nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2019-8-3-266-273nmp-686Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESОткрытые вопросы удовлетворенности жизнью и профессионального выгорания в анестезиологии и реанимацииOpen Questions of Life Satisfaction and Burnout in Anesthesiology and Resuscitationhttps://orcid.org/0000-0003-3665-9416СинбуховаЕ. В.SinbukhovaE. V.

Синбухова Елена Васильевна - медицинский психолог, нейропсихолог

125047, Москва, 4-я Тверская-Ямская ул., д. 16

Elena V. Sinbukhova – Neuropsychologist

16 4th Tverskaya-Yamskaya St., Moscow 125047

ESinbukhova@nsi.ruhttps://orcid.org/0000-0003-3292-8789ПетриковС. С.PetrikovS. S.

Петриков Сергей Сергеевич - директор

129090, Москва, Б. Сухаревская пл., д. 3

Sergey S. Petrikov - Professor of the Russian Academy of Sciences, Dr. Med. Sci., Director

3 Bolshaya Sukharevskaya Square, Moscow 129090

ШабановА. К.ShabanovA. K.

Шабанов Аслан Курбанович - старший научный сотрудник отделения общей реанимации

129090, Москва, Б. Сухаревская пл., д. 3

Aslan K. Shabanov - Senior Researcher of the Department of Resuscitation

3 Bolshaya Sukharevskaya Square, Moscow 129090

https://orcid.org/0000-0002-4291-3380ПлотниковГ. П.PlotnikovG. P.

Плотников Георгий Павлович доктор медицинских наук, руководитель отдела анестезиологии-реанимации

115093, Москва, Б. Серпуховская ул., д. 27

Georgy P. Plotnikov - Dr. Med. Sci., Head of the Department of Anesthesia and Resuscitation

27 B. Serpukhovskaya Street, Moscow 115093

https://orcid.org/0000-0003-2595-5877ЛубнинА. Ю.LubninA. Y.

Лубнин Андрей Юрьевич - профессор, доктор медицинских наук, заведующий отделением анестезиологии-реанимации

125047, Москва, 4-я Тверская-Ямская ул., д. 16

Andrey Yu. Lubnin - Professor, Dr. Med. Sci., Head of the Department of Anesthesia and Resuscitation

16 4th Tverskaya-Yamskaya St., Moscow 125047

https://orcid.org/0000-0001-6060-3610СинбуховаН. И.SinbukhovaN. I.

Синбухова Надежда Ивановна – невролог

107078, Москва, Новая Басманная, д. 5

Nadezhda I. Sinbukhova – Neurologist

5 Novaya Basmannaya Street, Moscow 107078

ФГАУ «Национальный медицинский исследовательский центр нейрохирургии им. акад. Н.Н. Бурденко» МЗ РФРоссияN.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of the Russian FederationRussian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health DepartmentRussian FederationФГБУ «Национальный медицинский исследовательский центр хирургии им. А.В. Вишневского» МЗ РФРоссияA.V. Vishnevsky National Medical Research Center of SurgeryRussian FederationНУЗ «Центральная поликлиника ОАО «РЖД»РоссияCentral Polyclinic of “Russian Railways”Russian Federation20190511201983266273Copyright © Синбухова Е.В., Петриков С.С., Шабанов А.К., Плотников Г.П., Лубнин А.Ю., Синбухова Н.И., 20192019Синбухова Е.В., Петриков С.С., Шабанов А.К., Плотников Г.П., Лубнин А.Ю., Синбухова Н.И.Sinbukhova E.V., Petrikov S.S., Shabanov A.K., Plotnikov G.P., Lubnin A.Y., Sinbukhova N.I.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/686

Анестезиологи и реаниматологи находятся в группе высокого риска развития выгорания, которое может приводить к различным неблагоприятным последствиям, таким как суицид и/или медицинские ошибки.

Цель исследования Изучение зависимости счастья (удовлетворенность жизнью) и эмоционального выгорания сотрудников отделений анестезиологии и реанимации.

Материал и методы Мультицентровое анонимное слепое наблюдательное исследование. В ходе работы использован опросник Maslach Burnout Inventory (MBI) и шкалы Flourishing Scale (FS), Satisfaction with Life Scale (SWLS), в анализ также были включены ответы на серию общих вопросов (пол, возраст, специализация, субъективное определение понятия «счастье»). В исследование включен 361 участник, из них 311 специалистов отделений анестезиологии и интенсивной терапии, контрольная группа — 50 человек немедицинских работников.

Результаты По данным MBI, высокие баллы эмоционального выгорания отмечены по всем трем субшкалам: 15% анестезиологов, 17,5% реаниматологов, 9,9% медсестер и младших медсестер, 0% в контрольной группе. Высокие показатели наблюдались по некоторым из трех субшкал выгорания: 82% анестезиологов, 66,25% реаниматологов, 59,4% медсестер и младших медсестер, 14% в контрольной группе. Уровень удовлетворенности жизнью оказался статистически значимо ниже у всех групп медицинских работников в исследовании по сравнению с контрольной группой. Только чуть больше половины медицинских работников (56,59%) никогда не задумывались о самоубийстве, а это значит, что почти половина сотрудников отделений анестезиологии и реанимации в той или иной степени задумывались о суициде.

Заключение Растет осознание проблемы профессионального стресса и выгорания в анестезиологии-реаниматологии. Необходимым сегодня является своевременное выявление первых симптомов выгорания и предоставление сотрудникам анестезиологии-реанимации психологических инструментов/психологической поддержки для борьбы с профессиональным стрессом и выгоранием.

 

Abstract Anesthesiologists and resuscitators are at high risk of developing burnout, which can lead to various unfavorable consequences, such as suicide and/or medical errors. The aim of the study The dependence between happiness (satisfaction with life) and burnout in staff of anesthesiology and intensive care departments. Multicenter, anonymous, blind observational study.

Materials and methods Maslach Burnout Inventory (MBI), Flourishing Scale (FS), Satisfaction with Life Scale (SWLS), the study also included a series of general questions (gender, age, specialization, subjective definition of “happiness”). The study included 361 participants, including 311 specialists from the departments of anesthesiology and intensive care, and a control group of 50 non-medical workers.

Results According to the MBI, high burnout scores were registered for all three subscales: 15% of anesthetists, 17.5% of resuscitators, 9.9% of nursing staff, 0% in the control group. The high figures of some of the three subscales of burnout: 82% of anesthesiologists, 66.25% of resuscitators, 59.4% of nurses and nursing assistants, 14% in the control group. The life satisfaction level was significantly lower in all groups of health care staff in the study, compared to the control group. Only a little more than half of the medical workers (56.59%) never thought about suicide, which means that almost half of the staff of the anesthesiology and resuscitation departments thought to some extent about suicide.

Conclusion There is a growing awareness of the problem of occupational stress and burnout in anesthesiology and resuscitation. The timely identification of the first symptoms of burnout, and the provision of anesthesiology-resuscitation staff with psychological tools/psychological support to deal with occupational stress and burnout are required today.

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The authors declare that there are no conflicts of interest present.