Prevalence and Risk Factors of Burnout Among Chinese Pediatric Orthopedic Surgeons
Prevalence and Risk Factors of Burnout Among Chinese Pediatric Orthopedic Surgeons
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中国小儿骨科医生职业倦怠患病率及危险因素
DOI：
10.1097/bpo.0000000000001661
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发表时间：
2020-08
影响因子：
1.7
通讯作者：
Li Lianyong
中科院分区：
文献类型：
--
作者：
Liang Sicong;Zhou Weizheng;Zhao Qun;Li Lianyong
补充数字内容可在文本中找到。背景资料：职业倦怠是我国儿科骨科医师的一种职业危害，其主要表现为身心极度疲惫和职业效能感下降，但目前在我国儿科骨科医师职业倦怠的研究尚不多见。本研究旨在评估中国儿科骨科医生的职业倦怠水平，并确定职业倦怠的潜在危险因素。方法：于2019年8月至9月进行了一项32个问题的匿名横断面调查。共有1392名中国儿科骨科医生参与了调查。结果如下：分别从387名（55.3%）和313名（44.7%）专职和兼职儿科骨科医生中回收有效问卷700份（50.3%）。总体而言，73.7%的参与者经历过倦怠，其中64.7%和9.0%分别有一些和严重的倦怠症状。职业倦怠水平在年龄（P=0.005）、工龄（P=0.006）、职称（P=0.03）、周工作时间（P<0.001）和月收入（P=0.03）等因素上存在显著差异。二元逻辑回归模型显示，（校正比值比=1.29，95%可信区间：1.09-1.52，P=0.004）是职业倦怠的危险因素，而较高的月收入（调整后的比值比=0.78，95%置信区间：0.64至0.95，P=0.02）是防止倦怠，这表明年轻的儿科骨科医生更容易受到影响。在调整后的分析中，全职和兼职儿科骨科医生之间或性别之间没有显着差异。结论：我国儿科骨科医师职业倦怠发生率较高。年轻的儿科骨科医生有更大的机会经历倦怠。这些结果强调需要进一步的政策，特别是关注年轻的儿科骨科医生，以帮助更好地发展中国儿科骨科。证据等级：IV级。
Supplemental Digital Content is available in the text. Background: Burnout is an occupational hazard among Chinese pediatric orthopedists, characterized by extreme physical and emotional exhaustion, and reduced professional efficacy; however, it has yet to be studied among this group of professionals in China. Our study aimed to assess the levels of burnout in Chinese pediatric orthopedists, and to identify the potential risk factors for burnout. Methods: A 32-question, anonymous, cross-sectional survey was conducted from August to September 2019. Overall, 1392 Chinese pediatric orthopedists participated in the survey. Results: Seven hundred valid questionnaires (50.3% response rate) were retrieved from 387 (55.3%) and 313 (44.7%) full-time and part-time pediatric orthopedists, respectively. Overall, 73.7% of the participants experienced burnout, of which 64.7% and 9.0% had some and severe burnout symptoms, respectively. The burnout levels significantly differed based on age (P=0.005), years in service (P=0.006), professional rank (P=0.03), weekly working hours (P<0.001), and monthly income (P=0.03). A binary logistic regression model showed that longer weekly working hours (adjusted odds ratio=1.29, 95% confidence interval: 1.09-1.52, P=0.004) was a risk factor for burnout, while higher monthly income (adjusted odds ratio=0.78, 95% confidence interval: 0.64 to 0.95, P=0.02) was protective against burnout, suggesting that younger pediatric orthopedists were more susceptible. No significant difference between full-time and part-time pediatric orthopedists or between sexes was detected in the adjusted analysis. Conclusions: Chinese pediatric orthopedists have a relatively high rate of burnout. Younger pediatric orthopedists have a greater chance of experiencing burnout. These results highlight the need for further policies, especially focused on younger pediatric orthopedists, to assist in better developing Chinese pediatric orthopedics. Level of Evidence: Level: IV.
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DOI：
10.1097/bpb.0000000000000271
发表时间：
2016-05
期刊：
Journal of pediatric orthopedics. Part B
影响因子：
--
作者：
Xiao-tang Sun;Li Zhao;Dahang Zhao;K. Kuo
通讯作者：
Xiao-tang Sun;Li Zhao;Dahang Zhao;K. Kuo
影响因子：
1.6
作者：
Angerer, JM
通讯作者：
Angerer, JM
DOI：
10.3760/cma.j.issn.1005-8559.2007.09.031
发表时间：
2007-09
期刊：
Chinese Journal of Behavioral Medicine and Brain Science
影响因子：
--
作者：
朱伟;娄小平;王治明
通讯作者：
朱伟;娄小平;王治明
DOI：
10.1056/nejm200212053472319
发表时间：
2002-12
期刊：
The New England journal of medicine
影响因子：
--
作者：
R. A. Cooper
通讯作者：
R. A. Cooper
影响因子：
8.8
作者：
Shenoi, Asha N.;Kalyanaraman, Meena;Day, Scottie
通讯作者：
Day, Scottie