Dickinson-Bannack ME, González-Salinas C, Fernández-Ortega MA, Palomeque RP, González- Quintanilla E, Hernández-Vargas I

Language: English
References: 17
Page: 75-79
PDF size: 161.30 Kb.

ABSTRACT

Background: Burnout’s syndrome (BS) refers to a type of occupational and institutional stress occurred in professionals who keep direct and constant relationship with other persons, particularly who practice as Health Care Providers (physicians, nurses, professors) and have set excessive expectancies and dedication to their work. Since the epidemiologic point of view the aspects described in Med literature about sociodemographic and occupational characteristics related with the appearance of BS present contradictory results. Gender, marital status and health care level have been appointed as factors that would affect the course of the BS in doctors and nurses although in Med literature it isn’t clearly set yet. Objective: The aim of this study was to determine frequency and distribution of the BS in physicians of Primary Care and its relation with the gender. Methods: This cross-sectional study was carried out in Primary Health Care from two Health Institutes of Social Security by randomization, therefore 18 medical centers and 431 physicians were involved. Results: It was identified a frequency in BS (12.8%) without important relation with sex in the global and stratified analyses. It was found that to work in one of both Institutes increased the probability to develop the syndrome with RM=2.1 with IC 95% 1.17-3.76 p=0.008. From the dimensions of the syndrome components, the most affected about sex were the emotional exhaustion in women and personality disorders in men. To have to reduce work hours for looking after the family was also identified as risk factor and the dimensions more afflicted were personal achievements RM (4.4) and emotional exhaustion (2.34). To live married was identified as a protective factor RM=0.42 IC 95% 0.25-0.72 p=0.0006, however in the case to don’t get along with the couple or spouse it changes or converts to a risk factor with RM=4.27 and IC 95% 1.76-10.46 p=0.0001 Conclusions: Burnout’s frequency didn’t present significant differences among men and women, but there is an important relation with the characteristics of gender because of cultural identity reason have been assigned to woman. The most contributor dimension to the syndrome in women was the emotional exhaustion and for men the most significant altered dimension was the personality disorders.

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