Wu Jia, Zhang Hanyun, Jia Litao, Zhu Chunpeng, Wang Yuqi, Chen Yiping, Wang Caihua
Department of Gastroenterology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, Zhejiang Province, China.
Department of Psychiatry, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, Zhejiang Province, China.
Sci Rep. 2025 Jul 28;15(1):27462. doi: 10.1038/s41598-025-12884-w.
This study aims to screen for occupational burnout among internal medicine physicians through an online survey, and to explore the relationship between burnout and anxiety, depression, stress, and sleep. The findings are expected to help improve the mental and physical health of physicians, thereby enhancing the medical quality in hospitals. Maslach burnout inventory-general survey (MBI-GS) was used to assess physicians' burnout status, Minnesota satisfaction questionnaire (MSQ) was used to evaluate the job satisfaction, Generalized anxiety disorder 7 (GAD-7), Patient health questionnaire-9 (PHQ-9), and Perceived stress scale (PSS) were used to assess the psychological status, and Pittsburgh sleep quality index (PSQI) was used to evaluate sleep conditions. Frequent nocturnal awakenings significantly increase the risk of occupational burnout, but the impact differs by gender. For men, nocturnal awakenings ≤ 2 times/week do not significantly increase the burnout risk, while ≥ 3 times/week significantly increase the risk. For women, 1 or more nighttime awakenings per week significantly increase burnout risk, with a stronger effect than in men. Nocturnal awakenings 1-2 times/week and ≥ 3 times/week are independent risk factors for burnout. However, individuals with positive results on the GAD/PHQ/PSS scales showed a significantly higher risk of moderate burnout, even with less frequent nocturnal awakenings (< 1 time/week). As the frequency of nocturnal awakenings increases, the risk of burnout also increases, and GAD/PHQ/PSS positivity further exacerbates the risk. Nocturnal awakening is an independent risk factor for occupational burnout, with an increased risk among individuals testing positive for GAD/PHQ/PSS.
本研究旨在通过在线调查筛查内科医生的职业倦怠情况，并探讨职业倦怠与焦虑、抑郁、压力和睡眠之间的关系。研究结果有望有助于改善医生的身心健康，从而提高医院的医疗质量。采用马氏职业倦怠量表通用版（MBI-GS）评估医生的职业倦怠状况，明尼苏达满意度问卷（MSQ）评估工作满意度，广泛性焦虑障碍量表7项（GAD-7）、患者健康问卷9项（PHQ-9）和感知压力量表（PSS）评估心理状态，匹兹堡睡眠质量指数（PSQI）评估睡眠状况。夜间频繁醒来会显著增加职业倦怠的风险，但这种影响因性别而异。对于男性来说，每周夜间醒来≤2次不会显著增加职业倦怠风险，而每周≥3次则会显著增加风险。对于女性来说，每周有1次或更多次夜间醒来会显著增加职业倦怠风险，且影响比男性更强。每周夜间醒来1-2次和≥3次是职业倦怠的独立危险因素。然而，GAD/PHQ/PSS量表结果呈阳性的个体，即使夜间醒来频率较低（<每周1次），出现中度职业倦怠的风险也显著更高。随着夜间醒来频率的增加，职业倦怠风险也会增加，GAD/PHQ/PSS呈阳性会进一步加剧这种风险。夜间醒来是职业倦怠的独立危险因素，GAD/PHQ/PSS呈阳性的个体风险更高。
