Prevalência de Burnout em profissionais de saúde no enfrentamento da Covid-19: uma revisão sistemática

Autores

DOI:

https://doi.org/10.33448/rsd-v10i16.23591

Palavras-chave:

Esgotamento Profissional; Síndrome de Burnout; Pessoal de Saúde; COVID-19.

Resumo

O presente trabalho realizou um levantamento da prevalência da Síndrome de Burnout (SB) em profissionais de saúde, que estiveram na linha de frente do enfrentamento da pandemia de COVID-19. O processo metodológico seguiu as recomendações PRISMA e COCHRANE e as etapas de triagem, elegibilidade e extração de dados foram realizadas por revisores independentes, em planilhas padronizadas. Após esse processo, 26 estudos transversais foram incluídos. Os principais desfechos encontrados corroboram para a variação dos escores médios nas três dimensões do burnout de acordo com a área profissional, local e público acometido. A maioria dos estudos apontaram os profissionais da enfermagem como as populações mais afetadas e com maior prevalência de escores compatíveis nas três dimensões da SB, sendo o público do sexo feminino até 60% mais acometido que o masculino. Esses dados permitem inferir que medidas mais eficazes precisam ser tomadas em relação ao bem-estar mental desses profissionais. Medidas relacionadas com a infraestrutura, condições de trabalho e suporte psicoterapêutico estão entre as principais indicações como prevenção para o esgotamento físico e emocional.

Referências

Abdelhafiz, A. S., Ali, A., Ziady, H. H., Maaly, A. M., Alorabi, M., & Sultan, E. A. (2020). Prevalence, associated factors, and consequences of burnout among egyptian physicians during COVID-19 pandemic. Frontiers in public health, 8, 864.

Aebischer, O., Weilenmann, S., Gachoud, D., Man, M., & Spiller, T. R. (2020). Physical and psychological health of medical students involved in the coronavirus disease 2019 response in Switzerland. Swiss medical weekly, 150, w20418.

Al-Alawi, M., Al-Sinawi, H., Al-Qubtan, A., Al-Lawati, J., Al-Habsi, A., Al-Shuraiqi, M., et. al. (2019). Prevalence and determinants of burnout Syndrome and Depression among medical students at Sultan Qaboos University: A cross-sectional analytical study from Oman. Archives of environmental & occupational health, 74(3), 130–139.

Alkhamees, A. A., Alaqil, N. S., Alsoghayer, A. S., & Alharbi, B. A. (2020). Prevalence and determinants of burnout syndrome and depression among medical students at Qassim University, Saudi Arabia. Saudi Medical Journal, 41(12), 1375.

Arrogante, O., & Aparicio-Zaldivar, E. (2017). Burnout and health among critical care professionals: The mediational role of resilience. Intensive and Critical Care Nursing, 42, 110-115.

Barello, S., Palamenghi, L., & Graffigna, G. (2020). Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry research, 290, 113129.

Brewer, E. W., & Shapard, L. (2004). Employee burnout: A meta-analysis of the relationship between age or years of experience. Human resource development review, 3(2), 102-123.

Busch, I. M., Moretti, F., Mazzi, M., Wu, A. W., & Rimondini, M. (2021). What we have learned from two decades of epidemics and pandemics: a systematic review and meta-analysis of the psychological burden of frontline healthcare workers. Psychotherapy and psychosomatics, 1-13.

Chen, R., Sun, C., Chen, J. J., Jen, H. J., Kang, X. L., Kao, C. C., & Chou, K. R. (2021). A large‐scale survey on trauma, burnout, and posttraumatic growth among nurses during the COVID‐19 pandemic. International journal of mental health nursing, 30(1), 102-116.

Chigwedere, O. C., Sadath, A., Kabir, Z., & Arensman, E. (2021). The Impact of Epidemics and Pandemics on the Mental Health of Healthcare Workers: A Systematic Review. International Journal of Environmental Research and Public Health, 18(13), 6695.

Civantos, A. M., Bertelli, A., Gonçalves, A., Getzen, E., Chang, C., Long, Q., & Rajasekaran, K. (2020). Mental health among head and neck surgeons in Brazil during the COVID-19 pandemic: a national study. American journal of otolaryngology, 41(6), 102694.

da Silva Schuster, M., da Veiga Dias, V., & Battistella, L. F. Maslach Burnout Inventory–General Survey (MBI-GS): Aplicação em Universidade Público Federal. Revista da Faculdade de Administração e Economia, 6(2), 182-195.

de Pablo, G. S., Vaquerizo-Serrano, J., Catalan, A., Arango, C., Moreno, C., Ferre, F., ... & Fusar-Poli, P. (2020). Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journal of affective disorders, 275, 48-57.

Fernandez, R., Lord, H., Halcomb, E., Moxham, L., Middleton, R., Alananzeh, I., & Ellwood, L. (2020). Implications for COVID-19: a systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. International journal of nursing studies, 111, 103637.

Freitas, R. F., Barros, I. M. D., Miranda, M. A. F., Freitas, T. F., Rocha, J. S. B., & Lessa, A. D. C. (2021). Preditores da síndrome de Burnout em técnicos de enfermagem de unidade de terapia intensiva durante a pandemia da COVID-19. Jornal Brasileiro de Psiquiatria, 70, 12-20.

