Síndrome de Burnout en estudiantes de Medicina: Una revisión integradora de la literatura

Autores/as

DOI:

https://doi.org/10.33448/rsd-v13i9.46962

Palabras clave:

Síndrome de Agotamiento; Estudiantes de Medicina; Apoyo Social; Enseñanza; Agotamiento Emocional; Enseñanza en Salud.

Resumen

El objetivo del presente estudio fue comprender cómo el síndrome de Burnout afecta a los estudiantes de medicina. La revisión integradora de la literatura se preparó de acuerdo con las recomendaciones de la Preferred Reporting Items for Systematic reviews and Meta-Analysis. Las búsquedas en bases de datos se realizaron con las estrategias de búsqueda “(medical Students[Title]) AND (burnout[Title])” en PubMed y “(ti:(medical Students)) AND (ti:(Burnout))“ en LILACS y SciELO . Los criterios de inclusión considerados fueron la disponibilidad del texto completo gratuito, el idioma inglés o portugués, la publicación realizada entre enero de 2014 y julio de 2024, la población de estudio compuesta únicamente por estudiantes de medicina. De cada artículo incluido se extrajeron los siguientes datos: autoría, año, país, objetivos, diseño, principales resultados y limitaciones. La literatura científica ha demostrado gran heterogeneidad en las tasas de prevalencia del síndrome de Burnout en estudiantes de medicina, alcanzando el 17% en estudios brasileños. Los factores de alto riesgo para el síndrome de Burnout entre los estudiantes de medicina fueron el estrés crónico, el sexo femenino, la edad menor de 25 años, estar en el primer o último año de graduación, la preocupación empática, la falta de apoyo social, los bajos niveles de actividad física y los trastornos del sueño. Las estrategias más utilizadas para afrontar el estrés fueron buscar apoyo de amigos o familiares, practicar ejercicio físico y actividades relajantes, que actúan como factores protectores del Burnout, así como la empatía, el género masculino, la edad avanzada y el compromiso académico.

Citas

Aguayo-Estremera, R., Cañadas, G. R., Albendín-García, L., Ortega-Campos, E., Ariza, T., Monsalve-Reyes, C. S., & De la Fuente-Solana, E. I. (2023). Prevalence of Burnout Syndrome and Fear of COVID-19 among Adolescent University Students. Children (Basel, Switzerland), 10(2), 243. https://doi.org/10.3390/children10020243

Alanazy, A. R. M., & Alruwaili, A. (2023). The Global Prevalence and Associated Factors of Burnout among Emergency Department Healthcare Workers and the Impact of the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Healthcare (Basel, Switzerland), 11(15), 2220. https://doi.org/10.3390/healthcare11152220

Alves, S. A., Sinval, J., Lucas Neto, L., Marôco, J., Gonçalves Ferreira, A., & Oliveira, P. (2022). Burnout and dropout intention in medical students: the protective role of academic engagement. BMC medical education, 22(1), 83. https://doi.org/10.1186/s12909-021-03094-9

Andrade, F. K., Caetano, L. A. O., Oliveira, W. A., Silva, J. L., & Manochio-Pina, M. G. (2019). Qualidade de vida e burnout entre estudantes de medicina que vivenciam o método de Aprendizagem Baseada em Problemas. Aletheia, 52(1), 116-128. https://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1413-03942019000100009

Barbosa, M. L., Ferreira, B. L. R., Vargas, T. N., Ney da Silva, G. M., Nardi, A. E., Machado, S., & Caixeta, L. (2018). Burnout Prevalence and Associated Factors Among Brazilian Medical Students. Clinical practice and epidemiology in mental health: CP & EMH, 14, 188–195. https://doi.org/10.2174/1745017901814010188

Cecil, J., McHale, C., Hart, J., & Laidlaw, A. (2014). Behaviour and burnout in medical students. Medical education online, 19, 25209. https://doi.org/10.3402/meo.v19.25209

Claponea, R. M., Pop, L. M., Iorga, M., & Iurcov, R. (2022). Symptoms of Burnout Syndrome among Physicians during the Outbreak of COVID-19 Pandemic-A Systematic Literature Review. Healthcare (Basel, Switzerland), 10(6), 979. https://doi.org/10.3390/healthcare10060979

