3.3) years; 56.7% were female, and 67.3% were from a clinical residency program. The score of the OLBI was high. In the multivariate analysis, being single, using psychiatric medications, and taking direct care of COVID-19 were associated with increases in the OLBI scale scores. The frequencies of probable depression and anxiety assessed by DASS-21 were 15.3% and 5.7%, respectively. Notwithstanding, the frequency of probable stress was 61.5%. Depressive symptoms, as evaluated by the PHQ-9 questionnaire, were highly prevalent at 61.5%. Further, 29% of the resident physicians interviewed in our study had probable low resilience according to the BRCS score.
The frequency of Burnout, depression, and stress found in our study appears to be relevant in the resident physicians.
近年来，住院医师的心理健康问题日益受到关注。新冠疫情可能进一步对这一群体的心理健康产生了负面影响。
我们旨在评估在疫情期间参与新冠护理服务的住院医师出现职业倦怠综合征的可能性及其相关因素。
2022年6月5日至9月14日，在巴西贝洛奥里藏特的两家三级医院进行了一项横断面研究。应用了一项调查，其中包括奥尔登堡倦怠量表（OLBI）、抑郁、焦虑和压力量表（DASS-21）、患者健康问卷（PHQ-9）和简短弹性应对量表（BRCS）。
在邀请参与的181名住院医师中，104人同意参与。平均年龄（标准差）为29.9（3.3）岁；56.7%为女性，67.3%来自临床住院医师项目。OLBI得分较高。在多变量分析中，单身、使用精神科药物以及直接护理新冠患者与OLBI量表得分增加相关。通过DASS-21评估的可能的抑郁和焦虑频率分别为15.3%和5.7%。尽管如此，可能的压力频率为61.5%。根据PHQ-9问卷评估，抑郁症状非常普遍，为61.5%。此外，根据BRCS评分，在我们研究中接受访谈的住院医师中有29%可能具有较低的心理弹性。
我们研究中发现的职业倦怠、抑郁和压力频率在住院医师中似乎较为突出。
