نوع مقاله : مقاله پژوهشی

نویسندگان

1 مدیریت آموزشی، موسسه فرهنگ پژوهان دانش، اصفهان، ایران

2 دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دانشگاه علوم پزشکی اصفهان روانشناسی، مرکز تحقیقات عوامل اجتماعی تعیین کننده سلامت، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

م
قدمه: با توجه به افزایش مراکز درمان اعتیاد در کشور و اهمیت موضوع بررسی سلامت درمانگران مراکز ترک اعتیاد، به دلیل ارتباط آنان با بیماران دچار آسیب، این مطالعه با هدف تعیین فرسودگی شغلی درمانگران مراکز ترک اعتیاد دارای مجوز شهر اصفهان در رابطه با ویژگی‌های فردی و شغلی آن‌ها انجام گرفت.
روش بررسی: پژوهش حاضر از نوع کاربردی و از دسته‌ی مطالعات تحلیلی- مقطعی بود که بر روی 137 درمانگر مراکز ترک اعتیاد شهر اصفهان (34 پزشک، 14 روانپزشک، 42 روانشناس و 46 پرستار) در سال 1389 انجام شد. ابزار سنجش، پرسش‌نامه‌ی فرسودگی شغلی Maslach (MBI یا Maslach burnout inventory) -که پایایی آن از طریق Cronbsch's alpha تأیید شد (87/0 = α)- و پرسش‌نامه‌ی جمعیت شناختی بود. نمونه‌ها به صورت تصادفی ساده انتخاب و پرسش‌نامه‌ها در میان آنان توزیع شد. داده‌ها تحت نرم‌افزار SPSS نسخه‌ی 18 (version 18, SPSS Inc., Chicago, IL) با استفاده از آزمون t، ضریب همبستگی و تحلیل واریانس تحلیل شدند.
یافته‌ها: میانگین نمره‌ی فرسودگی شغلی (43/32)، خستگی هیجانی (79/13)، مسخ شخصیت (44/4) در درمانگران مورد مطالعه در حد خفیف و کاهش کفایت شخصی ایشان (87/14) متوسط گزارش شد. همچنین بین فرسودگی شغلی با متغیر سابقه‌ی کار، رابطه‌ی مستقیم معنی‌دار و با رضایت از درآمد، علاقه به کار و نگرش نسبت به اثربخش بودن کار، رابطه‌ی معکوس معنی‌دار مشاهده شد.
نتیجه‌گیری: نتایج بیانگر آن است که فرسودگی هر چند خفیف، اما به نحو قابل ملاحظه در میان درمانگران وجود دارد، به طوری که شدت آن در ابعاد خستگی هیجانی و کاهش کفایت شخصی، نگران کننده است. بنابراین، شناخت عوامل مستعد کننده و کاهش دهنده در ابعاد فردی، سازمانی و محیطی ضروری است.

کلیدواژه‌ها

عنوان مقاله [English]

The Job Burnout of Therapists in the Licensed Addiction Centers in Isfahan, Iran and its Relationship with Individual and Professional Factors*

نویسندگان [English]

  • Tayebeh Tayebani 1
  • Ayatollah Sohrabi 2
  • Raheleh Samouei 3

1 Educational Management, Institute of Farhang Pajouhan Danesh, Isfahan, Iran

2 School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Psychology, Social Determinants of Health Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran (Corresponding Author) Email: samouei@mail.mui.ac.ir

چکیده [English]

Introduction: Addiction treatment centers have been increased in the country. The therapist’s health is
important for their contact with patients with an excessive damage caused this survey to study job burnout
of the therapists in the licensed addiction centers in Isfahan, Iran and its relevance with individual and
professional factors.
Methods: This was a cross-sectional study done on 137 therapists in withdrawal addiction centers of
Isfahan, Iran in 2011 (34 physicians, 14 psychiatrists, 42 psychologists and 46 nurses). Data collection
was done using Maslach Burnout Inventory (MBI) (α = 0.87). The subjects were selected through simple
random sampling and the questionnaires were distributed among them. Frequency, percentage, standard
deviation, Student’s t-test, correlation coefficient and analysis of variance were used.
Results: The results of this study suggested that the mean score of lob burnout in the survey sample
compared with the referent score was weak and the job burnout in the emotional exhaustion (13.79) and
depersonalization (4.44) dimensions was weak and in terms of decreasing personal efficiency (14.87)
reported to be medium. A significant correlation was observed between the job burnout and variables of
job background, consent of income, interest in job and attitude to the effectiveness of clinical work.
Conclusion: Although weak, there was some burnout among the study subjects, so that the intensity in two
dimensions of emotional exhaustion and personal efficiency reduction is worrying. Therefore, it is necessary
to distinguish the intensifier and reducer factors in individual, organizational and environmental dimensions.

