Stress and cataract surgery: A nationwide study evaluating surgeon burnout.
Stress and cataract surgery: A nationwide study evaluating surgeon burnout.
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DOI：
10.1177/11206721231154611
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发表时间：
2023-07
影响因子：
1.7
通讯作者：
Williams, Gwyn Samuel
中科院分区：
文献类型：
--
作者：
Ansari, Abdus Samad;Tung, Annie See Wah;Wright, David M.;Watts, Patrick;Williams, Gwyn Samuel
我们的目的是评估全国范围内白内障外科医生压力诱发的倦怠的患病率。我们认为，了解这些因素有助于制定解决这一报告不足的问题的办法。通过英国（UK）的皇家眼科医师学院（RCOphth）传播了一项由三部分组成的全国性横断面调查。所有顾问、受训人员、专科医生和助理专家（SAS）都应邀参加。我们使用Maslach倦怠量表（MBI）评估倦怠。Logistic回归模型完成，看看在某些领域的高水平倦怠的因素。共有406名受访者完成了我们的调查。白内障手术相关的高倦怠患病率估计为3.45%（A和/或B部分），个人成就（PA）中的患病率估计为40%（MBI的C部分）。多种因素与PA内的倦怠增加相关：年龄增加：61+ OR：2.99（1.02-8.78，p = 0.05），完成的白内障手术数量：>3000或2.98（1.03-8.64，p = 0.04），每周列表：2：OR 2.99（1.38-6.47，p < 0.01），2.5：OR 8.95（2.58-31.02，p < 0.01），3或更多：OR 2.64（1.07-6.54，p = 0.04）。睡眠8小时或以上被发现是保护性的OR 0.52（0.28-0.96，p = 0.04）。 17%的受访者表示，如果有机会，他们愿意放弃白内障手术。白内障手术引起的压力导致的倦怠的流行似乎存在于少数外科医生中。在职业中的个人成就感似乎大大降低。这个队列中的大部分似乎愿意放弃手术责任。
We aimed to evaluate the nationwide prevalence of stress induced burnout among cataract surgeons. We believe that knowledge of these factors can help formulate a solution to this underreported problem. A three-part nationwide cross-sectional survey was disseminated with via the Royal College of Ophthalmologists (RCOphth) in the United Kingdom(UK). All consultants, trainees and specialty doctors and associate specialists(SAS) were invited to participate. We evaluated burnout using the Maslach Burnout Inventory (MBI). Logistic regression modelling was completed to look at factors linked to high level burnout in certain domains. A total of 406 respondents completed our survey. Prevalence of cataract surgery-related high burnout was estimated at 3.45% (Section A and/or B) and 40% within Personal Accomplishment (PA)(Section C of the MBI). Multiple factors were associated with increased burnout within PA: Increasing age: 61+ OR: 2.99 (1.02–8.78, p = 0.05), Number of cataract operations completed: >3000 OR 2.98 (1.03–8.64, p = 0.04), Lists per week: 2: OR 2.99 (1.38–6.47, p < 0.01), 2.5: OR 8.95 (2.58–31.02, p < 0.01), 3 or more: OR 2.64 (1.07–6.54, p = 0.04). Sleeping 8 h or more was found to be protective OR 0.52 (0.28–0.96, p = 0.04). 17% of respondents indicated they would be willing to give up cataract surgery if given the opportunity. The prevalence of stress induced burnout by cataract surgery appears to be present in a minority of surgeons. There appears to be a significant reduction in the feeling of personal achievement within the profession. A large proportion of this cohort appears to be willing to give up surgical responsibilities.
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1.1
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通讯作者：
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