{"id":2522,"date":"2023-12-20T18:06:32","date_gmt":"2023-12-20T09:06:32","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2522"},"modified":"2023-12-20T18:06:32","modified_gmt":"2023-12-20T09:06:32","slug":"%e5%8c%bb%e5%b8%ab%e3%81%ae%e7%87%83%e3%81%88%e5%b0%bd%e3%81%8d%e3%81%a8%e3%80%81%e3%82%ad%e3%83%a3%e3%83%aa%e3%82%a2%e3%82%a8%e3%83%b3%e3%82%b2%e3%83%bc%e3%82%b8%e3%83%a1%e3%83%b3%e3%83%88%e3%80%81","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2522","title":{"rendered":"\u533b\u5e2b\u306e\u71c3\u3048\u5c3d\u304d\u3068\u3001\u30ad\u30e3\u30ea\u30a2\u30a8\u30f3\u30b2\u30fc\u30b8\u30e1\u30f3\u30c8\u3001\u60a3\u8005\u30b1\u30a2\u306e\u8cea\u3068\u306e\u95a2\u4fc2"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\u2015
\nAssociations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis
\nBMJ 2022;378:e070442 | doi: 10.1136\/bmj-2022-070442<\/p>\n

\u2015\u8981\u7d04-
\nIntroduction
\n\u30fb\t\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u306femotional exhaustion(\u611f\u60c5\u7684\u75b2\u52b4), depersonalization(\u8131\u4eba\u683c\u5316), a sense of reduced personal accomplishment(\u500b\u4eba\u7684\u9054\u6210\u611f\u306e\u4f4e\u4e0b\u306e\u611f\u899a)\u306e3\u8981\u7d20\u3092\u542b\u3080\u75c7\u5019\u7fa4
\n\u30fb\tUS\u3067\u306f10\u4eba\u4e2d4\u4eba\u306e\u533b\u5e2b\u304c\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u306e\u75c7\u72b6\u30921\u3064\u4ee5\u4e0a\u6709\u3059\u308b\u3068\u8a00\u308f\u308c\u3001UK\u3067\u306f1\/3\u306e\u7814\u4fee\u533b\u304c\u9ad8\u3044\u30ec\u30d9\u30eb\u3067\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u3092\u7d4c\u9a13\u3057\u3066\u3044\u308b\u3068\u3044\u3046
\n\u30fb\t\u533b\u5e2b\u306f\u3001\u4ed6\u306e\u533b\u7642\u5f93\u4e8b\u8005\u3092\u542b\u3080\u4ed6\u306e\u52b4\u50cd\u8005\u3088\u308a\u3082\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u3092\u7d4c\u9a13\u3059\u308b\u53ef\u80fd\u6027\u304c2\u500d\u9ad8\u3044\u3068\u306e\u5831\u544a\u3082
\n\u30fb\tCovid-19\u30d1\u30f3\u30c7\u30df\u30c3\u30af\u4e0b\u3067\u305d\u308c\u3089\u306f\u66f4\u306b\u5e83\u304c\u3063\u305f\u3068\u3082\u8a00\u308f\u308c\u3066\u3044\u308b
\n\u30fb\t\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u3057\u305f\u533b\u5e2b\u306f\u30ef\u30fc\u30af\u30e9\u30a4\u30d5\u30d0\u30e9\u30f3\u30b9\u304c\u60aa\u304f\u3001\u30ad\u30e3\u30ea\u30a2\u306e\u6e80\u8db3\u5ea6\u304c\u4f4e\u3044\u3053\u3068\u306f\u6307\u6458\u3055\u308c\u3066\u3044\u305f\u304c\u3001\u30ad\u30e3\u30ea\u30a2\u30a8\u30f3\u30b2\u30fc\u30b8\u30e1\u30f3\u30c8\u3068\u306e\u95a2\u9023\u306f\u672a\u691c\u8a0e\u3067\u3042\u3063\u305f
