[Burnout in primary care doctors of the province of cáceres]. / Burnout en médicos de atención primaria de la provincia de Cáceres.

OBJECTIVES: To analyse the degree of professional burnout in primary care doctors from our province and the effect of various factors.Design. Descriptive and analytic cross-sectional study. SETTING: Primary care (PC) in the province. PARTICIPANTS: All the PC doctors in the province of Cáceres (n=255). MAIN MEASUREMENTS AND RESULTS: Self-administered anonymous questionnaire: the Maslach Burnout Inventory that evaluates Depersonalisation (DP), Self-esteem (SE), and Emotional Exhaustion (EE); social and personal variables, work data, personal questions and measures taken if there was work stress. Student s t test, ANOVA (means), and Chi-square or Fisher test (percentages) were used. 157 valid questionnaires were returned (62% response rate). Mean age was 41.5 years old 7.2; 75% were male, 80.2% married, 73.2% had tenure, 48.9% worked in towns, and their mean case-load was 40.5 16.5 patients/day. Mean values found were: DP, 8.3 5.8; SE, 35.2 8.4; EE, 22 11.3; 65.8% scored high on one of the three. For EE mean scores were significantly higher in men, doctors with tenure, in towns, those with >10 years seniority or who saw >40 patients a day. 50% had had psycho-physical disorders in the previous 3 months; 33% withstood a lot of bureaucracy; both groups had EE averages. Dedicating <2 hours a day to leisure was associated with >EE; and being a tutor with a significantly higher level of burnout. Disorders in the family or social/work sphere were associated with high levels of DP and EE (P<.001). CONCLUSIONS: Like other studies, we found a moderate level of burnout in our sample. Seniority, social/labour or family conflict, and certain personal and job characteristics were associated with high burnout.

Burnout en médicos de atención primaria de la provincia de Cáceres / Burnout in primary care doctors of the province of Cáceres

Objetivos. Analizar el grado de desgaste profesional en médicos de atención primaria de nuestra provincia y la influencia de diversos factores.Diseño. Estudio transversal, descriptivo y analítico.Emplazamiento. Provincial, atención primaria.Sujetos. Todos los médicos de primaria de la provincia de Cáceres (n = 255).Mediciones. Cuestionario autoadministrado y anónimo, Maslach Burnout Inventory, que valora: despersonalización (DP), autoestima (PA) y agotamiento emocional (AE); variables sociodemográficas, sociolaborales, preguntas personales y medidas adoptadas si hay estrés laboral. Análisis mediante t de Student y Anova (medias) y ji-cuadrado o Fisher (porcentajes).Resultados principales. Un total de 157 cuestionarios válidos (tasa de respuesta, 62 por ciento). La edad media es 41,5 ñ 7,2 años; 75 por ciento varones, 80,2 por ciento casados, 73,2 por ciento propietarios, 48,9 por ciento ejercen en núcleos urbanos, presión asistencial media de 40,5 ñ 16,5 pacientes/día.Los valores medios obtenidos fueron: DP, 8,3 ñ 5,8; PA, 35,2 ñ 8,4; AE, 22 ñ 11,3; un 65,8 por ciento presentó elevadas puntuaciones en alguna de las tres.Para AE las medias fueron significativamente superiores en varón, propietario, de centro urbano, más de 10 años de antigüedad o atendía a más de 40 pacientes/día.Un 50 por ciento presentaba alteraciones psicofísicas en los 3 meses previos; el 33 por ciento soporta mucha burocracia; ambos grupos muestran medias AE. Dedicar AE y ser tutor un nivel significativamente superior de burnout.Alteraciones en la esfera familiar o sociolaboral asocian niveles elevados de DP y AE (p < 0,001).Conclusiones. Coincidiendo con otros estudios, encontramos un nivel moderado de desgaste profesional en nuestros encuestados. La antigüedad, conflictividad sociolaboral y familiar, y ciertas características personales y laborales se asocian con niveles altos de desgaste. (AU)

[A study of the burnout syndrome in medical personnel of a general hospital]. / Estudio del síndrome de desgaste profesional entre los profesionales sanitarios de un hospital general.

INTRODUCTION: We studied the existence of the burnout syndrome, the state of general health and their relation with sociodemographic and work factors in the sanitary personnel of a Spanish general hospital. We established three professional categories A: physicians, B: nurses and technicians of a similar level, C: nurses' aides. MATERIALS AND METHODS: The sample studied includes a total of 363 individuals, both male and female. Of them 102 of category A, 168 of category B and 93 of category C. The instruments used for evaluation were a sociodemographic questionnaire, the Maslach Burnout Inventory (M.B.I.) and the Goldberg's General Health Questionnaire-28 (G.H.G. -28). RESULTS, DISCUSSION AND CONCLUSIONS: The results showed the existence of a middle degree of burnout in the sample studied not related neither with the profesional category nor with the sociodemographic factors studied. Some correlations were found between the burnout degree and general health with seniority, daily leisure time, smoking habits and use of analgesics and tranquillizers. 29.25% of the total sample presented bad general health (23% of group A, 30.7% of group B and 33.3% of group C).