The prevalence of stress and burnout syndrome in hospital doctors and family physicians

Kosana Stanetic, Suzana Savic, Maja Racic
2016 Medicinski pregled  
Introduction. Burnout syndrome is the result of chronic emotional stress. It is characterized by high levels of emotional exhaustion and depersonalization, and reduced level of personal accomplishment. The aim of this study was to determine the level of stress and risk for burnout syndrome in doctors employed in health centers and hospitals, and to investigate the impact of socio-demographic characteristics on the level of stress and the occurrence of burnout syndrome. Material and Methods. A
more » ... al and Methods. A cross-sectional study was conducted in the period from October 1 to December 31, 2015 in three health centers and in the University Clinical Center of the Republic of Srpska. The survey was anonymous. A socio-demographic questionnaire and a questionnaire for self-assessment of the level of stress and Maslach Burnout Inventory were used as research instruments. Out of 151 doctors included in the study, 49% were family physicians, and 51% were hospital doctors. Results. The analysis of responses to questionnaires for self-assessment of stress level revealed that 51.7% of participants had high levels of stress (52.7% of family physicians, 50.6% of doctors working in hospital). A high degree of emotional exhaustion was found in 27.2% of participants (29.7% of family physicians, 24.6% of doctors working in hospital), high depersonalization was found in 23.8% of participants (25.7% of family physicians, 22.1% of doctors working in hospital), a low level of personal accomplishment was found in 39.7% of participants (37.8% of family physicians, 41.6% of doctors working in hospital). No statistically significant difference regarding stress degree, emotional exhaustion and depersonalization and personal accomplishment was found between hospital doctors and family physicians. The physicians aged over 45 years had a significantly (p = 0.030) higher level of emotional exhaustion than their younger colleagues. Conclusion. This study found that there was a high risk of burnout syndrome in physicians in the Republic of Srpska. Although the exposure to professional stress was higher in family physicians than in hospital doctors, the obtained difference was not statistically significant. Sažetak Uvod. Sindrom sagorevanja na poslu je posledica hroničnog emocionalnog stresa, a karakteriše ga visok nivo emocionalne iscrpljenosti i depersonalizacije, kao i smanjen nivo lične ispunjenosti. Cilj ovog rada je da se utvrdi nivo stresa i rizik za obolevanje od sindroma sagorevanja na poslu kod lekara zaposlenih u domovima zdravlja i bolnici, te da se ispita uticaj sociodemografskih karakteristika na nivo stresa i nastanak sindroma sagorevanja. Materijal i metode. Studija preseka je sprovedena u periodu od 1. oktobra do 31. decembra 2015. godine u tri doma zdravlja i Univerzitetskom kliničkom centru Republike Srpske. Anketiranje je bilo anonimno. Kao instrumenti istraživanja korišteni su sociodemografski upitnik, upitnik za samoprocenu nivoa stresa i Maslach Burnout Inventory. U studiji je učestvovao 151 lekar. Lekari porodične medicine su činili 49% ispitanika, a bolnički lekari 51%. Rezultati. Analizom odgovora iz upitnika za samoprocenu nivoa stresa nađeno je da je 51,7% imalo visok nivo stresa (52,7% porodičnih lekara, 50,6% lekara u bolnici). Visok stepen emocionalne iscrpljenosti je pronađen kod 27,2% ispitanika (29,7% porodičnih lekara, 24,6% lekara u bolnici), visok stepen depersonalizacije kod 23,8% ispitanika (25,7% porodičnih lekara, 22,1% lekara u bolnici), a nizak stepen lične ispunjenosti kod 39,7% ispitanika (37,8% porodičnih lekara, 41,6% lekara u bolnici). Statistički značajna razlika u pogledu stepena stresa, emocionalne iscrpljenosti i depersonalizacije i lične ispunjenosti nije pronađena između bolničkih i lekara porodične medicine. Lekari starosti preko 45 godina imali su statistički značajno (p = 0,030) viši nivo emocionalne iscrpljenosti u odnosu na mlađe ispitanike. Zaključak. Ovo istraživanje pokazalo je da postoji visok rizik od nastanka sindroma sagorevanja kod lekara u Republici Srpskoj. Premda je izloženost profesionalnom stresu viša kod lekara porodične medicine, nego kod bolničkih lekara, dobijena razlika nije statistički značajna. Ključne reči: sindrom izgaranja na poslu; stres, psihološki;
doi:10.2298/mpns1612356s pmid:29693861 fatcat:kzmnxilqfzfsbmbcrsy42c7ryi