Erschens, R., Loda, T., Herrmann-Werner, A., Keifenheim, K. E., Stuber, F., Nikendei, C., Zipfel, S., & Junne, F. (2018). Behaviour-based functional and dysfunctional strategies of medical students to cope with burnout. Medical education online, 23(1), 1535738. https://doi.org/10.1080/10872981.2018.1535738

Fowler, L. A., & Ellis, S. (2019). The Effect of 12 Hour Shifts, Time of Day, and Sleepiness on Emotional Empathy and Burnout in Medical Students. Clocks & sleep, 1(4), 501–509. doi: https://doi.org/10.3390/clockssleep1040038

Golonka, K., Gawlowska, M., Mojsa-Kaja, J., & Marek, T. (2019). Psychophysiological Characteristics of Burnout Syndrome: Resting-State EEG Analysis. BioMed research international, 2019, 3764354. https://doi.org/10.1155/2019/3764354

Gómez-Urquiza, J. L., Velando-Soriano, A., Martos-Cabrera, M. B., Cañadas, G. R., Albendín-García, L., Cañadas-De la Fuente, G. A., & Aguayo-Estremera, R. (2023). Evolution and Treatment of Academic Burnout in Nursing Students: A Systematic Review. Healthcare (Basel, Switzerland), 11(8), 1081. https://doi.org/10.3390/healthcare11081081

Jezzini-Martinez, S., Martinez-Garza, J. H., Quiroga-Garza, A., Quiroz-Perales, X. G., Gil-Flores, L., de la Fuente-Villarreal, D., Salinas-Alvarez, Y., Guzman-Avilan, K., Elizondo-Omaña, R. E., & Guzman-Lopez, S. (2023). Assessment of burnout syndrome and associated factors among medical students during the COVID-19 pandemic. Journal of affective disorders reports, 14, 100616. https://doi.org/10.1016/j.jadr.2023.100616

Kilic, R., Nasello, J. A., Melchior, V., & Triffaux, J. M. (2021). Academic burnout among medical students: respective importance of risk and protective factors. Public health, 198, 187–195. doi: https://doi.org/10.1016/j.puhe.2021.07.025

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

Maresca, G., Corallo, F., Catanese, G., Formica, C., & Lo Buono, V. (2022). Coping Strategies of Healthcare Professionals with Burnout Syndrome: A Systematic Review. Medicina (Kaunas, Lithuania), 58(2), 327. https://doi.org/10.3390/medicina58020327

Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: recent research and its implications for psychiatry. World psychiatry: official journal of the World Psychiatric Association (WPA), 15(2), 103–111. https://doi.org/10.1002/wps.20311

Matsuzaki, P. G., Mariya, F. A., Ueno, L. I., & Gimenes, M. J. F. (2021). Physician burnout: prevention strategies. Revista brasileira de medicina do trabalho, 19(4), 511–517. https://doi.org/10.47626/1679-4435-2021-713

Meira-Silva, V. S. T., Freire, A. C. T. N., Zinezzi, D. P., Ribeiro, F. C. R., Coutinho, G. D., Lima, I. M. B., Crispi, I. C., Porto, J. D., Silva, L. G. P., Miranda, L. H. A., Zurita, M. G. F., Belerique, V. H. R., & Bandoli, Y. T. (2022). Burnout syndrome in healthcare workers during the COVID-19 pandemic: a systematic review. Revista brasileira de medicina do trabalho, 20(1), 122–131. https://doi.org/10.47626/1679-4435-2022-849

Moss, M., Good, V. S., Gozal, D., Kleinpell, R., & Sessler, C. N. (2016). A Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical Care Health-care Professionals. A Call for Action. American journal of respiratory and critical care medicine, 194(1), 106–113. https://doi.org/10.1164/rccm.201604-0708ST

Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan-a web and mobile app for systematic reviews. Systematic reviews, 5(1), 210. doi: https://doi.org/10.1186/s13643-016-0384-4

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical research ed.), 372(71). https://doi.org/10.1136/bmj.n71