\n\u30fb\t\u307e\u305f\u3001\u533b\u7642\u5f93\u4e8b\u8005\u306e\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u304c\u60a3\u8005\u30b1\u30a2\u306e\u8cea\u306e\u4f4e\u4e0b\u306b\u3064\u306a\u304c\u308b\u3053\u3068\u306f\u6307\u6458\u3055\u308c\u3066\u3044\u305f\u304c\u3001\u5bfe\u8c61\u306e\u7570\u8cea\u6027\u304c\u9ad8\u304b\u3063\u305f
\n\u30fb\t\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u3068\u30ad\u30e3\u30ea\u30a2\u30a8\u30f3\u30b2\u30fc\u30b8\u30e1\u30f3\u30c8\u3001\u60a3\u8005\u30b1\u30a2\u306e\u8cea\u306e\u95a2\u9023\u3092\u8abf\u3079\u308b\u3053\u3068\u306f\u3001\u533b\u7642\u671f\u9593\u306e\u52b9\u7387\u6027\u306e\u5074\u9762\u304b\u3089\u3082\u91cd\u8981\u3067\u3042\u308a\u3001\u3072\u3044\u3066\u306f\u884c\u653f\u30fb\u653f\u7b56\u7acb\u6848\u671f\u9593\u304c\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u306b\u5ea6\u306e\u7a0b\u5ea6\u8cc7\u672c\u3092\u6295\u5165\u3059\u308b\u304b\u306e\u5224\u65ad\u306b\u3082\u91cd\u8981\u3067\u3042\u308b<\/p>\n

Method
\n\"\"<\/a><\/p>\n

\u30fb\t\u767b\u9332\u3055\u308c\u305f\u30d7\u30ed\u30c8\u30b3\u30eb(Reporting Checklist Observational Studies (MOOSE))\u306b\u3057\u305f\u304c\u3063\u3066\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3092\u5b9f\u65bd
\n\u30fb\tPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance\u306b\u6e96\u62e0
\n\u30fb\t\u3042\u3089\u3086\u308b\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u306b\u304a\u3044\u3066\u50cd\u304f\u533b\u5e2b\u3092\u542b\u3093\u3060\u5b9a\u91cf\u7684\u89b3\u5bdf\u7814\u7a76\u3092\u5bfe\u8c61\u3068\u3057\u305f
\n\u30fb\t\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u3068\u3001\u30ad\u30e3\u30ea\u30a2\u30a8\u30f3\u30b2\u30fc\u30b8\u30e1\u30f3\u30c8(\u4ed5\u4e8b\u6e80\u8db3\u5ea6\u3001\u30ad\u30e3\u30ea\u30a2\u9078\u629e\u5f8c\u6094\u3001\u96e2\u8077\u610f\u601d\u3001\u30d7\u30ec\u30bc\u30f3\u30c6\u30a3\u30ba\u30e0(\u75be\u75c5\u5c31\u696d=\u5fc3\u8eab\u306e\u4e0d\u8abf\u3092\u6301\u3063\u305f\u307e\u307e\u51fa\u52e4\u3059\u308b\u3053\u3068)\u3084\u6b20\u52e4\u3067\u793a\u3055\u308c\u308b\u751f\u7523\u6027\u306e\u4f4e\u4e0b\u3001\u30ad\u30e3\u30ea\u30a2\u958b\u767a)\u306e\u95a2\u9023\u3092\u5831\u544a\u3057\u305f
\n\u30fb\t\u3055\u3089\u306b\u3001\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u3068\u60a3\u8005\u30b1\u30a2\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u8cea(\u6295\u85ac\u30a8\u30e9\u30fc\u3092\u542b\u3080\u60a3\u8005\u5b89\u5168\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u3001\u78ba\u7acb\u3057\u305f\u5b9a\u7fa9\u306b\u57fa\u3065\u304f\u4f4e\u3044\u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30ea\u30ba\u30e0\u306b\u3088\u308b\u6700\u9069\u3067\u306f\u306a\u3044\u60a3\u8005\u30b1\u30a2\u3001\u60a3\u8005\u6e80\u8db3\u5ea6)\u306e\u95a2\u9023\u306b\u3064\u3044\u3066\u3082\u691c\u8a0e\u3057\u305f
