ABSTRACT
Objective: To determine risk factors associated to Burnout Syndrome in medical gynecologist staff who works at the Gynecology-pediatrics with Family Medicine Hospital number 31 of the IMSS at Mexicali city, Baja California.
Material and method: A cross sectional study was performed in 27 gynecologists (100% of the total gynecologist that works at that particular hospital). A validated survey instrument developed by Maslach was applied to them in order to identify the presence of the syndrome and a general questionnaire including sociodemographic information was also applied to the doctors. The statistical analysis was both descriptive and inferential including chi square, Student t and logistic regression.
Results: 74.1% of the doctors who showed signs of Burnout Syndrome were males and 25.9% were females. The average doctors age of the group who developed Burnout was 44.81 ± 6.11 years. The mean time in years of work for the doctors with the syndrome was 15.56 ± 7.11 years. Only one doctor was divorced and she presented Burnout Syndrome, on the other hand, 62.5% of the married doctors showed evidence of Burnout Syndrome (p > 0.05). The general prevalence was 59.2%. Of those who showed signs of burnout, 87.5% presented it in low degree, 6.2% presented moderate degree, 6.2% presented high burnout degree. Out of all the organizational factors type, none resulted significative.
Conclusions: The prevalence of the reported syndrome is apparently high when compared to the medical anesthesiology staff of the same hospital; however this difference is not statistically significative. In the unvaried and multivariate analyses, no organizational factor shows significance as a potential risk. It is necessary to consider psychological support to the affected doctors and to value the organization of the service, looking for an administrative reengineering.
Key words: Burnout syndrome, medical gynecologists, professional exhaustion.
RÉSUMÉ
Objectif: déterminer les facteurs de risque associés au syndrome de burnout (de détérioration ou épuisement professionnel) chez les gynécologues de l’Hôpital de Gynéco Pédiatrie avec Médecine Familiale numéro 31 de l’IMSS à Mexicali, B. C.
Matériel et méthode: étude en sections croisées, effectuée chez 27 (100%) gynécologues qui travaillent à la clinique 31. On a appliqué l’instrument validé du questionnaire de Maslach pour identifier le syndrome, et un questionnaire général pour des données sociodémographiques. L’analyse statistique a été basée sur des statistiques descriptives et d’inférence, et pour les variables indépendantes de type non organisationnel on a appliqué le test du chi carré, t de Student et régression logistique.
Résultats: le personnel étudié a correspondu à n = 20 (74.1%) du genre masculin et n = 7 (25.9%) du genre féminin. La moyenne d’âge des médecins qui ont souffert ce problème a été de 44.81 ± 6.11 ans. Ancienneté du travail des médecins avec syndrome: 15.56 ± 7.11 ans. État civil: un divorcé, qui a présenté détérioration; le reste mariés, avec 62.5% de prévalence du syndrome (p > 0.05). La prévalence générale a été de 59.2%. Quant à l’intensité avec laquelle ils ont souffert le problème, 87.5% l’a eu en faible degré, 6.2% en un degré moyen et 6.2% a présenté haute détérioration. Les facteurs organisationnels n’ont pas résulté liés statistiquement avec le syndrome.
Conclusions: la prévalence rapportée du syndrome entre gynécologues tend à être plus élevée que parmi anesthésiologistes du même hôpital; toutefois, cette différence n’est pas statistiquement significative; dans l’analyse univariée et multivariée aucun facteur n’a résulté significatif. Il faut considérer le soutien psychologique aux médecins touchés et valoriser l’organisation du service, cherchant réingénierie administrative.
Mots-clés: syndrome de détérioration professionnelle, syndrome de burnout, médecins gynécologues, épuisement professionnel.
RESUMO
Objetivo: determinar os fatores de risco associados com o síndrome de burnout (de desgaste ou esgotamento profissional) nos ginecologistas do Hospital de Gineco-Pediatria com Medicina Familiar número 31 do IMSS em Mexicali, B.C.
Material e método: desenho secional cruzado, se fez em 27 (100%) ginecologistas que trabalham na clínica 31. Aplicou-se o instrumento validado de questionário de Maslach para identificar a síndrome, e um questionário geral para dados sociodemográficos. A análise estatística se baseou nas estatísticas descritivas e inferenciais, e para as variáveis independentes de tipo não organizacional aplicaram-se prova do ji ao quadrado, t de Student e regressão logística.
Resultados: o pessoal estudado correspondeu a n = 20 (74,1%) do gênero masculino e n = 7 (25,9%) do gênero feminino. A idade promédio dos médicos que sofreram este problema foi de 44,81 ± 6,11 anos. Anos de serviço dos médicos com síndrome: 15,56 ± 7,11 anos. Estado civil: um divorciado, que apresentou desgaste; o resto casados, com 62,5% de prevalência da síndrome (p > 0,05). A prevalência geral foi de 59,2. No referente à intensidade na que padeceram o problema, 87,5% apresentou em grau baixo, 6,2% em grau médio e 6,2% apresentou alto desgaste. Os fatores organizacionais resultaram não estarem vinculados estatisticamente com o síndrome.
Conclusões: a prevalência reportada da síndrome entre ginecologistas tende a ser mais elevada do que entre anestesistas do mesmo hospital; todavia, esta diferença não é estatisticamente significativa; na análise univariada e multivariada nenhum fator resultou significativo. Deve se considerar o apoio psicológico aos médicos afetados e avaliar a organização do serviço, procurando reestruturação administrativa.
Palavras chave: síndrome de desgaste profissional, síndrome de burnout, médicos ginecologistas, esgotamento profissional.
