沙特阿拉伯塔布克萨勒曼国王武装部队医院医生的职业倦怠患病率

Nora Mohamed, Mohammad Sidiq, H. Alblewi, Mehul Contractor
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摘要

简介:军人职业倦怠包括情绪衰竭、人格解体和个人成就感下降。这可能会对患者护理质量和医疗团队产生不利影响,并可能损害培训医师和执业医师的健康。造成这种情况的原因包括工作时间过长、工作制度和文书负担低、职业家庭冲突、缺乏部门支持、劳动力有限和领导文化欠佳。目的:本研究旨在测量在沙特阿拉伯萨勒曼国王武装部队医院工作的医生的职业倦怠患病率,并研究可能的相关社会人口变量。方法:于2015年4 - 5月对医师进行横断面研究。本研究采用了一份自我管理的问卷,其中包括Maslach职业倦怠量表-人类服务调查(MBI-HSS)中的社会人口统计学特征、压力来源和职业倦怠问题。采用学生t检验和卡方检验进行分析。结果:男性居多,年龄≥35岁占74.8%,患病率14.2%。在与情绪耗竭相关的分析变量中,运动、轮班、工作负荷、生活质量、工作满意度和专业对情感表达有显著影响(P值<0.05)。轮班值班、工作负荷、生活质量感知和专业的显著性影响因素P值均小于0.05。结论:医师职业倦怠普遍存在;我们确定了与情绪耗竭(EE)、人格解体(DP)和个人成就(PA)显著相关的变量。然而,建议进一步研究本研究未提及的其他预测因素,所有卫生政策制定者必须共同努力,设计和实施有效的医生职业倦怠补救措施。
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Prevalence of Burnout among Physicians at King Salman Armed Forces Hospital, Tabuk, Saudi Arabia
Introduction: Physician burnout in armed forces involves emotional exhaustion, depersonalization and a sense of declined personal accomplishment. This can have an adverse effect on quality patient care, the healthcare team and can cost physician health in both in-training physicians and practicing physicians. The causative factors include excessive long work shifts, inefficient work systems and clerical burdens, professional home conflicts, lack of departmental support, limited work force and poor leadership culture. Objectives: This study aims at measuring the prevalence of burnout in physicians working in King Salman armed forces hospital Saudi Arabia and studying possible related socio-demographic variables. Methods: A cross sectional study was conducted between April and May 2015 among physicians. A self‑administered questionnaire was used that includes questions on socio demographic characteristics, sources of stress and burnout of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) in this study. Student’s T-test and chi square tests were used for analysis. Results: Majority were males 74.8% aged more than 35 years with the prevalence rate of 14.2%. The analyzed variables associated with emotional exhaustion, the following factors significantly affected the EE with P value<0.05, exercise, alternate shift duty, work over load, quality of life, satisfaction with work and specialty. As for the significant factors associated with DP, shift duty, work overload, quality of life perception and specialty were found to have P value less than 0.05. Conclusion: Burnout is prevalent among physicians; we identified variables significantly associated with Emotional exhaustion (EE), Depersonalization (DP) and Personal accomplishment (PA). However, further research is recommended to study other predictors not mentioned in the current study and all health policy makers must work jointly in designing and implement effective remedial measures for physician burnout.
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