\n\u30fb\t\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u958b\u8a2d\u304b\u30892021\u5e745\u6708\u307e\u3067\u306eMedline\u3001PsycINFO\u3001Embase\u3001CINAHL\u3092\u691c\u7d22\u3057\u3001\u82f1\u8a9e\u306e\u5f15\u7528\u6587\u732e\u3092\u8abf\u3079\u305f\u3002
\n\u30fb\t\u5404\u7814\u7a76\u306eStudy characteristics\u3001physician characteristics\u3001\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8(\u6e2c\u5b9a\u9805\u76ee)\u3001\u5831\u544a\u65b9\u6cd5\u3092\u542b\u3080\u30a2\u30a6\u30c8\u30ab\u30e0\u6307\u6a19\u306b\u95a2\u3059\u308b\u30c7\u30fc\u30bf\u3092\u62bd\u51fa\u3002The outcomes of interest\u306f\u7dcf\u5408\u7684\u306a\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u3068\u611f\u60c5\u7684\u75b2\u52b4\u3001\u8131\u4eba\u683c\u5316\u3001\u500b\u4eba\u7684\u9054\u6210\u611f\u3092\u542b\u3080\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u306e3\u3064\u306e\u5c3a\u5ea6\u306e\u3044\u305a\u308c\u304b\u306b\u3064\u3044\u3066\u8a55\u4fa1\u3055\u308c\u305f\u3082\u306e\u3067\u3042\u3063\u305f
\n\u30fb\t\u7dcf\u5408\u7684\u306a\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u306e\u30b9\u30b3\u30a2\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u306a\u3044\u5834\u5408\u306f\u30013\u3064\u306e\u89e3\u91c8\u5ea6\u306e\u30b9\u30b3\u30a2\u3092\u30d7\u30fc\u30eb\u3059\u308b\u3053\u3068\u3067burn out\u3092\u7b97\u51fa\u3057\u305f
\n\u30fb\t\u30ed\u30b0\u30aa\u30c3\u30ba\u3092\u30d7\u30fc\u30eb\u3057\u306a\u304c\u3089DerSimonian-Laird\u30e9\u30f3\u30c0\u30e0\u52b9\u679c\u3092\u4f7f\u7528\u3057\u3001\u3053\u308c\u3089\u306e\u7d50\u679c\u3092\u6307\u6570\u5316\u3057\u3066\u30aa\u30c3\u30ba\u6bd4\u3068\u3057\u3001\u30d5\u30a9\u30ec\u30b9\u30c8\u30d7\u30ed\u30c3\u30c8\u3067\u30c7\u30fc\u30bf\u3092\u8868\u793a\u3057\u305f\u300210\u4ee5\u4e0a\u306e\u7814\u7a76\u3092\u542b\u3080\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3067\u306f\u3001\u51fa\u7248\u30d0\u30a4\u30a2\u30b9\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u30d5\u30a1\u30cd\u30eb\u30d7\u30ed\u30c3\u30c8\u3068Egger\u306e\u30c6\u30b9\u30c8\u3092\u7528\u3044\u3001\u7570\u8cea\u6027\u306e\u91cf\u3092\u8868\u3059\u305f\u3081\u306b\u3001\u4e88\u6e2c\u533a\u9593\u3092\u7b97\u51fa\u3057\u305f\u3002
\n\u30fb\t\u305d\u306e\u5f8c\u5730\u57df\u3001\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3001\u30c7\u30b6\u30a4\u30f3\u3001\u5e74\u9f62\u3001\u6027\u3001\u5c02\u9580\u5206\u91ce\u3001\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u5c3a\u5ea6\u7b49\u306e\u5909\u6570\u3092\u7528\u3044\u3066\u30e1\u30bf\u56de\u5e30\u3092\u884c\u3063\u305f\u3002
