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【文摘发布】ICU专科医生身心耗竭的高患病率及
Author：Nathalie Embriaco1, Elie Azoulay2, Karine Barrau3
Resource: American Journal of Respiratory and Critical Care Medicine Vol 175. pp. 686-692, (2007)
Abstract:
Rationale: Professional burnout is a psychological syndrome arising in response to chronic interpersonal stressors on the job. There is the perception that intensivists are particularly exposed to stress because lives are literally in their hands.
Objective: To evaluate the prevalence and associated factors (patients or organization) of burnout among physicians working in intensive care units (ICUs) (including interns, residents, fellows, and attending physicians).
Methods: A 1-day national survey was conducted in adult ICUs in French public hospitals.
Measurements: The level of burnout was evaluated on the basis of the Maslach Burnout Inventory (MBI).
Main Results: A total of 189 ICUs participated and 978 surveys were returned (82.3% response rate). A high level of burnout was identified in 46.5% of the respondents. Ordinal logistic regression showed that female sex (odds ratio, 1.58; 95% confidence interval, 1.09 to 2.30) was independently associated with a higher MBI score. Whereas no factor related to the severity of illness of patients was retained by the model, organizational factors were strongly associated with a higher MBI score. Workload (the number of night shifts per month, a long period of time from the last nonworking week, night shift the day before the survey) and impaired relationships (such as conflict with another colleague intensivist, and/or with a nurse) were the variables independently associated with a higher MBI score. In contrast, the quality of the relationships with chief nurses and nurses was associated with a lower MBI score.
Conclusions: Approximately one-half of the intensivists presented a high level of burnout. Organizational factors, but not factors related to the patients, appeared to be associated with burnout.
Key Words: intensive care unit • organizational management • conflict
AT A GLANCE COMMENTARY
Scientific Knowledge on the Subject
Little is known about burnout in intensivists (including both juniors and seniors). Associated factors have not been identified.
What This Study Adds to the Field
The present study suggests that a high level of burnout is present in about 50% of intensivists. Organizational factors, but not factors related to patients, appear to be associated with burnout. Intensivists 就是ICU specialists 也可以翻译为 危重病专科医生
认领翻译者及参与讨论者方可pm我索要全文 w我以认领了 看来大家对翻译的兴趣很大啊，我怎么也抢不上。 高度的职业性倦怠在监护病房医生中的流行情况及相关因素
Author：Nathalie Embriaco1, Elie Azoulay2, Karine Barrau3
Resource: American Journal of Respiratory and Critical Care Medicine Vol 175. pp. 686-692, (2007)
Abstract:
原理: 职业性倦怠是在工作中由于长期人际关系紧张所致的一种精神综合征。有人认为特别是监护病房的工作人员，由于生命完全操纵在他们手中，经常处于这种紧张之中。
目的: 研究监护病房的医生（包括实习医生、住院医生、进修医生和主治医师）中职业性倦怠的流行情况及相关因素（病人或机构）。
方法: 在法国公立医院的成人ICU中进行一天全国性问卷调查。
评分: 倦怠的水平采用MBI 量表进行测评。
主要结果: 共有189个 ICU参与调查，问卷收回978份(回收率82.3% )。在收回的问卷中发现有46.5% 的人患有高度倦怠。logistic 回归分析发现女性与较高的MBI 评分独立相关 (优势比 1.58; 95% 可信区间 1.09 － 2.30)。然而没有一个与患者病情严重程度相关的因素进入方程，机构的因素与高MBI评分有较强的相关性。工作负荷 (每月夜班的数量, 连续工作的时间, 调查前一天夜班) 和人际关系恶化 (如与监护病房的同事和/或护士发生冲突)都是与较高的MBI 评分独立相关的变量。然而，与护士长及护士之间的关系与较低的MBI评分相关。
结论: 大约一半的监护病房的医生患有高度的倦怠。机构因素，而不是病人因素似乎与之相关。
简评
关于职业性倦怠的科学知识
职业性倦怠在监护病房医生（包括初、高级）中的发病情况知之甚少，其相关因素仍然未知。
通过这个研究，可以知道： 在大约50%的监护病房医生中患有高度的倦怠，机构因素，而不是病人因素与之相关。 哈哈，任务完成了，版主加分啊。 关于职业性倦怠的科学知识
我们的医疗体系里何时关注医务人员的保护！唉。实用内科第10版的一个评论文章里提到希望：希望第11版里关注医务人员的身心保护，结果？、、、、、、老是听说欧美的医生每天预约诊疗，限量。我们没日没夜的干，还要受大众的质疑，真TNN的可怜。 [标签:content1][标签:content2]
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作者:admin@医学,生命科学 2011-02-24 17:11
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