在医生中预防倦怠综合征:系统性审查和元分析
Lea Krebs1, Laura Jung2, Jasmin Arrich3
1Klinik für Unfall,- Hand- und Wiederherstellungschirurgie, Universitätsklinikum Jena, Am Klinikum 1, 07745, Jena, Germany.
Wiener klinische Wochenschrift
|November 10, 2025
概括
医生倦怠可以通过个人预防计划来减少,但效果很小. 未来的研究应该探索解决工作场所因素的结构性干预措施,以获得更大的影响.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康 职业健康
背景情况:
- 医生面临着高燃烧率,需要有效的预防策略.
- 现有研究评估了医生们的各种倦怠预防计划.
- 这次审查系统地评估了计划的有效性,并比较了不同的方法.
研究的目的:
- 为医生进行一项元分析和系统审查的倦怠预防计划.
- 确定这些干预措施的整体有效性.
- 评估特定的程序类型是否表现出优异的结果.
主要方法:
- 系统审查和元分析遵循"柯克兰手册".
- 在五个医学数据库中进行了全面的文献搜索 (2019年10月 - 2022年6月).
- 包括随机对照试验 (RCT) 评估倦怠预防计划对医生的影响.
主要成果:
- 分析了22项研究,主要是个人干预 (20项研究) 和结构性干预 (2项研究).
- 最常见的是基于正念的压力减轻 (MBSR) 或类似的计划.
- 观察到燃烧症的显著,小到中等程度的减少 (SMD -0.32;95% CI: -0.41至 -0.22).
结论:
- 个人倦怠预防计划在减少医生倦怠方面表现出适度的效果.
- 当排除异质或具有偏差高风险的研究时,有效性会降低.
- 未来的研究应该优先考虑针对工作场所因素的结构性干预,例如行政负担和工作时间.
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