Pagnin, D., & de Queiroz, V. (2015). Influence of burnout and sleep difficulties on the quality of life among medical students. SpringerPlus, 4, 676. https://doi.org/10.1186/s40064-015-1477-6

Rodrigues, H., Cobucci, R., Oliveira, A., Cabral, J. V., Medeiros, L., Gurgel, K., Souza, T., & Gonçalves, A. K. (2018). Burnout syndrome among medical residents: A systematic review and meta-analysis. PloS one, 13(11), e0206840. doi: https://doi.org/10.1371/journal.pone.0206840

Rotenstein, L. S., Torre, M., Ramos, M. A., Rosales, R. C., Guille, C., Sen, S., & Mata, D. A. (2018). Prevalence of Burnout Among Physicians: A Systematic Review. JAMA, 320(11), 1131–1150. https://doi.org/10.1001/jama.2018.12777

Silvestre, R., Da Cruz, M. S., Carvalho e Silva, M. J., Mello, T. H. T., Cesco, Y. P., & Guerra, P. H. (2021). Metanálise das prevalências da Síndrome de Burnout em discentes de escolas medicas brasileiras. Revista Psicologia, Diversidade e Saúde, 10(3), 522–531. https://doi.org/10.17267/2317-3394rpds.v10i3.3723

Sultana, A., Sharma, R., Hossain, M. M., Bhattacharya, S., & Purohit, N. (2020). Burnout among healthcare providers during COVID-19: Challenges and evidence-based interventions. Indian journal of medical ethics, V(4), 1–6. https://doi.org/10.20529/IJME.2020.73

Turgut, N., Karacalar, S., Polat, C., Kıran, Ö., Gültop, F., Kalyon, S. T., Sinoğlu, B., Zincirci, M., & Kaya, E. (2016). Burnout Syndrome During Residency. Turkish journal of anaesthesiology and reanimation, 44(5), 258–264. https://doi.org/10.5152/TJAR.2016.28000

Vale, T. C. B., Paiva, J. H. H. G. L., Medeiros, V. N., Gomes, P. Í. O., Bezerra, H. C. B., Bachur, T. P. R., & Castro, D. B. d. (2021). Factors behind burnout increase in medical students. Are the criteria so important? Revista Brasileira de Educação Médica, 45(2). https://doi.org/10.1590/1981-5271v45.2-20200193.ing

Vincenzo, M., Arsenio, E., Della Rocca, B., Rosa, A., Tretola, L., Toricco, R., Boiano, A., Catapano, P., Cavaliere, S., Volpicelli, A., Sampogna, G., & Fiorillo, A. (2024). Is There a Burnout Epidemic among Medical Students? Results from a Systematic Review. Medicina (Kaunas, Lithuania), 60(4), 575. https://doi.org/10.3390/medicina60040575

Wang, Z., Wu, P., Hou, Y., Guo, J., & Lin, C. (2024). The effects of mindfulness-based interventions on alleviating academic burnout in medical students: a systematic review and meta-analysis. BMC public health, 24(1), 1414. https://doi.org/10.1186/s12889-024-18938-4

West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2018). Physician burnout: contributors, consequences and solutions. Journal of internal medicine, 283(6), 516–529. https://doi.org/10.1111/joim.12752

Yates S. W. (2020). Physician Stress and Burnout. The American journal of medicine, 133(2), 160–164. https://doi.org/10.1016/j.amjmed.2019.08.034

Zhang, J. Y., Shu, T., Xiang, M., & Feng, Z. C. (2021). Learning Burnout: Evaluating the Role of Social Support in Medical Students. Frontiers in psychology, 12, 625506. https://doi.org/10.3389/fpsyg.2021.625506

Publicado

30/09/2024

Cómo citar

SILVA, C. G. da .; BARROS, F. R. N. .; PRADO, G. C. do .; MARTINS, L. G. P. . Síndrome de Burnout en estudiantes de Medicina: Una revisión integradora de la literatura. Research, Society and Development, [S. l.], v. 13, n. 9, p. e12613946962, 2024. DOI: 10.33448/rsd-v13i9.46962. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/46962. Acesso em: 5 ene. 2025.

Número

Sección

Ciencias de la salud