Gibbons Gregory M, Bland Helen W, Aslakson Aaron, Melton Bridget
Concordia University Chicago, River Forest, IL, USA (GMG).
Department of Health Policy & Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, USA (HWB).
Am J Lifestyle Med. 2025 Jun 7:15598276251348408. doi: 10.1177/15598276251348408.
Physician burnout has become a critical issue in healthcare, particularly among emergency medicine physicians, who face unique stressors that can compromise their well-being and quality of life. This study investigates the relationship between burnout and quality of life in emergency medicine physicians and how these factors influence their intent to remain in practice.
In August 2024, a survey was distributed to 103 emergency physicians to assess burnout using the Maslach Burnout Inventory and quality of life using the World Health Organization Quality of Life-BREF survey. Demographic information and intentions regarding their continued practice in emergency medicine were also collected. Statistical analyses, including independent samples -test, Pearson's correlation and multiple regression, were performed to examine relationships among variables.
Most respondents (77.7%) were identified as being at high risk for burnout. Most physicians reported a high quality of life despite significant burnout rates, with the lowest score being psychological health ( = 66.24, = 18.97) while the highest being physical health ( = 76.06, = 13.38). There was a statistically significant association between all burnout domains and the quality of life subgroups. Emotional exhaustion showed a strong negative correlation with psychological health ( = -0.634, < 0.01) and social relationships ( = -0.358, < 0.01). At the same time, personal accomplishment correlated positively with both psychological health ( = 0.525, < 0.01) and social relationships ( = 0.317, < 0.01). A statistically significant negative correlation existed between emotional exhaustion and depersonalization and the physician's years of intended practice ( = -.127, = .010). Using multiple linear regression, physical and psychological health significantly predicted emotional exhaustion and psychological health significantly predicted depersonalization.
This study highlights the high prevalence of burnout among emergency medicine physicians and its significant impact on their quality of life and professional intentions. Furthermore, physical and psychological quality of life substantially influences emotional exhaustion and depersonalization. The findings underscore the need for comprehensive interventions to address burnout and enhance well-being in this demanding specialty to promote retention and improve patient care.
医生职业倦怠已成为医疗保健领域的一个关键问题，尤其是在急诊医学医生中，他们面临着独特的压力源，这些压力源可能会损害他们的幸福感和生活质量。本研究调查了急诊医学医生职业倦怠与生活质量之间的关系，以及这些因素如何影响他们继续从事该职业的意愿。
2024年8月，向103名急诊医生发放了一份调查问卷，使用马氏职业倦怠量表评估职业倦怠情况，并使用世界卫生组织生活质量简表调查生活质量。还收集了人口统计学信息以及他们继续从事急诊医学工作的意愿。进行了包括独立样本t检验、皮尔逊相关性分析和多元回归在内的统计分析，以检验变量之间的关系。
大多数受访者（77.7%）被确定为职业倦怠高风险人群。尽管职业倦怠率很高，但大多数医生报告生活质量较高，得分最低的是心理健康（均值 = 66.24，标准差 = 18.97），最高的是身体健康（均值 = 76.06，标准差 = 13.38）。所有职业倦怠领域与生活质量子组之间存在统计学上的显著关联。情感耗竭与心理健康（r = -0.634，p < 0.01）和社会关系（r = -0.358，p < 0.01）呈强烈负相关。同时，个人成就感与心理健康（r = 0.525，p < 0.01）和社会关系（r = 0.317，p < 0.01）均呈正相关。情感耗竭和去个性化与医生打算执业的年限之间存在统计学上的显著负相关（r = -.127，p = .010）。使用多元线性回归分析，身体和心理健康显著预测情感耗竭，心理健康显著预测去个性化。
本研究突出了急诊医学医生职业倦怠的高发生率及其对他们生活质量和职业意愿的重大影响。此外，身体和心理生活质量对情感耗竭和去个性化有实质性影响。研究结果强调需要采取全面干预措施来解决职业倦怠问题，并在这个要求苛刻的专业领域提高幸福感，以促进医生留任并改善患者护理。