Khalafallah, A. M., Lam, S., Gami, A., Dornbos III, D. L., Sivakumar, W., Johnson, J. N., & Mukherjee, D. (2020). Burnout and career satisfaction among attending neurosurgeons during the COVID-19 pandemic. Clinical neurology and neurosurgery, 198, 106193.

Khamisa, N., Oldenburg, B., Peltzer, K., & Ilic, D. (2015). Work related stress, burnout, job satisfaction and general health of nurses. International journal of environmental research and public health, 12(1), 652-666.

Khan, N., Palepu, A., Dodek, P., Salmon, A., Leitch, H., Ruzycki, S., ... & Lacaille, D. (2021). Cross-sectional survey on physician burnout during the COVID-19 pandemic in Vancouver, Canada: the role of gender, ethnicity and sexual orientation. BMJ open, 11(5), e050380.

Koch, U., & Broich, K. (2012). Das Burn-out-Syndrom.

Kok, N., van Gurp, J., Teerenstra, S., van der Hoeven, H., Fuchs, M., Hoedemaekers, C., & Zegers, M. (2021). Coronavirus disease 2019 immediately increases burnout symptoms in ICU professionals: a longitudinal cohort study. Critical care medicine, 49(3), 419-427.

Lange, M., Joo, S., Couette, P. A., De Jaegher, S., Joly, F., & Humbert, X. (2020, November). Impact on mental health of the COVID-19 outbreak among community pharmacists during the sanitary lockdown period. In Annales pharmaceutiques francaises (Vol. 78, No. 6, pp. 459-463). Elsevier Masson.

Lim, R., Van Aarsen, K., Gray, S., Rang, L., Fitzpatrick, J., & Fischer, L. (2020). Emergency medicine physician burnout and wellness in Canada before COVID19: a national survey. Canadian Journal of Emergency Medicine, 22(5), 603-607.

Luceño-Moreno, L., Talavera-Velasco, B., García-Albuerne, Y., & Martín-García, J. (2020). Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in Spanish health personnel during the COVID-19 pandemic. International journal of environmental research and public health, 17(15), 5514.

Macía-Rodríguez, C., de Oña, Á. A., Martín-Iglesias, D., Barrera-López, L., Pérez-Sanz, M. T., Moreno-Diaz, J., & González-Munera, A. (2021). Burn-out syndrome in Spanish internists during the COVID-19 outbreak and associated factors: a cross-sectional survey. BMJ open, 11(2), e042966.

Matsuishi, K., Kawazoe, A., Imai, H., Ito, A., Mouri, K., Kitamura, N., ... & Mita, T. (2012). Psychological impact of the pandemic (H1N1) 2009 on general hospital workers in Kobe. Psychiatry and clinical neurosciences, 66(4), 353-360.

Meynaar, I. A., Ottens, T., Zegers, M., van Mol, M. M., & Van Der Horst, I. C. (2021). Burnout, resilience and work engagement among Dutch intensivists in the aftermath of the COVID-19 crisis: A nationwide survey. Journal of Critical Care, 62, 1-5.

Moazzami, B., Razavi-Khorasani, N., Moghadam, A. D., Farokhi, E., & Rezaei, N. (2020). COVID-19 and telemedicine: Immediate action required for maintaining healthcare providers well-being. Journal of Clinical Virology, 126, 104345.

Morgantini, L. A., Naha, U., Wang, H., Francavilla, S., Acar, Ö., Flores, J. M., ... & Weine, S. M. (2020). Factors contributing to healthcare professional burnout during the COVID-19 pandemic: a rapid turnaround global survey. PloS one, 15(9), e0238217.

Murat, M., Köse, S., & Savaşer, S. (2021). Determination of stress, depression and burnout levels of front‐line nurses during the COVID‐19 pandemic. International Journal of Mental Health Nursing, 30(2), 533-543.

Nishimura, Y., Miyoshi, T., Hagiya, H., Kosaki, Y., & Otsuka, F. (2021). Burnout of healthcare workers amid the covid-19 pandemic: A Japanese cross-sectional survey. International journal of environmental research and public health, 18(5), 2434.

Organização Mundial de Saúde. (2020). Síndrome de burnout é detalhada em classificação internacional da OMS. Recuperado em 16 novembro, 2021, de https://brasil.un.org/pt-br/83269-sindrome-de-burnout-e-detalhada-em-classificacao-internacional-da-oms/.

Organização Mundial de Saúde. (2021). Histórico da pandemia da COVID-19. Recuperado em 16 novembro, 2021, de https://www.paho.org/pt/covid19/historico-da-pandemia-covid-19.

Orrù, G., Marzetti, F., Conversano, C., Vagheggini, G., Miccoli, M., Ciacchini, R., ... & Gemignani, A. (2021). Secondary traumatic stress and burnout in healthcare workers during COVID-19 outbreak. International journal of environmental research and public health, 18(1), 337.

