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Medicinski pregled
2016, vol. 69, br. 11-12, str. 356-365
jezik rada: engleski
vrsta rada: originalan članak
objavljeno: 23/12/2016
doi: 10.2298/MPNS1612356S
Zastupljenost stresa i sindroma sagorevanja na poslu kod lekara u bolnicama i porodičnih lekara
aHealth Center in Banja Luka, Bosnia and Herzegovina
bUniverzitet u Banjoj Luci, Medicinski fakultet, Republika Srpska, BiH

e-adresa: stanetic.kosana@gmail.com

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; lekari; porodični lekari; faktori rizika; ankete i upitnici; samoprocena

Reference

Ahola, K., Honkonen, T., Pirkola, S., Isometsä, E., Kalimo, R., Nykyri, E., Aromaa, A., Lönnqvist, J. (2006) Alcohol dependence in relation to burnout among the Finnish working population. Addiction (Abingdon, England) / Addiction, 101(10): 1438-43
Brody, D.S. (2002) A physician's guide to personal stress management. Comprehensive Therapy, 28(2): 160-164
Costa, E.O., Santos, A., Santos, A.A., Melo, E., Andrade, T. (2012) Burnout Syndrome and associated factors among medical students: a cross-sectional study. Clinics, 67(6): 573-579
Dambrosio, F. (2016) Risk factors for burnout and job satisfaction in a sample of health professionals in Italy. Ig Sanita Pubbl, 72(2): 129-36
Ferrari, S., Cuoghi, G., Mattei, G., Carra, E., Volpe, U., Jovanovic, N., Beezhold, J., Rigatelli, M., Galeazzi, G.M., Pingani, L. (2015) Young and burnt? Italian contribution to the international BurnOut Syndrome Study (BOSS) among residents in psychiatry. La Medicina del lavoro / Med Lav, 106(3): 172-85
Goehring, C., Bouvier, G.M., Künzi, B., Bovier, P. (2005) Psychosocial and professional characteristics of burnout in Swiss primary care practitioners: a cross-sectional survey. Swiss medical weekly / Swiss Med Wkly, 135(7-8): 101-8
Grassi, L., Magnani, K. (2000) Psychiatric morbidity and burnout in the medical profession: an Italian study of general practitioners and hospital physicians. Psychother Psychosom, 69(6): 329-34
Ishak, W.W., Lederer, S., Mandili, C., Nikravesh, R., Seligman, L., Vasa, M., Ogunyemi, D., Bernstein, C.A. (2009) Burnout during residency training: a literature review. Journal of graduate medical education / J Grad Med Educ, 1(2): 236-42
Kotb, A.A., Mohamed, K.A., Kamel, M.H., Rahman, M.A., Abdulmajeed, A.A. (2014) Comparison of burnout pattern between hospital physicians and family physicians working in Suez Canal University Hospitals. Pan African Medical Journal, 18
Kumbrija, S., Milaković, S.B., Jelinić, J.D., Matanić, D., Marković, B.B., Simunović, R. (2007) Health care professionals--attitudes towards their own health. Acta medica Croatica, 61(1): 105-10
Lee, F.J., Stewart, M., Brown, J.B. (2008) Stress, burnout, and strategies for reducing them: whats the situation among Canadian family physicians?. Can Fam Physician, 54: 665-7
Lemkau, J., Rafferty, J., Gordon, R. (1994) Burnout and career-choice regret among family practice physicians in early practice. Family practice research journal / Fam Pract Res J, 14(3): 213-22
Martini, S., Arfken, C.L., Churchill, A., Balon, R. (2004) Burnout comparison among residents in different medical specialties. Academic psychiatry, 28(3): 240-2
Martins, L.F., Laport, T.J., Menezes, V.de P., Medeiros, P.B., Ronzani, T.M. (2014) Burnout syndrome in primary health care professionals. Ciencia & saude coletiva / Cien Saude Colet, 19(12): 4739-50
Maslach, C., Jackson, S.E. (1981) The measurement of experienced burnout. Journal of Organizational Behavior, 2(2): 99-113
Odea, B., Oconnor, P., Lydon, S., Murphy, A.W. (2016) Prevalence of burnout among Irish general practitioners: A cross-sectional study. Ir J Med Sci, Jan 23. [Epub ahead of print]
Ovchinivkov, Y.V., Palchenkova, M.V., Kalachev, O.V. (2015) Burnout syndrome: diagnosis, principles of treatment, prophylaxis. Voen Med Zh., 336(7); 17-24