\nResults
\n\"\"<\/a><\/p>\n

\u30fb\t239,246\u540d\u306ephysician\u3092\u542b\u3080170\u306estudy\u304c\u9069\u683c\u57fa\u6e96\u3092\u6e80\u305f\u3057\u305f\u3002
\n\u3010Study characteristics\u3011
\n\u30fb\t170\u306e\u7814\u7a76\u306e\u518577\u4ef6(45%)\u304c\u7c73\u56fd\u300148\u4ef6(28%)\u304c\u6b27\u5dde
\n\u30fb\t107\u4ef6(63%)\u306f\u75c5\u9662\u3092\u62e0\u70b9\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u306f29\u4ef6(17%)
\n\u30fb\t\u7814\u7a76\u5168\u4f53\u306e\u533b\u5e2b\u6570\u306e\u4e2d\u592e\u5024\u306f312\u4eba\u3001\u5e74\u9f62\u4e2d\u592e\u5024\u306f42\u6b73\u3001112\u4ef6(66%)\u306e\u7814\u7a76\u3067\u306f\u307b\u3068\u3093\u3069\u304c\u7537\u6027\u533b\u5e2b\u3067\u3042\u3063\u305f<\/p>\n

\u30fb\t\u533b\u5e2b\u306e\u5c02\u9580\u306f\u300142(25%)\u304c\u69d8\u3005\u306aspecialty\u306e\u6df7\u5408\u300132(19%)\u304c\u5185\u79d1\u300121(12%)\u304c\u5916\u79d1(\u5916\u50b7\u3001\u5f62\u6210\u3001\u795e\u7d4c\u5916\u79d1)\u300119(11%)\u304c\u6551\u6025\u30fb\u96c6\u4e2d\u6cbb\u7642\u300111(6%)\u304c\u4e00\u822c\u958b\u696d\u533b\u30018(5%)\u304c\u30a4\u30f3\u30bf\u30fc\u30f3\u307e\u305f\u306f\u7814\u4fee\u533b
\n\u30fb\t\u6700\u3082\u4e00\u822c\u7684\u306aburn out\u306e\u6e2c\u5b9a\u6cd5\u306f\u300122\u9805\u76ee\u306eMaslach Burnout Inventory\u5b8c\u5168\u7248\u3067\u3042\u3063\u305f<\/p>\n

\u3010Meta- analysis of association of burnout with career engagement and quality of patient care\u3011
\n<\u30ad\u30e3\u30ea\u30a2\u30a8\u30f3\u30b2\u30fc\u30b8\u30e1\u30f3\u30c8>
\n\u30fb\t\u4ed5\u4e8b\u6e80\u8db3\u5ea6\uff1aburn out\u306f\u3001\u6e80\u8db3\u3057\u3066\u3044\u308b\u5834\u5408\u3068\u6bd4\u8f03\u3057\u3001\u6e80\u8db3\u5ea6\u4f4e\u4e0b\u3068\u7d044\u500d(3.79, 95\uff05\u4fe1\u983c\u533a\u95933.24\uff5e4.43, I2 =97%, k=73 study, n=146,980 physicians) \u95a2\u9023\u3057\u3066\u3044\u305f(=burn out\u3092\u6709\u3059\u308b\u3068\u3001\u6e80\u8db3\u5ea6\u4f4e\u4e0b\u3059\u308b\u53ef\u80fd\u6027(\u30ea\u30b9\u30af)\u304c3\u500d\u9ad8\u3044)
\n\u30fb\t\u30ad\u30e3\u30ea\u30a2\u9078\u629e\u5f8c\u6094\uff1aburn out\u306f\u3001\u30ad\u30e3\u30ea\u30a2\u9078\u629e\u3078\u306e\u6e80\u8db3\u3068\u6bd4\u8f03\u3057\u3066\u3001\u305d\u306e\u5f8c\u6094\u3068\u7d043\u500d\u95a2\u9023(3.49, 2.43\uff5e 5.00, I2 =97%, k=16,n=33,871 \uff09
\n\u30fb\t\u96e2\u8077\u610f\u5fd7\uff1a\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u306f\u3001\u73fe\u5728\u306e\u8077\u306b\u3068\u3069\u307e\u308b\u610f\u5411\u3068\u6bd4\u8f03\u3057\u3066\u3001\u96e2\u8077\u610f\u5411\u30683\u500d\u306e\u5897\u52a0\u3068\u95a2\u9023\uff083.10, 2.30 to 4.17, I2 =97%, k=25, n=32,271, figure3\uff09
