Burnout and Doctors: Prevalence, Prevention and Intervention.

Burnout and Doctors: Prevalence, Prevention and Intervention.
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DOI:
10.3390/healthcare4030037
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发表时间:
2016-06-30
期刊:
Healthcare (Basel, Switzerland)
影响因子:
--
通讯作者:
Kumar S
Kumar S
中科院分区:
其他
文献类型:
--
作者:
Kumar S

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医生在其职业生涯中面临着高水平的压力,特别容易出现倦怠。倦怠对医生、病人和医疗系统都有深远的影响。据报道,经历过职业倦怠的医生做出错误决定的风险更高;对病人表现出敌意态度;犯更多的医疗错误;与同事的关系也很困难。医生的职业倦怠也会增加抑郁、焦虑、睡眠障碍、疲劳、酗酒和滥用药物、婚姻障碍、过早退休的风险,也许最严重的是自杀。医疗实践中的压力来源可能包括从病人护理中产生的情绪到医生执业的环境。职业倦怠的程度可能会有所不同,这取决于实践设置;专业和不断变化的工作环境。了解与倦怠相关的动态危险因素可能有助于我们制定预防和治疗倦怠的策略。本文将对其中一些战略进行审查。
Doctors are exposed to high levels of stress in the course of their profession and are particularly susceptible to experiencing burnout. Burnout has far-reaching implications on doctors; patients and the healthcare system. Doctors experiencing burnout are reported to be at a higher risk of making poor decisions; display hostile attitude toward patients; make more medical errors; and have difficult relationships with co-workers. Burnout among doctors also increases risk of depression; anxiety; sleep disturbances; fatigue; alcohol and drug misuse; marital dysfunction; premature retirement and perhaps most seriously suicide. Sources of stress in medical practice may range from the emotions arising in the context of patient care to the environment in which doctors practice. The extent of burnout may vary depending on the practice setting; speciality and changing work environment. Understanding dynamic risk factors associated with burnout may help us develop strategies for preventing and treating burnout. Some of these strategies will be reviewed in this paper.