Pederson, A.E., Andersen, C.M., Olesen, F., Vedsted, P. (2014) Stress and burnout increase among general practitioners in Denmark. Ugeskr Laeger, 176(2): 135-8
Persaud, R. (2002) Reducing the stress in medicine. Postgraduate medical journal / Postgrad Med J, 78(915): 1-3
Peterson, U. (2008) Stress and burnout in healthcare workers. Stockholm: Karolinska Institutet
Richter, A., Kostova, P., Harth, V., Wegner, R. (2014) Children, care, career – a cross-sectional study on the risk of burnout among German hospital physicians at different career stages. Journal of Occupational Medicine and Toxicology, 9(1)
Roldan, A.A.M., Barriga, Q.A.M. (2015) Burnout syndrome, family and work related variables on general practitioners in Bogota: A strategy of work quality. Rev Colomb Psiquiatr, 44(4): 198-205
Schneider, M., Bouvier, G.M., Goehring, C., Künzi, B., Bovier, P.A. (2007) Personal use of medical care and drugs among Swiss primary care physicians. Swiss medical weekly / Swiss Med Wkly, 137(7-8): 121-6
Segura, O. (2014) Burnout: Concepts and implications affecting public health. Biomedica, 34(4): 535-45
Shanafelt, T.D., Boone, S., Tan, L., Dyrbye, L.N., Sotile, W., Satele, D., West, C.P., Sloan, J., Oreskovich, M.R. (2012) Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Archives of internal medicine / Arch. Intern. Med., 172(18): 1377-85
Shaufeli, W.B., Leiter, M.P., Maslach, C., Jackson, S.E. (1996) Maslach burnout inventory: General survey. u: The Maslach burnout inventory: Test manual, Palo Alto, CA: Consulting Psychologists Press, 3rd ed
Silva, S.C.P.S., Nunes, M.A.P., Santana, V.R., Reis, F.P., Neto, J.M., Lima, S.O. (2015) A síndrome de burnout em profissionais da Rede de Atenção Primária à Saúde de Aracaju, Brasil. Ciência & Saúde Coletiva, 20(10): 3011-3020
Spickard, A. (2002) Mid-Career Burnout in Generalist and Specialist Physicians. JAMA, 288(12): 1447
Stanetić, K., Tešanović, G., Burgić-Radmanović, M. (2011) Burnout syndrome. Sci Med., 42: 14-7
Stanetić, K., Tešanović, G. (2013) Influence of age and length of service on the level of stress and burnout syndrome. Medicinski pregled, vol. 66, br. 3-4, str. 153-162
Tanner, G., Bamberg, E., Kozak, A., Kersten, M., Nienhaus, A. (2015) Hospital physicians’ work stressors in different medical specialities: a statistical group comparison. Journal of Occupational Medicine and Toxicology, 10(1)
Tomljenović, M., Kolarić, B., Stajduhar, D., Tesić, V. (2014) Stress, depression and burnout among hospital physician in Rijeka, Croatia. Psychiatr Danub, 3: 450-8
Torppa, M.A., Kuikka, L., Nevalainen, M., Pitkälä, K.H. (2015) Emotionally exhausting factors in general practitioners' work. Scandinavian journal of primary health care / Scand J Prim Health Care, 33(3): 178-83
Tremolada, M., Schiavo, S., Tison, T., Sormano, E., de Silvestro, G., Marson, P., Pierelli, L. (2015) Stress, burnout, and job satisfaction in 470 health professionals in 98 apheresis units in Italy: A SIdEM collaborative study. Journal of clinical apheresis / J Clin Apher, 30(5): 297-304
Vićentić, S., Jovanović, A., Dunjić, B., Pavlović, Z., Nenadović, M., Nenadović, N. (2010) Profesionalni stres kod lekara opšte prakse i psihijatara - nivo psihičkog distresa i rizika od burnout sindroma. Vojnosanitetski pregled, vol. 67, br. 9, str. 741-746
Weber, J. (2015) Practical judgment and burn-out syndrome among physicians. La Revue de medecine interne / Rev Med Interne, 36(8): 548-50
Williams, E.S., Konrad, T.R., Scheckler, W.E., Pathman, D.E., Linzer, M., McMurray, J.E., Gerrity, M., Schwartz, M. (2001) Understanding Physicians' Intentions to Withdraw from Practice: The Role of Job Satisfaction, Job Stress, Mental and Physical Health. Health Care Management Review, 26(1): 7-19