\n\u30fb\t\u751f\u7523\u6027\u306e\u4f4e\u4e0b\uff1a\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u306f\u3001\u751f\u7523\u6027\u306e\u6301\u7d9a\u3068\u6bd4\u8f03\u3057\u3066\u3001\u5c0f\u3055\u3044\u306a\u304c\u3089\u3082\u6709\u610f\u306a\u751f\u7523\u6027\u306e\u4f4e\u4e0b\u3068\u95a2\u9023\uff081.82, 1.08\uff5e3.07, I2 =83%, k=7, n=9,581\uff09
\n\u30fb\t\u30ad\u30e3\u30ea\u30a2\u958b\u767a\uff1a2\u3064\u306e\u7814\u7a76\u3060\u3051\u304c\u3001\u826f\u3044\u30ad\u30e3\u30ea\u30a2\u958b\u767a\u3068\u6bd4\u8f03\u3057\u3066\u3001\u5168\u4f53\u7684\u306a\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u3068\u30ad\u30e3\u30ea\u30a2\u958b\u767a\u306e\u61f8\u5ff5\u3068\u306e\u9593\u306b\u6709\u610f\u306a\u30d7\u30fc\u30eb\u3055\u308c\u305f\u95a2\u9023\u3092\u5831\u544a\u3057\u305f\uff083.77, 2.77 to 5.14, I2 =0%, k=2, n=3,411\uff09
\n<\u60a3\u8005\u30b1\u30a2>
\n\u30fb\t\u60a3\u8005\u5b89\u5168\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\uff1a\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u306f\u3001\u60a3\u8005\u5b89\u5168\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u3092\u8d77\u3053\u3055\u306a\u3044\u5834\u5408\u3068\u6bd4\u8f03\u3057\u3066\u3001\u60a3\u8005\u5b89\u5168\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u306e\u30ea\u30b9\u30af\u304c2\u500d\u306b\u306a\u308b\u3053\u3068\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\uff08\u30aa\u30c3\u30ba\u6bd4 2.04, 95%\u4fe1\u983c\u533a\u9593 1.69 to 2.45, I2=87%, k=35, n=41 059; figure 5\uff09
\n\u30fb\t\u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30ea\u30ba\u30e0\uff1a\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u306f\u3001\u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30ea\u30ba\u30e0\u306e\u7dad\u6301\u3068\u6bd4\u8f03\u3057\u3066\u3001\u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30ea\u30ba\u30e0\u306e2 \u500d\u4ee5\u4e0a\u306e\u4f4e\u4e0b\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\uff082.33, 1.96\uff5e2.70, I2 =96%, k=40,n=32,321\uff09
\n\u30fb\t\u60a3\u8005\u6e80\u8db3\u5ea6\uff1a\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u306f\u3001\u60a3\u8005\u6e80\u8db3\u5ea6\u306e\u6700\u59273\u500d\u306e\u4f4e\u4e0b\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\uff082.22, 1.38\uff5e3.57, I2 =75%, k=8,n=1,002\uff09<\/p>\n

<\u30e1\u30bf\u56de\u5e30>
