Yazbeck Karam Vanda, Akiki Zeina, Salame Wael, Assaf Georges, Chahine Caroline, Nawwar Rony, Boukhalil Micheline, Barakat Hanane
Lebanese American University (LAU), Gilbert and Rose-Marie Chagoury School of Medicine, Byblos, Lebanon.
Department of Anesthesiology, Lebanese American University (LAU), Gilbert and Rose-Marie Chagoury School of Medicine, Byblos, Lebanon.
PLoS One. 2025 May 9;20(5):e0322940. doi: 10.1371/journal.pone.0322940. eCollection 2025.
Burnout is an occupational hazard caused by chronic exposure to excessive work-related stress, negatively impacting both clinicians' well-being and patient safety. Anesthesiology is particularly demanding, and this stress is further exacerbated in regions affected by conflict, where residents and fellows are confronted with additional stressors beyond the usual challenges of medical training. This study aims to assess the proportion and predictors of burnout among anesthesia residents and fellows in Lebanon, a conflict-affected context, by identifying specific drivers of burnout in this population, while also evaluating their association with sociodemographic characteristics.
A cross-sectional study involving electronic, voluntary, and anonymous survey was sent to all Lebanese anesthesiology residents and fellows at all levels of training, between May and October 2024. The survey utilized the Copenhagen Burnout Inventory (CBI) in addition to other questions. Bivariate and multivariable analyses identified predictors of CBI subscales (personal, work-related, and client-related burnout respectively). An alpha of 0.05 was used to determine statistical significance.
Approximately 71% of participants reported personal burnout, with 32% classified as having a high level. Additionally, 68% reported work-related burnout, with 22% in the high category, and 36% experienced client-related burnout, with 5% classified as high. Moreover, experiencing mental health problems, reporting the need for pharmaceutical or psychological assistance, living with family and covering night shifts were found to be significantly and positively associated with different burnout dimensions.
Burnout levels among anesthesiology residents in conflict-affected areas appear elevated in reference to international studies, which is concerning given the additional stressors associated with ongoing regional conflict. The continuous escalation of these challenges is likely to exacerbate burnout over time. Targeted interventions to manage burnout are crucial for trainees' well-being and the effective functioning of medical institutions, particularly in conflict-affected regions where the stressors are compounded.
职业倦怠是长期暴露于过度的工作相关压力下导致的一种职业危害，会对临床医生的幸福感和患者安全产生负面影响。麻醉学的要求特别高，而在受冲突影响的地区，这种压力会进一步加剧，当地的住院医师和研究员除了面临医学培训中常见的挑战外，还面临着额外的压力源。本研究旨在评估黎巴嫩这一受冲突影响地区麻醉科住院医师和研究员职业倦怠的比例及预测因素，通过确定该人群职业倦怠的具体驱动因素，同时评估其与社会人口学特征的关联。
2024年5月至10月期间，对黎巴嫩各级培训阶段的所有麻醉科住院医师和研究员进行了一项横断面研究，采用电子、自愿和匿名的调查方式。该调查除了其他问题外，还使用了哥本哈根职业倦怠量表（CBI）。双变量和多变量分析确定了CBI各子量表（分别为个人、工作相关和客户相关职业倦怠）的预测因素。采用0.05的显著性水平来确定统计学意义。
约71%的参与者报告有个人职业倦怠，其中32%被归类为高水平。此外，68%的人报告有工作相关职业倦怠，22%为高水平，36%的人经历过客户相关职业倦怠，5%为高水平。此外，发现经历心理健康问题、报告需要药物或心理援助、与家人同住以及值夜班与不同维度的职业倦怠显著正相关。
与国际研究相比，受冲突影响地区麻醉科住院医师的职业倦怠水平似乎有所升高，考虑到与持续的地区冲突相关的额外压力源，这令人担忧。随着时间的推移，这些挑战的不断升级可能会加剧职业倦怠。针对性的职业倦怠管理干预措施对于学员的幸福感和医疗机构的有效运作至关重要，尤其是在压力源复杂的受冲突影响地区。
