Preview

Russian Journal of Occupational Health and Industrial Ecology

Advanced search
Open Access Open Access  Restricted Access Subscription Access

The results of the assessment of burnout syndrome in outpatient clinic staff for the development of personalized rehabilitation

https://doi.org/10.31089/1026-9428-2024-64-10-688-69

EDN: dbtazz

Abstract

In conditions of increased workload on the medical staff of outpatient clinics, the need to preserve their physical and mental health, reduce the socially significant consequences of emotional burnout comes first, which makes it necessary to search for new directions of prevention, correction and rehabilitation using personalized medicine methods.

The study aims to assess the state of health and the syndrome of emotional burnout in medical workers of the outpatient clinic.

Specialists have examined 100 medical workers of outpatient and inpatient departments of the medical institution in equal numbers. The average age of outpatient medical staff was 49 [46;59] years, and inpatient — 43 [33;53] years. The average work experience of the examined medical personnel was the same both in outpatient settings (20 [16;28] years) and in hospital (20 [13;31] years). The authors have performed general clinical, laboratory and instrumental examinations. In addition to the standard examination scheme, the scientists assessed emotional burnout using the V.V. Boyko method and the quality of life according to the EQ-5D questionnaire in modification 3L and the hospital anxiety and depression scale HADS, and also conducted a questionnaire on a new coronavirus infection and the detection of post-COVID syndrome.

As a result of the study, the authors proved a decrease in the psychological and physical components of the quality of life of medical workers, which are associated with both work experience and a new coronavirus infection. It was confirmed that according to the results of the Boyko questionnaire, employees of the outpatient clinic, compared with their colleagues from the hospital, often have a higher unfavorable total score. According to the results of the survey, we observe an improvement in the psychological and physical components of the quality of life of medical personnel after individual rehabilitation.

This study showed the importance of assessing the state of health and emotional burnout syndrome in medical workers, high scores were revealed according to the Boyko questionnaire.

Limitations. This study is limited to a sex-and-age sample of medical staff at a medical institution.

Ethics. The study was conducted in accordance with the Helsinki Declaration «Recommendations for Doctors on Biomedical research in Humans» (2013), the World Association «Ethical Principles of Scientific Medical Research with Human Participation» as amended in 2000 and the «Rules of Clinical Practice in the Russian Federation», approved by Order of the Ministry of Health and Social Development of the Russian Federation No. 266 dated 06/19/2003, according to the developed protocol.

Contribution:
Kireeva V.V. — research concept and design, data collection and processing, text writing;
Lepekhova S.A. — concept and design of the study, editing;
Zaika A.A. — data collection and processing;
Kurgansky I.S. — writing the text;
Usoltsev Yu.K. — the editing.

Funding. The financing was carried out within the framework of the State assignment of the Ministry of Education and Science of the Russian Federation.

Conflict of interest. The authors declare no conflict of interest.

Received: 05.06.2024 /Accepted: 23.10.2024 / Published: 08.11.2024

About the Authors

Victoria V. Kireeva
Clinical Hospital of the Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences; Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences
Russian Federation

Deputy Chief Physician for the Outpatient Department of the Clinical Hospital, Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences, Senior Researcher Officer of the Department of Medical and Biological Research and Technologies, Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences, Cand. of Sci. (Med.)

e-mail: ms.kireevav@mail.ru



Yuri K. Usoltsev
Clinical Hospital of the Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences
Russian Federation

Chief Physician of the Clinical Hospital of the Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences, Cand. of Sci. (Med.)

e-mail: uku-inc2011@mail.ru



Alena A. Zaika
Clinical Hospital of the Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences
Russian Federation

Head of the Neurological Department of the Clinical Hospital of the Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences

e-mail: zaika.aa@mail.ru



Svetlana A. Lepekhova
Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences
Russian Federation

Head of the Department of Medical and Biological research and Technologies of the Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences, Dr. of Sci. (Biol.)

e-mail: lepekhova_sa@mail.ru



Ilya S. Kurganskiy
Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences
Russian Federation

Senior Researcher Officer of the Department of Medical and Biological Research and Technologies of the Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences, Cand. of Sci. (Med.)

e-mail: kurg.is@mail.ru



References

1. Lipatova E.E., Alexandrovskaya E.I., Akhmadeeva L.R. Emotional burnout in nurses and physicians working in hospitals and outpatient clinics. Vestnik «Zdorov’e i obrazovanie v XXI veke». 2018; 20(8): 46–50. https://clck.ru/3DnT7b (in Russian).

2. Klimov E.A. Psychology of professional self-determination. M.: Izdatel’skij tsentr «Akademija»; 2004. (in Russian).

3. Freudenberg H.J. Staff bum out. Journal of Social issues. 1974; 30: 159–165.

4. Kuvaeva I.O. History of the study of «burnout syndrome» in American psychology. In the book: «Problems of researching the «burnout syndrome» and ways of its correction among specialists of «helping» professions (in medical, psychological and pedagogical practice): collection of scientific articles. Ed. V.V. Lukyanov, S.A. Podsadny». Kursk; 2007: 85–88 (in Russian).

5. Fedortsova S.S. Emotional burnout among the representatives of the professional group medical workers. Vestnik Taganrogskogo gosudarstvennogo pedagogicheskogo instituta. 2021; 1: 91–97 (in Russian).

