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Abstract(s)
Introdução: A Síndrome de Burnout é entendida como um fenómeno ocupacional e
emocional, cujos sintomas podem ser exaustão extrema, stress, ansiedade, cansaço,
insatisfação pessoal e profissional, distúrbios do sono e sintomas depressivos. A sua
definição tem vindo a sofrer alterações, contudo, é consensual que se trata de uma
resposta prolongada a fatores de stress físicos e emocionais crónicos que culminam em
exaustão e sentimentos de ineficácia. Os profissionais de saúde são um alvo frequente
desta síndrome, face ao elevado número de desafios e obstáculos que enfrentam. Por
não existirem estudos da incidência da síndrome de burnout em ginecologistas e
obstetras em Portugal, propôs-se a realização do presente estudo.
Objetivos: Com este estudo pretende-se determinar a incidência do burnout em
ginecologistas e obstetras a exercer em Portugal, verificar quais os fatores
sociodemográficos, profissionais e externos que poderão estar relacionados, e
consoante os resultados, se possível, enumerar medidas protetoras da incidência e dos
efeitos desta síndrome.
Material e metodologia: Foi realizado um inquérito composto por quatro partes:
consentimento informado; questões sociodemográficas e relativas à vida profissional;
avaliação da presença da Síndrome de Burnout através de uma escala validada, e
avaliação de fatores externos. O questionário foi divulgado e endereçado a
ginecologistas e obstetras a exercer em Portugal, via endereço eletrónico, através da
Sociedade Portuguesa de Ginecologia e da Sociedade Portuguesa de Obstetrícia e
Medicina Materno Fetal. Através da plataforma Google Formulários o anonimado foi
assegurado, tendo-se obtido 217 respostas. Os resultados foram posteriormente
analisados através do programa estatístico SPSS.
Resultados: Demonstrou-se que 57.6% (123 médicos) dos ginecologistas e obstetras
que participaram no estudo, sofrem de burnout, com uma média de 54.9 pontos no
Questionário Síndrome de Burnout de Copenhaga adaptado para português. Este
resultado é idêntico aos relatados noutros países, onde se estima que entre 40-75% dos
ginecologistas e obstetras sofrem de burnout. Verificou-se relação estatisticamente
significativa (p-value<0.05) com o sexo; idade; nº de anos de especialista; tempo
reservado para atividades de lazer; pensar sobre mudar de especialidade, profissão ou
instituição/serviço; classificação das condições do local de trabalho; excesso de carga
laboral, falta de progressão na carreira, falta de autonomia na gestão do horário, desigualdade nas condições de trabalho e salário como causas de stress e ansiedade;
realização de atividades com vista à redução do stress e ansiedade e toma regular de
fármacos ansiolíticos e/ou antidepressivos.
Conclusão: Com a presente análise, comprova-se que há elevada incidência de
burnout na especialidade de ginecologia e obstetrícia em Portugal, tal como constatado
noutros estudos internacionais. Além da determinação da incidência do burnout nos
especialistas, foi possivel identificar fatores agravantes e protetores. A amostra em
estudo permitiu inferir que uma melhor gestão organizacional, melhoria das condições
do local de trabalho, autonomia na gestão dos horários laborais, reconhecimento do
trabalho dos profissionais, reserva de tempo para atividades de lazer e ocupação com
outras atividades, possam contribuir para a diminuição do impacto da síndrome. O
presente estudo pretende contribuir para o estudo e prevenção da síndrome nos
ginecologistas e obstetras.