\n\u30fb\t\u5358\u5909\u91cf\u56de\u5e30\u306e\u7d50\u679c\u3001\u5168\u4f53\u7684\u306a\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u3068\u4f4e\u3044\u4ed5\u4e8b\u6e80\u8db3\u5ea6\u3068\u306e\u95a2\u9023\u306f\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3068\u6bd4\u8f03\u3057\u3066\u75c5\u9662\u52e4\u52d9\u533b\uff081.88,0.91\uff5e3.86,P=0.09\uff09\u3001\u3088\u308a\u5177\u4f53\u7684\u306b\u306f\u4e00\u822c\u5185\u79d1\u3068\u6bd4\u8f03\u3057\u3066\u6551\u6025\u533b\u7642\u3068\u96c6\u4e2d\u6cbb\u7642\uff082.16,0.98\uff5e4.76,P=0.06\uff09\u300131\uff5e50\u6b73\u306e\u4eba\u3068\u6bd4\u8f03\u3057\u306650\u6b73\u4ee5\u4e0a\u306e\u533b\u5e2b\u3067\u3088\u308a\u5f37\u3044\u95a2\u9023\u304c\u898b\u3089\u308c\u305f\uff082.41, 1.02\uff5e5.64, P=0.04 \uff09\u3002\u3053\u306e\u95a2\u9023\u306f\u3001\u958b\u696d\u533b\u3067\u6700\u3082\u5f31\u304b\u3063\u305f\uff080.16\u3001 0.03\uff5e0.88\u3001 P=0.04\uff09\u3002 \u3057\u304b\u3057\u3001\u3053\u308c\u3089\u306e\u95a2\u9023\u306f\u591a\u5909\u91cf\u56de\u5e30\u3067\u306f\u6709\u610f\u6027\u3092\u4fdd\u3066\u306a\u304b\u3063\u305f
\n\u30fb\t\u5358\u5909\u91cf\u56de\u5e30\u306e\u7d50\u679c\u3001\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u3068\u60a3\u8005\u5b89\u5168\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u306e\u95a2\u9023\u306f\u3001\u82e5\u3044\u533b\u5e2b\uff0820\uff5e30\u6b73\u30011.88\u30011.07\uff5e 3.29\u3001P=0.03\uff09\u3001\u6551\u6025\u3084\u96c6\u4e2d\u6cbb\u7642\u306e\u73fe\u5834\u3067\u50cd\u304f\u533b\u5e2b\uff082.10\u30011.09\uff5e3.56\u3001P=0.02\uff09\u307e\u305f\u306f\u7814\u4fee\u4e2d\u306e\u533b\u5e2b\u3067\u5927\u304d\u3044\u3053\u3068\u304c\u5224\u660e\u3057\u305f
\n\u30fb\t\u30d0\u30fc\u30f3\u30a2\u30a6\u30c8\u3068\u30ad\u30e3\u30ea\u30a2\u9078\u629e\u306e\u5f8c\u6094\u3068\u306e \u95a2\u9023\u3092\u5358\u5909\u91cf\u56de\u5e30\u3067\u8abf\u3079\u305f\u7d50\u679c\u3001\u6551\u6025\u533b\u7642\u30fb\u96c6\u4e2d\u6cbb\u7642\u3092\u5c02\u9580\u3068\u3059\u308b\u533b\u5e2b\uff082.89, 0.97\uff5e14.89, P=0.10\uff09\u3001\u795e\u7d4c\u5185\u79d1\uff082.52, 0.82\uff5e7.80, P=0.10\uff09\u3067\u6700\u3082\u5927\u304d\u3044\u3053\u3068\u304c\u5224\u660e\u3057\u305f<\/p>\n

\u203b\u53c2\u8003\uff1a22\u9805\u76ee\u306eMaslach Burnout Inventory\u5b8c\u5168\u7248\u306e\u6e2c\u5b9a\u9805\u76ee<\/p>\n

\"\"<\/a><\/p>\n

(https:\/\/www.researchgate.net\/figure\/Maslach-Burnout-Inventory-Item-Stems-and-Frequency-With-Which-Items-Load-on-Expected_tbl1_200010233)<\/p>\n

Discussion
\n<\u7814\u7a76\u306e\u9650\u754c>
\n\u30fb\t\u5bfe\u8c61\u56fd\u3084\u6027\u5225\u306e\u591a\u69d8\u6027\u306e\u5c11\u306a\u3055
