[Professional gratification crisis, overcommitment, and burnout among Ukrainian anesthesiologists and intensive care physicians during the SARS-CoV-2 pandemic].

IF 0.3 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Zentralblatt fur Arbeitsmedizin Arbeitsschutz und Ergonomie Pub Date : 2023-01-01 DOI:10.1007/s40664-022-00492-8

Irina Böckelmann, Igor Zavgorodnii, Olena Litovchenko, Valerij Kapustnyk, Beatrice Thielmann

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引用次数: 2

Abstract

Background: Mental stress of anesthesiologists and intensive care physicians is varied and complex. Overcommitment (OC) is characterized by an excessive tendency to professional commitment, which can lead to psychological stress and consequently to psychological disorders, such as burnout. The prevalence of burnout among intensive care physicians is internationally widespread. The aim of this study was to determine OC and gratification among Ukrainian anesthesia and intensive care physicians during the SARS-CoV‑2 pandemic and to analyze the risk of burnout in this professional group, and the associations between OC and burnout.

Methods: A total of 73 Ukrainian male (47.9%) and female (52.1%) intensive care physicians participated in the survey. The mean age was 39.8 ± 10.94 years (range 23-78 years). In addition to sociodemographic and occupational data, occupational gratification was collected using the effort-reward imbalance (ERI) questionnaire with additional questions on OC, and the Maslach burnout inventory (MBI). Participants were classified and compared into groups with different OC (< 16 points and ≥ 16 points).

Results: Of the participants 75% (55) could be classified into a group with OC < 16 points, and 18 presented an elevated OC. A significant difference in effort (13.9 ± 4.1 vs. 17.2 ± 3.6 points; p = 0.003) and ERI ratio (0.58 ± 0.2 vs. 0.77 ± 0.2; p = 0.006) was found between these two groups. In the group with OC ≥ 16 points, 50% of participants reported high emotional exhaustion (vs. 12.7% with OC < 16 points; p = 0.002), but also high performance (61.1% vs. 32.7%; p = 0.005). Overall, a burnout prevalence of 2.7% was found in the total sample, with both subjects represented in the OC < 16 points group. Higher emotional exhaustion was associated with higher OC, higher effort, and lower reward.

Discussion: The study results showed high emotional exhaustion among subjects with high overcommitment and three quarters of the respondents showed symptoms of burnout. For this reason, health promotion measures and prevention should be offered to counteract the high stresses during the pandemic. These should include relationship and behavioral prevention.

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[SARS-CoV-2大流行期间乌克兰麻醉师和重症监护医生的职业满足危机、过度投入和倦怠]。

背景:麻醉医师和重症监护医师的精神压力是多样和复杂的。过度承诺(OC)的特征是过度倾向于职业承诺，这可能导致心理压力，从而导致心理障碍，如职业倦怠。重症监护医生的职业倦怠在国际上是普遍存在的。本研究的目的是确定乌克兰麻醉和重症监护医生在SARS-CoV - 2大流行期间的职业倦怠和满足感，并分析该专业群体的职业倦怠风险，以及职业倦怠与职业倦怠之间的关系。方法:乌克兰共有73名重症监护医师(男47.9%)和女52.1%)参与调查。平均年龄39.8 ±10.94岁(23 ~ 78岁)。除了社会人口学和职业数据外，我们还使用了工作-报酬失衡问卷(ERI)和职业倦怠量表(MBI)来收集职业满意度。将受试者分为不同OC组(结果:75%(55)的受试者可归为OC组 p = 0.003)和ERI比值(0.58 ±0.2 vs. 0.77 ±0.2;P = 0.006)。在OC ≥16分的组中，50%的参与者报告了高度的情绪衰竭(相对于OC的12.7% p = 0.002)，但也有高表现(61.1%对32.7%; p = 0.005)。总体而言，在总样本中发现了2.7%的倦怠患病率，在OC 中都有受试者的代表:研究结果显示，高度过度承诺的受试者存在高度情绪耗竭，四分之三的受访者表现出倦怠症状。因此，应提供健康促进措施和预防措施，以抵消大流行期间的高度压力。这些措施应该包括人际关系和行为预防。

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Zentralblatt fur Arbeitsmedizin Arbeitsschutz und Ergonomie PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

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1.10

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16.70%

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期刊介绍： Zielsetzung der Zeitschrift Das Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie ist eine der ältesten deutschsprachigen wissenschaftlichen Fachzeitschriften im Bereich Arbeit, Umwelt, Gesundheit und Sicherheit. Es bietet ein Forum für frei eingereichte Originalartikel, Übersichten, Short Communications und Kasuistiken. Die Fachzeitschrift ermöglicht einen wissenschaftlichen Erfahrungsaustausch und stellt optimale Problemlösungen zur Verfügung. Die Zielgruppen der Zeitschrift sind Arbeitsmediziner, Sozialmediziner, Umweltmediziner, Sicherheitsingenieure, Arbeitswissenschaftler sowie andere Gruppen und Institutionen, die eng mit der Arbeits-, Sozial- und Umweltmedizin sowie dem Arbeitsschutz und der Ergonomie verbunden sind. Durch vertiefende Forschungsartikel und Übersichten werden Fachpersonen aus der Arbeits-, Sozial- und Umweltmedizin über neue medizinische Entwicklungen und Gesetze in der Prävention, Diagnose und Rehabilitation von umweltbedingten Erkrankungen und arbeitsbedingten Verletzungen und Erkrankungen auf dem Laufenden gehalten. Originalarbeiten und Übersichten liefern Ergebnisse der aktuellen Forschung und deren Integration in die tägliche Praxis. Die Spanne der Themen reicht dabei von toxikologischen Fragestellungen über die Reise- und Tropenmedizin und Public-Health-Aspekten bis hin zur Versorgungsforschung und Ergonomie. Aims & Scope Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie is one of the oldest scientific journals devoted to the field of work, environment, health and safety, edited in the German language. It offers a forum for freely submitted original articles, reviews, short communications and case reports. The journal enables a scientific exchange of experience and provides optimal solutions to problems. The target groups of the journal are occupational physicians, safety engineers, occupational scientists and other groups and institutions closely related to occupational, safety and environmental medicine as well as industrial safety and ergonomics. In-depth research articles and reviews keep occupational, social and environmental medicine professionals up to date on new medical developments and laws in the prevention, diagnosis and rehabilitation of environmentally induced conditions and work-related injuries and illnesses. Original papers and review articles provide results of the current research and their integration into daily practice. Topics range from the fields of toxicology, travel/tropical medicine and public health aspects to health services research and ergonomics. Review: All articles of Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie undergo a peer review process. Declaration of Helsinki: All manuscripts submitted for publication presenting results from studies on probands or patients must comply with the Declaration of Helsinki. Indexed in Emerging Sources Citation Index (ESCI), Embase and Scopus