Introduction: Burnout syndrome is understood as an occupational and emotional phenomenon, whose symptoms may be extreme exhaustion, stress, anxiety, fatigue, personal and professional dissatisfaction, sleep disorders and depressive symptoms. Its definition has been undergoing changes, but it is consensual that it is a prolonged response to chronic physical and emotional stress factors that culminates in exhaustion and feelings of inefficacy. Healthcare professionals are a frequent target of this syndrome, given the high number of challenges and obstacles they face. Since there are no studies on the incidence of Burnout syndrome in gynecologists and obstetricians in Portugal, this study was proposed. Objectives: This study aims to determine the incidence of burnout among gynecologists and obstetricians practicing in Portugal, to verify which sociodemographic, professional and external factors may be related, and depending on the results, if possible, to list protective measures against the incidence and effects of this syndrome. Material and methodology: A four-part survey was conducted: informed consent; sociodemographic and professional life questions; assessment of the presence of Burnout Syndrome through a validated scale, and assessment of external factors. The questionnaire was distributed and addressed to gynecologists and obstetricians practicing in Portugal, via email, through the Portuguese Society of Gynecology and the Portuguese Society of Obstetrics and Maternal-Fetal Medicine. Anonymity was ensured through the Google Forms platform, and 217 responses were obtained. The results were subsequently analyzed using the SPSS statistical software. Results: It was shown that 57.6% (123 physicians) of the gynecologists and obstetricians who participated in the study, suffer from burnout, with an average of 54.9 points in the Copenhagen Burnout Syndrome Questionnaire adapted to Portuguese. This result is identical to those reported in other countries, where it is estimated that between 40-75% of gynecologists and obstetricians suffer from burnout. A statistically significant relationship (p-value<0.05) was found with gender; age; number of years as a specialist; time set aside for leisure activities; thinking about changing specialty, profession or institution/service; classification of workplace conditions; excessive workload, lack of career progression, lack of autonomy in managing working hours, inequality in working conditions and salary as causes of stress and anxiety; performance of activities aimed at reducing stress and anxiety; and regular intake of anxiolytic and/or antidepressant drugs. Conclusion: This analysis proved that there is a high incidence of burnout in the specialty of gynecology and obstetrics in Portugal, as found in other international studies. In addition to determining the incidence of burnout among specialists, it was possible to identify aggravating and protective factors. The sample under study allowed inferring that a better organizational management, improved workplace conditions, autonomy in managing working hours, recognition of the professionals' work, setting aside time for leisure activities and occupation with other activities, may contribute to reducing the impact of the syndrome. The present study aims to contribute to the study and prevention of the syndrome in gynecologists and obstetricians.
Introduction: Burnout syndrome is understood as an occupational and emotional phenomenon, whose symptoms may be extreme exhaustion, stress, anxiety, fatigue, personal and professional dissatisfaction, sleep disorders and depressive symptoms. Its definition has been undergoing changes, but it is consensual that it is a prolonged response to chronic physical and emotional stress factors that culminates in exhaustion and feelings of inefficacy. Healthcare professionals are a frequent target of this syndrome, given the high number of challenges and obstacles they face. Since there are no studies on the incidence of Burnout syndrome in gynecologists and obstetricians in Portugal, this study was proposed. Objectives: This study aims to determine the incidence of burnout among gynecologists and obstetricians practicing in Portugal, to verify which sociodemographic, professional and external factors may be related, and depending on the results, if possible, to list protective measures against the incidence and effects of this syndrome. Material and methodology: A four-part survey was conducted: informed consent; sociodemographic and professional life questions; assessment of the presence of Burnout Syndrome through a validated scale, and assessment of external factors. The questionnaire was distributed and addressed to gynecologists and obstetricians practicing in Portugal, via email, through the Portuguese Society of Gynecology and the Portuguese Society of Obstetrics and Maternal-Fetal Medicine. Anonymity was ensured through the Google Forms platform, and 217 responses were obtained. The results were subsequently analyzed using the SPSS statistical software. Results: It was shown that 57.6% (123 physicians) of the gynecologists and obstetricians who participated in the study, suffer from burnout, with an average of 54.9 points in the Copenhagen Burnout Syndrome Questionnaire adapted to Portuguese. This result is identical to those reported in other countries, where it is estimated that between 40-75% of gynecologists and obstetricians suffer from burnout. A statistically significant relationship (p-value<0.05) was found with gender; age; number of years as a specialist; time set aside for leisure activities; thinking about changing specialty, profession or institution/service; classification of workplace conditions; excessive workload, lack of career progression, lack of autonomy in managing working hours, inequality in working conditions and salary as causes of stress and anxiety; performance of activities aimed at reducing stress and anxiety; and regular intake of anxiolytic and/or antidepressant drugs. Conclusion: This analysis proved that there is a high incidence of burnout in the specialty of gynecology and obstetrics in Portugal, as found in other international studies. In addition to determining the incidence of burnout among specialists, it was possible to identify aggravating and protective factors. The sample under study allowed inferring that a better organizational management, improved workplace conditions, autonomy in managing working hours, recognition of the professionals' work, setting aside time for leisure activities and occupation with other activities, may contribute to reducing the impact of the syndrome. The present study aims to contribute to the study and prevention of the syndrome in gynecologists and obstetricians.
Description
Keywords
Burnout Cansaço Exaustão Ginecologia e Obstetrícia Stress