\n\u30fb\t\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u5b9a\u7fa9\u306b\u3070\u3089\u3064\u304d\u304c\u3042\u3063\u305f\u305f\u3081\u304b\u3001\u60a3\u8005\u5b89\u5168\u3001\u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30ea\u30ba\u30e0\u3001\u4ed5\u4e8b\u3078\u306e\u6e80\u8db3\u5ea6\u306a\u3069\u3001\u3044\u304f\u3064\u304b\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3067\u5927\u304d\u306a\u7570\u8cea\u6027\u304c\u898b\u3089\u308c\u305f
\n\u30fb\t\u3053\u308c\u3089\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u4f7f\u7528\u3055\u308c\u305f\u30c4\u30fc\u30eb\u3084\u30a2\u30f3\u30b1\u30fc\u30c8\u306f\u304b\u306a\u308a\u3070\u3089\u3064\u304d\u304c\u3042\u308a\u3001\u3053\u306e\u3070\u3089\u3064\u304d\u306b\u3088\u3063\u3066\u610f\u5473\u306e\u3042\u308b\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u5206\u6790\u3084\u611f\u5ea6\u5206\u6790\u3092\u884c\u3046\u3053\u3068\u306f\u3067\u304d\u306a\u304b\u3063\u305f
\n\u30fb\t\u6700\u5927\u9650\u30c7\u30fc\u30bf\u306e\u6a19\u6e96\u5316\u3092\u884c\u3063\u305f\u3082\u306e\u306e\u3001\u96c6\u8a08\u30c7\u30fc\u30bf\u306e\u3070\u3089\u3064\u304d\u306b\u3088\u3063\u3066\u3001\u30d7\u30fc\u30eb\u3055\u308c\u305f\u52b9\u679c\u91cf\u306b\u3042\u308b\u7a0b\u5ea6\u306e\u4e0d\u6b63\u78ba\u3055\u304c\u5b58\u5728\u3059\u308b\u53ef\u80fd\u6027\u306f\u3042\u308b
\n\u30fb\t\u30e1\u30bf\u56de\u5e30\u306b\u304a\u3044\u3066\u306f\u3001\u533b\u5e2b\u306e\u5c02\u9580\u9818\u57df\u306a\u3069\u3001\u4e00\u90e8\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u53c2\u52a0\u8005\u304c\u5c11\u306a\u304b\u3063\u305f<\/p>\n

\u3010\u958b\u50ac\u65e5\u30112023\u5e743\u67088\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\u2015\u6587\u732e\u540d\u2015 Associations of physician burnout with career engagement and quality of patient care: systematic review … \u7d9a\u304d\u3092\u8aad\u3080 \u533b\u5e2b\u306e\u71c3\u3048\u5c3d\u304d\u3068\u3001\u30ad\u30e3\u30ea\u30a2\u30a8\u30f3\u30b2\u30fc\u30b8\u30e1\u30f3\u30c8\u3001\u60a3\u8005\u30b1\u30a2\u306e\u8cea\u3068\u306e\u95a2\u4fc2<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,7],"tags":[],"class_list":["post-2522","post","type-post","status-publish","format-standard","hentry","category-21","category-7"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2522","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2522"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2522\/revisions"}],"predecessor-version":[{"id":2526,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2522\/revisions\/2526"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2522"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2522"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}