运用印尼文的oldenburg倦怠量表来测量住院医师的倦怠

A. Moelyo, M. Hanafi
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摘要

背景:职业倦怠在医疗住院医师中很常见,需要一个非商业的工具来评估医疗住院医师的职业倦怠。本研究旨在将印尼文的Oldenburg倦怠量表(OLBI)应用于医疗住院医师,并分析其效度与信度。案例讨论:英文版的OLBI由英语翻译专家将其前后翻译成印尼语,并由作者进行适当修改。问卷的受访者分别来自第一次试验的儿科住院医师(48名)和第二次试验的内科、儿科、皮肤科、外科和神经内科住院医师(109名)。两个试验的项目检验与测量的构念效度的相关性都很好。然后进行验证性因子分析,评估第二次试验的拟合优度(GOF)、近似均方根误差(RMSEA)、比较拟合指数(CFI)、塔克-刘易斯指数(TLI)、标准化均方根残差(SRMR)和决定系数(CD)。16项指标的单因素模型和多维GOF结果均不理想(χ20.08)。8个条目(3个耗尽项和5个脱离项)的倦怠双因素分析的GOF结果如下:χ2=0.378;RMSEA = 0.025;CFI = 0.995;TLI = 0.993;SRMR = 0.036;和CD = 0.898。第一次试验、第二次试验和最终模型的内部一致性信度Cronbach 's alpha分别为0.73、0.87、0.83和0.79。结论:医疗住院医师职业倦怠量表的8项修正印文译本具有良好的信效度。
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ADAPTING THE OLDENBURG BURNOUT INVENTORY INTO BAHASA INDONESIA FOR MEASURING BURNOUT IN MEDICAL RESIDENTS
 Background: Burnout is common among medical residents, and a non-commercial tool for assessing burnout for medical residents is needed. This study aimed to adapt the Oldenburg Burnout Inventory (OLBI) in Bahasa Indonesia for medical residents and to analyze its validity and reliability.Case Discussion: The English version of OLBI was forward and backward translated to and from Bahasa Indonesia by English-language translation experts, and was appropriately modified by the authors. The respondents of the questionnaire were taken from pediatric residents in the first trial (48 subjects), and from internal medicine, pediatric, dermatology, surgery, and neurology residents in the second trial (109 subjects). The item-test correlation to measured construct validity was good for both trials. A confirmatory factor analysis was then undertaken to evaluate the goodness of fit (GOF), the root mean squared error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis index (TLI), standardized root mean squared residual (SRMR), and coefficient of determination (CD) in the second trial. The results of the one-factor model and multidimensional GOF of the 16 items were unsatisfactory (χ2<0.05 and RMSEA>0.08). The GOF of the two-factor analysis of burnout with 8 items (3 exhaustion items and 5 disengagement items) created the following results: χ2=0.378; RMSEA=0.025; CFI=0.995; TLI=0.993; SRMR=0.036; and CD=0.898. The Cronbach’s alphas, for internal consistency reliability, in the first trial, second trial, and final model were 0.73, 0.87, 0.83, and 0.79, respectively.Conclusion: An 8-items modified Bahasa Indonesia translation of the OLBI for medical residents to measure burnout has good reliability and validity. 
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