The Impact of COVID-19 on Physician Burnout Globally: A Review.
The Impact of COVID-19 on Physician Burnout Globally: A Review.
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DOI：
10.3390/healthcare8040421
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发表时间：
2020-10-22
期刊：
影响因子：
--
通讯作者：
Ramesh Shankar R
中科院分区：
文献类型：
--
作者：
Amanullah S;Ramesh Shankar R
背景：当前的新冠肺炎 (COVID-19) 疫情进一步加剧了全球医疗专业人员所面临的巨大压力。虽然大多数卫生专业人员不得不承担这一负担，但医生通常不被认为是弱势群体，因此很少关注这一群体的发病率和死亡率。目的：分析和总结当前对大流行期间导致医疗保健专业人员倦怠的因素/潜在因素的认识。本综述还就如何最好地为医生准备干预计划提出了一些建议。方法：2020 年 8 月，使用数据库 Medline 和 Embase (OVID) 进行系统评价，搜索有关 COVID-19 对医生倦怠影响的相关论文——在数据库中搜索“COVID-19 OR 大流行”AND“倦怠”AND“医疗保健专业人员或医生”等术语。对本综述中包含的其他相关研究进行了手动检索。结果：五项初步研究符合纳入标准。另外还纳入了九项研究，评估了大流行之前职业因素（n = 2）、性别差异（n = 4）和工作量增加/睡眠不足（n = 3）对倦怠的影响。此外，还分析了五篇评论来支持我们的建议。研究结果普遍表明，COVID-19 的引入加剧了医生面临的现有挑战，例如工作量增加，这与倦怠增加直接相关。然而，接触 COVID-19 并不一定与倦怠增加相关，这是一个需要更多研究的领域。结论：有一些证据表明，正念等技巧可能有助于缓解倦怠。然而，鉴于针对大流行期间医生倦怠的研究数量较少，应谨慎得出结论。需要更多的研究来支持这些发现。
Background: The current pandemic, COVID-19, has added to the already high levels of stress that medical professionals face globally. While most health professionals have had to shoulder the burden, physicians are not often recognized as being vulnerable and hence little attention is paid to morbidity and mortality within this group. Objective: To analyse and summarise the current knowledge on factors/potential factors contributing to burnout amongst healthcare professionals amidst the pandemic. This review also makes a few recommendations on how best to prepare intervention programmes for physicians. Methods: In August 2020, a systematic review was performed using the database Medline and Embase (OVID) to search for relevant papers on the impact of COVID-19 on physician burnout–the database was searched for terms such as “COVID-19 OR pandemic” AND “burnout” AND “healthcare professional OR physician”. A manual search was done for other relevant studies included in this review. Results: Five primary studies met the inclusion criteria. A further nine studies were included which evaluated the impact of occupational factors (n = 2), gender differences (n = 4) and increased workload/sleep deprivation (n = 3) on burnout prior to the pandemic. Additionally, five reviews were analysed to support our recommendations. Results from the studies generally showed that the introduction of COVID-19 has heightened existing challenges that physicians face such as increasing workload, which is directly correlated with increased burnout. However, exposure to COVID-19 does not necessarily correlate with increased burnout and is an area for more research. Conclusions: There is some evidence showing that techniques such as mindfulness may help relieve burnout. However, given the small number of studies focusing on physician burnout amidst a pandemic, conclusions should be taken with caution. More studies are needed to support these findings.
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