Revisão sistemática sobre prevalência de Burnout em médicos intensivistas

Márcia Staffa Tironi, Gabriella Bené Barbosa, Gabriel Silva Rocha, Karole Brito Alves Costa, Marcos de Almeida Matos, Carlito Lopes Nascimento Sobrinho
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Abstract

The work in intensive care unit (ICU) can be considered one of the most stressful for the physician and the relation between this work and the burnout syndrome is still little studied. A systematic review was carried out to describe the scientific production on the prevalence and factors related with burnout syndrome in intensive care physicians, published in databases: IBECS, LILACS, MEDLINE, Psyc Info, PubMed and Scielo. Inclusion criteria were original studies, with transversal delimitation, that used the Maslach Burnout Inventory (MBI) in intensive care physicians. The search identified 118 articles and of these, 09 articles were eligible. The second decade of the 2000s had the largest concentration of articles and five publications were held in Brazil, which may mean an increase in the national scientific production on the subject. The results of the studies that used as a diagnostic criterion the high level in at least one dimension of the syndrome, indicated a high prevalence of burnout. It was also observed a diversity of factors associated with the prevalence of burnout. It was found a heterogeneity of criteria for identifying the syndrome and ways of calculating and interpreting MBI results. It is suggested to standardize the criteria for identification of the syndrome, calculations and interpretation of MBI results.
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重症监护医师职业倦怠患病率的系统综述
重症监护病房(ICU)的工作被认为是医生压力最大的工作之一,其与倦怠综合征之间的关系研究尚少。对重症监护医生中职业倦怠综合征患病率及相关因素的科学研究成果进行了系统回顾,研究结果发表在IBECS、LILACS、MEDLINE、Psyc Info、PubMed和Scielo数据库中。纳入标准为原始研究,横向划分,使用Maslach倦怠量表(MBI)对重症监护医生进行调查。检索出118篇文章,其中09篇符合条件。本世纪头十年的第二个十年是文章最集中的十年,在巴西举行了五次出版物,这可能意味着国家在这一主题方面的科学生产有所增加。研究结果表明,作为诊断标准,在至少一个方面的高水平的综合征,表明一个高流行的倦怠。还观察到与职业倦怠患病率相关的多种因素。我们发现,识别综合征的标准以及计算和解释MBI结果的方法存在异质性。建议规范MBI结果的辨证、计算和解释标准。
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