کلیدواژه‌ها [English]

  • Burnout
  • Professional
  • Therapists
  • Substance Abuse Treatment Centers
1. Aghamiri S, Darghazizadeh M. Opium in Iran and the world. Tehran, Iran: Resalat; 2006. [In Persian].
2. Khastou G. Community based drug abuse prevention. Social Welfare Quarterly 2003; 2(6): 223-34. [In Persian].
3. Rahimi Movaghar A, Mohammad K, Mohammad Razzaghi O. Trend of drug abuse situation in Iran: A threedecade
survey. Hakim Res J 2002; 5(3): 171-81. [In Persian].
4. Jazayeri A, Rafiei H, Nazari MA. Tehran secondary school students' attitudes toward addiction. Social Welfare
Quarterly 2003; 2(7): 217-30. [In Persian].
5. National Youth Organization. Reviewing the addiction status of substance addicted youths. Tehran, Iran: Ahl-e-
Qalam Publishing; 2003. [In Persian].
6. Barooni Sh, Mehrdad R, Akbari E. A survey of Ecstasy use among 15-25 year-olds in five areas of Tehran.
Tehran Univ Med J 2008; 65(11): 49-54.
7. Mohammadpourasl A, Rostami F, Fakhari A. The incidence rate of illicit drug use in male students of Tabriz high
schools. Adv Cogn Sci 2013; 10(1): 58-67. [In Persian].
8. Corey G. Theory and Practice of Group Counseling. 4th ed. Pacific Grove, CA: Brooks/Cole; 1991.
9. Corey G, Corey MC, Callanan P. Issues and ethics in the helping professions. 5th ed. Pacific Grove, CA:
Brooks/Cole; 1998.
10.Maslach C, Jackson SE. The measurement of experienced burnout†. Journal of Organizational Behavior 1981;
2(2): 99-113.
11. Schmitz N, Neumann W, Oppermann R. Stress, burnout and locus of control in German nurses. Int J Nurs Stud
2000; 37(2): 95-9.
12.Kilfedder CJ, Power KG, Wells TJ. Burnout in psychiatric nursing. J Adv Nurs 2001; 34(3): 383-96.
13. Schaufeli W, Maslach C, Marek T. Professional Burnout. Philadelphia, PA: Taylor & Francis Group; 1993.
14.Dehbozorgi Gh, Hadaegh R. Hidden whirlpool in job burnout, prevention, treatment. Shiraz, Iran: Navid
Publication; 2006.
15.Duquette A, Kerouac S, Sandhu BK, Beaudet L. Factors related to nursing burnout: a review of empirical
knowledge. Issues Ment Health Nurs 1994; 15(4): 337-58.
16.Nahit ES, Pritchard CM, Cherry NM, Silman AJ, Macfarlane GJ. The influence of work related psychosocial
factors and psychological distress on regional musculoskeletal pain: a study of newly employed workers. J
Rheumatol 2001; 28(6): 1378-84.
17.Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001; 52: 397-422.
18.Baba VV, Galperin BL, Lituchy TR. Occupational mental health: a study of work-related depression among
nurses in the Caribbean. Int J Nurs Stud 1999; 36(2): 163-9.
19. Sharma A, Sharp DM, Walker LG, Monson JR. Stress and burnout among colorectal surgeons and colorectal
nurse specialists working in the National Health Service. Colorectal Dis 2008; 10(4): 397-406.
20.Benjamin L, Walz GR. 9 for the 90's: Counselling Tasks for Tomorrow. Guidance & Counselling 1995; 10(4):
12-24.
21.Bressi C, Porcellana M, Gambini O, Madia L, Muffatti R, Peirone A, et al. Burnout among psychiatrists in Milan:
a multicenter survey. Psychiatr Serv 2009; 60(7): 985-8.
22. Embriaco N, Papazian L, Kentish-Barnes N, Pochard F, Azoulay E. Burnout syndrome among critical care
healthcare workers. Curr Opin Crit Care 2007; 13(5): 482-8.
23.Robinson JR, Clements K, Land C. Workplace stress among psychiatric nurses. Prevalence, distribution,
correlates, & predictors. J Psychosoc Nurs Ment Health Serv 2003; 41(4): 32-41.
24.Kumar S, Fischer J, Robinson E, Hatcher S, Bhagat RN. Burnout and job satisfaction in New Zealand
psychiatrists: a national study. Int J Soc Psychiatry 2007; 53(4): 306-16.
