Chinese Medical Sciences Journal ›› 2021, Vol. 36 ›› Issue (2): 97-102.doi: 10.24920/003800

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西藏地区麻醉医师职业耗竭现状及相关因素分析

王维嘉1,申乐1,*(),拉巴次仁2,*(),李晗歌3,张越伦4,黄宇光1   

  1. 1中国医学科学院 北京协和医学院,北京协和医院麻醉科,北京,100730
    2西藏自治区人民医院麻醉科,拉萨 850000
    3中国医学科学院 北京协和医学院,北京协和医院教育处,北京,100730
    4中国医学科学院 北京协和医学院,北京协和医院临床研究中心,北京,100730
  • 收稿日期:2020-08-27 出版日期:2020-09-11 发布日期:2021-07-07
  • 通讯作者: 申乐,拉巴次仁 E-mail:pumchshenle@aliyun.com;lbcr010203@163.com

Evaluation of Burnout Among Anesthesiologists Working in Tibet, China: Altitude and Attitude

Weijia Wang1,Le Shen1,*(),Labaciren 2,*(),Hange Li3,Yuelun Zhang4,Yuguang Huang1   

  1. 1Department of Anesthesiology,Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730 China
    2Department of Anesthesiology, Tibet Autonomous Region People’s Hospital, Lhasa, 850000 China
    3Department of Education,Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730 China
    4Medical Research Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730 China
  • Received:2020-08-27 Online:2020-09-11 Published:2021-07-07
  • Contact: Le Shen,Labaciren E-mail:pumchshenle@aliyun.com;lbcr010203@163.com

摘要:

目的 职业耗竭是对工作中长期的紧张性刺激的反应,包括情绪衰竭、去人性化和低个人成就感3个维度。在独特的地域和文化特点影响下,西藏地区麻醉医师的职业耗竭情况可能不同于其他地区,但目前尚无相关研究。本研究旨在评估西藏地区麻醉医师职业耗竭现状以及相关因素。
方法 研究采用问卷调查方式,收集西藏地区麻醉医师社会人口学、工作现状相关数据,利用Maslach职业耗竭量表评估职业耗竭的严重程度,并分析影响职业耗竭的相关因素。
结果 2018年3月至2018年6月期间,我们共收集17所医院133名麻醉医师的相关数据。研究发现中-高度情感衰竭、去人性化及低个人成就感发生率分别为65.4%(95%CI,57.0%~72.9%)、66.9%(95%CI,58.5%~74.3%)和83.5%(95%CI,76.2%~88.8%)。年手术麻醉例数≥500例、经常加班、睡眠质量中-差与较高的情绪衰竭水平相关(分别对应P<0.001,P=0.001,P<0.0001)。5~9年工作经验与较高的情感衰竭(P=0.002)和去人性化水平相关(P=0.003)。
结论 在西藏地区,超过半数麻醉医师在至少一个维度上表现出中-高水平的职业耗竭,其中参加工作5~9年的麻醉医师更易出现情感衰竭和去人性化。减轻工作负担以及提高麻醉医师的社会认可度可能有助于改善西藏地区麻醉医师的职业耗竭现状。

关键词: 经蝶垂体瘤切除术, 阻塞性脑积水, 内听动脉缺血, 突发性感音神经性聋, 耳鸣, 麻醉, 职业耗竭, 个人成就感, 西藏

Abstract:

Objective Burnout is a triad of emotional exhaustion, depersonalization, and reduced personal accomplishment resulting from job stress. Although with distinct regional and cultural characteristics, burnout among anesthesiologists in the Tibet has not been described. This study aimed to explore the prevalence of burnout among anesthesiologists in Tibet and its associated factors.
Methods A cross-sectional survey was conducted in Tibet, China, with an anonymous questionnaire. Social-demographic characteristics, work status, three dimensions of burnout assessed by the Maslach Burnout Inventory-Human Service Survey were collected and analyzed.
Results A total of 133 individuals from 17 hospitals completed the survey from March to June 2018. The prevalence of moderate- to high-level of emotional exhaustion, depersonalization, and burnout in personal accomplishment was 65.4% (95%CI, 57.0%-72.9%), 66.9% (95%CI, 58.5%-74.3%), and 83.5% (95%CI, 76.2%-88.8%), respectively. An annual caseload ≥500, frequent overtime work and fair to poor sleep quality were significantly associated with a higher level of emotional exhaustion ( P<0.001,P=0.001, and P<0.0001, respectively). 5-9 years in anesthesiology experience was significantly associated with a high level of emotional exhaustion and depersonalization (P=0.002 and P=0.003, respectively).
Conclusions More than half of anesthesiologists working in Tibet experience a moderate- to high- level of burnout in at least one dimensional scale. Anesthesiologists having 5-9 years of experience are more prone to emotional exhaustion and depersonalization. Efforts to decrease burnout through reducing the working load and raising the social recognition of anesthesiologists in Tibet should be considered.

Key words: transsphenoidal surgery for pituitary adenoma, obstructive hydrocephalus, ischemia of internal auditory arteries, sudden sensorineural hearing loss, tinnitus, anesthesia, burnout, personal accomplishment, Tibet

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