Pappa, S., Athanasiou, N., Sakkas, N., Patrinos, S., Sakka, E., Barmparessou, Z., ... & Katsaounou, P. (2021). From recession to depression? prevalence and correlates of depression, anxiety, traumatic stress and burnout in healthcare workers during the COVID-19 pandemic in Greece: A multi-center, cross-sectional study. International journal of environmental research and public health, 18(5), 2390.

Park, S. Y., Kim, B., Jung, D. S., Jung, S. I., Oh, W. S., Kim, S. W., ... & Chang, H. H. (2020). Psychological distress among infectious disease physicians during the response to the COVID-19 outbreak in the Republic of Korea. BMC public health, 20(1), 1-7.

Patel, R. S., Bachu, R., Adikey, A., Malik, M., & Shah, M. (2018). Factors related to physician burnout and its consequences: a review. Behavioral sciences, 8(11), 98.

Pereira, A. M. T. B. (2002). Burnout: Quando O Trabalho Ameaca O Bem. Casa do psicólogo.

Pniak, B., Leszczak, J., Adamczyk, M., Rusek, W., Matłosz, P., & Guzik, A. (2021). Occupational burnout among active physiotherapists working in clinical hospitals during the COVID-19 pandemic in south-eastern Poland. Work, (Preprint), 1-11.

Rapisarda, F., Vallarino, M., Cavallini, E., Barbato, A., Brousseau-Paradis, C., De Benedictis, L., & Lesage, A. (2020). The early impact of the Covid-19 emergency on mental health workers: a survey in Lombardy, Italy. International journal of environmental research and public health, 17(22), 8615.

Schutte, N., Toppinen, S., Kalimo, R., & Schaufeli, W. (2000). The factorial validity of the Maslach Burnout Inventory‐General Survey (MBI‐GS) across occupational groups and nations. Journal of Occupational and Organizational psychology, 73(1), 53-66.

Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Jama, 323(21), 2133-2134.

Torrente, M., Sousa, P. A., Sánchez-Ramos, A., Pimentao, J., Royuela, A., Franco, F., ... & Provencio, M. (2021). To burn-out or not to burn-out: a cross-sectional study in healthcare professionals in Spain during COVID-19 pandemic. BMJ open, 11(2), e044945.

Tsan, S. E. H., Kamalanathan, A., Lee, C. K., Zakaria, S. A., & Wang, C. Y. (2020). A survey on burnout and depression risk among anaesthetists during COVID‐19: the tip of an iceberg?. Anaesthesia.

Turner, S., Botero-Tovar, N., Herrera, M. A., Kuhlmann, J. P. B., Ortiz, F., Ramírez, J. C., & Maldonado, L. F. (2021). Systematic review of experiences and perceptions of key actors and organisations at multiple levels within health systems internationally in responding to COVID-19. Implementation Science, 16(1), 1-13.

Vinueza-Veloz, A. F., Aldaz-Pachacama, N. R., Mera-Segovia, C. M., Pino-Vaca, D. P., Tapia-Veloz, E. C., & Vinueza-Veloz, M. F. (2020). Síndrome de Burnout en médicos/as y enfermeros/as ecuatorianos durante la pandemia de COVID-19.

West, C. P., Dyrbye, L. N., Erwin, P. J., & Shanafelt, T. D. (2016). Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. The Lancet, 388(10057), 2272-2281.

World Health Organization. (2020). Mental Health and Psychosocial Considerations during the COVID-19 Outbreak. Recuperado em 16 novembro, 2021, de https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf.

Wu, Y., Wang, J., Luo, C., Hu, S., Lin, X., Anderson, A. E., ... & Qian, Y. (2020). A comparison of burnout frequency among oncology physicians and nurses working on the frontline and usual wards during the COVID-19 epidemic in Wuhan, China. Journal of pain and symptom management, 60(1), e60-e65.

Xu, N., Lv, A., Li, T., Li, X., Huang, M., & Su, Y. (2021). Experiences of healthcare providers during the coronavirus pandemic and its impact on them: protocol for a mixed-methods systematic review. BMJ open, 11(2), e043686.

Yörük, S., & Güler, D. (2021). The relationship between psychological resilience, burnout, stress, and sociodemographic factors with depression in nurses and midwives during the COVID‐19 pandemic: A cross‐sectional study in Turkey. Perspectives in psychiatric care, 57(1), 390-398.

Zerbini, G., Ebigbo, A., Reicherts, P., Kunz, M., & Messman, H. (2020). Psychosocial burden of healthcare professionals in times of COVID-19–a survey conducted at the University Hospital Augsburg. GMS German Medical Science, 18.

Downloads

Publicado

10/12/2021

Como Citar

SILVA, J. A. M. .; SILVA, L. E. O. da .; ARAÚJO, Y. L. de .; BOTTACIN, W. E. .; SOUZA, T. T. .; REIS, W. C. T. . Prevalência de Burnout em profissionais de saúde no enfrentamento da Covid-19: uma revisão sistemática. Research, Society and Development, [S. l.], v. 10, n. 16, p. e167101623591, 2021. DOI: 10.33448/rsd-v10i16.23591. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/23591. Acesso em: 16 jul. 2024.

Edição

Seção

Artigos de Revisão