García-Pérez Lilian, Pino Yadira Maria, Ansoleaga Elisa
Doctorate in Psychology, Faculty of Psychology, Universidad Diego Portales, Santiago, Metropolitan Region, Chile.
Independent investigator, Cape Coral, FL, USA.
Rev Bras Med Trab. 2025 Aug 25;23(1):e20241329. doi: 10.47626/1679-4435-2024-1329. eCollection 2025 Jan-Mar.
This study aimed to systematically map existing evidence on the prevalence of work-related stress syndromes in the health care sector in Latin America and their associations with sociodemographic and occupational variables, with the goal of identifying knowledge gaps. Relevant studies published between 2019 and 2023 were reviewed across three databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for scoping reviews. Study characteristics, sample details, explored syndromes, and results were recorded. The search identified 7,898 articles. After removing duplicates and assessing eligibility criteria, 67 articles were reviewed, with 12 included in the final analysis. Brazil had the highest number of included studies. Most samples consisted of women and physicians and nurses. All studies addressed burnout syndrome, with reported prevalence ranging from 13.2% to 70.3%. High emotional exhaustion was reported in 15.9% to 39.4% of participants, high depersonalization in 11.8% to 44.2%, and low personal fulfillment in 0% to 61.3%. Findings on sociodemographic and occupational variables were heterogeneous, showing both convergence and divergence with existing literature. Information on work-related stress syndromes in Latin American health care professionals is largely limited to burnout, with a focus on mental health and workplace conditions within specific groups and professions. There is an urgent need to explore other syndromes and professional categories to identify additional factors affecting the mental health of this population.
本研究旨在系统梳理拉丁美洲医疗保健部门与工作相关的压力综合征患病率及其与社会人口学和职业变量之间关联的现有证据,以找出知识空白。按照系统评价和Meta分析的首选报告项目(PRISMA)范围综述指南,对2019年至2023年间发表的相关研究在三个数据库中进行了检索。记录了研究特征、样本细节、所探讨的综合征及结果。检索共识别出7898篇文章。在去除重复项并评估纳入标准后,对67篇文章进行了综述,最终纳入分析的有12篇。巴西的纳入研究数量最多。大多数样本由女性以及医生和护士组成。所有研究均涉及职业倦怠综合征,报告的患病率在13.2%至70.3%之间。15.9%至39.4%的参与者报告有高度情感耗竭,11.8%至44.2%有高度去个性化,而个人成就感低落的比例在0%至61.3%之间。关于社会人口学和职业变量的研究结果各异,与现有文献既有趋同之处也有分歧。拉丁美洲医疗保健专业人员中与工作相关的压力综合征信息主要局限于职业倦怠,且侧重于特定群体和职业中的心理健康及工作场所状况。迫切需要探索其他综合征和专业类别,以确定影响该人群心理健康的其他因素。