6. Maslach C., Jackson S.E. The measurement of experienced burnout. Journal of Occupational Behaviour. 1981; 2: 99–113.

7. Rotenstein L.S., Torre M., Ramos M.A., Rosales R.C., Guille C., Sen S. et al. Prevalence of Burnout among Physicians: A Systematic Review. JA-MA. 2018; 320(11): 1131–50. https://doi.org/10.1001/jama.2018.12777

8. Popov V.V., Dyakova Yu.A., Novikova I.A. Professional burnout Factors in physicians of Polyclinics. Gigiena i sanitariya. 2017; 96(3): 265-269. https://doi.org/10.47470/0016-9900-2017-96-3-265-269 https://elibrary.ru/yhswpd (in Russian)

9. Chastoedova I.A. Particular manifestations of the syndrome of burnout among doctors of general practice. Vyatskiy med. vestn. 2015; 1: 45–49 (in Russian).

10. Shematonova S.V. Professional stress as a factor in emotional burnout of medical workers. Vestnik obrazovatel’nogo konsorciuma Srednerusskij universitet. Serija: Gumanitarnye nauki. 2021; 18: 34–35. https://doi.org/10.25586/RNU.V925X.20.01.P.034 (in Russian)

11. Kumar S. Burnout and Doctors: Prevalence, Prevention and Intervention. Healthcare. 2016; 4(3): 37–46. https://doi.org/10.3390/healthcare4030037

12. West C.P., Dyrbye L.N., Erwin P.J., Shanafelt T.D. Intervention to prevent and reduce physician burnout: a systematic review and meta-analysis. The Lancet. 2016; 388(10057): 2272–81. https://doi.org/10.1016/S0140-6736(16)31279-X

13. Matjushkina E.Ja., Roj A.P., Rahmanina A.A., Holmogorova A.B. Professional stress and professional burnout among medical workers. Sovremennaja zarubezhnaja psihologija. 2020; 9(1): 39–49. https://doi.org/10.17759/jmfp.2020090104 (in Russian)

14. Pjura D.S. Alexithymia and professional burnout among medical workers during the Covid-19 pandemic. Innovacii. Nauka. Obrazovanie. 2022; 49: 1932–1935 (in Russian).

15. Lebedeva T.V., Esina E.Y., Zuikova A.A., Krasnorutskaya O.N., Belozerova E.V. Syndrome of emotional burnout among health care workers in ambulatory care. Prikladnye informatsionnye aspekty meditsiny. 2019; 22(1): 66–70 (in Russian).

16. Taskina E.A. The problem of emotional stability and professional burnout of medical workers. Vestnik Rossijskogo novogo universiteta. Serija: Chelovek v sovremennom mire. 2020; 1: 34–39. https://doi.org/10.25586/RNU.V925X.20.01.P.034 (in Russian)

17. Order of the Ministry of Health of the Russian Federation dated June 2, 2015, No. 290n «On approval of standard industry standards of time for performing work related to a visit by one patient to a local pediatrician, a local general practitioner, a general practitioner (family doctor), neurologist, otolaryngologist, ophthalmologist and obstetrician-gynecologist». https://clck.ru/3DnSwv (in Russian).

18. Salyers M.P., Bonfils K.A., Luther L., Firmin R.L., White D.A., Adams E.L. et al. The Relationship between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. Journal of General Internal Medicine. 2017; 32(4): 475–82. https://doi.org/10.1007/s11606-016-3886-9

19. Boyko V.V. Rules of Emotional Behavior. St. Petersburg.; 1998 (in Russian).

20. Afanas’eva E.V. Assessment of health-related quality of life. Kachestvennaya klinicheskaya praktika. 2010; (1): 36–38 (in Russian).

21. Pashkin S.B., Mozerov S.A., Mozerova E.S., Kornilova A.A. Results of a study of professional burnout among medical workers. Aktual’nye problemy voenno-nauchnyh issledovanij. 2022; 1(19): 269–290. (in Russian).

22. Potemina T.E., Kuznetsova S.V., Pereshein A.V., Samoilova O.J., Yanushanets O.I. Quality of life in healthcare services: criteria, goals, prospects. Rossijskij osteopaticheskij zhurnall. 2018; (3–4): 98–106 https://doi.org/10.32885/2220-0975-2018-3-4-98-106 (in Russian).

23. Parakhonsky A.P. Assessment of the quality of life of patients with arterial hypertension. Fundamental’nye issledovaniya. 2006; 12: 33–34 (in Russian).

24. Zigmond A.S., Snaith R.P. The Hospital anxiety and depression scale. Acta psychiatr. scand. 1983; 67: 361–370.

25. Pogosova N.V., Isakova S.S., Sokolova O.Y., Ausheva A.K., Zhetisheva R.A., Arutyunov A.A. Occupational Burnout, Psychological Status and Quality of Life in Primary Care Physicians Working in Outpatient Settings. Kardiologiia. 2021; 61(6): 69–78. https://doi.org/10.18087/cardio.2021.6.n1538 (in Russian).


Review

For citations:


Kireeva V.V., Usoltsev Yu.K., Zaika A.A., Lepekhova S.A., Kurganskiy I.S. The results of the assessment of burnout syndrome in outpatient clinic staff for the development of personalized rehabilitation. Russian Journal of Occupational Health and Industrial Ecology. 2024;64(10):688-694. (In Russ.) https://doi.org/10.31089/1026-9428-2024-64-10-688-69. EDN: dbtazz

Views: 173


ISSN 1026-9428 (Print)
ISSN 2618-8945 (Online)