25. Patrick K, Lavery JF. Burnout in nursing. Aust J Adv Nurs 2007; 24(3): 43-8.
26.Ozyurt A, Hayran O, Sur H. Predictors of burnout and job satisfaction among Turkish physicians. QJM 2006;
99(3): 161-9.
27.Gil-Monte PR, Peir JM. A study on significant sources of the "burnout syndrome" in workers at occupational
centres for the mentally disabled 1. Psychology in Spain 1998; 2(1): 116-23.
28.Costantini A, Solano L, Di NR, Bosco A. Relationship between hardiness and risk of burnout in a sample of 92
nurses working in oncology and AIDS wards. Psychother Psychosom 1997; 66(2): 78-82.
29.Goldberg R, Boss RW, Chan L, Goldberg J, Mallon WK, Moradzadeh D, et al. Burnout and its correlates in
emergency physicians: four years' experience with a wellness booth. Acad Emerg Med 1996; 3(12): 1156-64.                        30. Te BH, Bloemendal E, Hoogstraten J. Gender differences in burnout among Dutch dentists. Community Dent
Oral Epidemiol 2003; 31(5): 321-7.
31.McMurray JE, Linzer M, Konrad TR, Douglas J, Shugerman R, Nelson K. The work lives of women physicians
results from the physician work life study. The SGIM Career Satisfaction Study Group. J Gen Intern Med 2000;
15(6): 372-80.
32. Sahebazzamani M, Safavi M, Farahani H. Burnout of nurses employed at Tehran psychiatric hospitals and its
relation with social supports. Medical Science Journal of Islamic Azad University - Tehran Medical Branch 2009;
19(3): 206-11. [In Persian].
33.Mirabzadeh A, Irani SH, Samiei M, Feizzade G. Burnout and related factors in Razi Psychiatric. Rehabilitation
2007; 8(2): 64-70. [In Persian].
34. Talaei A, Motamednejad M, Samari AA. Job burnout and related factors in staff of health care centers of
Mashhad, Iran. J Fundam Ment Health 2007; 9(35-36): 135-44. [In Persian].
35.Abdi Masouleh F, Kaviani H, Haghanizadeh M, Momeni Araghi A. The relationship between burnout and mental
health among nurses. Tehran Univ Med J 2007; 65(6): 65-75. [In Persian].
36.Abedi MR, Shafie Abadi A, Ahmadi SA, Salimizadeh K. Job burnout and related factors in consultants employed
in department of education in Isfahan. Knowledge & Research in Applied Psychology 2003; 5(15): 23-38.
[In Persian].
37. Farber BA. Stress and burnout in the human service professions. New York, NY: Pergamon Press; 1983.
38.Najafi M, Solati dehkordi K, Forouzbakhsh F. Relationship between staff burnout and mental health in staff of
nuclear energy organization, Isfahan. J Shahrekord Univ Med Sci 2000; 2(2): 34-41. [In Persian].
39.Ahmadi A, Khalifeh Soltani E. Job burnout of educational managers in every three educational levels of Isfahan,
Iran. Journal of Human Sciences 2002; 13(1): 275-84. [In Persian].
40.Khakpour R, Birashk B. Job burnout syndrome rate in consultants and psychotherapists. J Psychiatry Clin
Psychol 1998; 4(3): 14-22. [In Persian].
41. Soleimani K, Sharifi V, Tehrani Doust M. Occupational burnout in psychiatric staff at Roozbeh hospital. Adv
Cogn Sci 2006; 7(3): 36-42. [In Persian].
42.Coffey M, Coleman M. The relationship between support and stress in forensic community mental health
nursing. J Adv Nurs 2001; 34(3): 397-407.
43.Yiu-kee C, Tang CS. Existential Correlates of Burnout among Mental Health Professionals in Hong Kong.
Journal of Mental Health Counseling 1995; 17(2): 220-9.
44. Sa'atchi M. Mental health in the workplace with emphasis on job stress and burnout. Tehran, Iran: Viraiesh
Publication; 2008. [In Persian].
45. Toubaei Sh, Daghighafkar M, Haghshenas H. The Relation of Dentists Job Burnout with their General Health,
Demographic and Personality Characteristics. Journal of Dentistry 2010; 10(4): 348-55. [In Persian].