儿科牙医中的职业倦怠：一项系统综述与荟萃分析。
完整摘要 · 中文译文
职业倦怠，包括由Maslach职业倦怠量表（MBI）测得的情绪耗竭（EE）高、去人格化（DP）高和个人成就感（PA）低，在儿科牙医中仍未得到充分描述。本系统综述和荟萃分析旨在评估基于MBI的职业倦怠维度的患病率及相关因素；方案已在PROSPERO前瞻性注册（CRD420251238894），并按照PRISMA 2020和MOOSE指南进行报告。检索了五个数据库（PubMed/MEDLINE、Scopus、Web of Science、EBSCOhost和Cochrane Library），检索时间从建库至2025年11月30日，并辅以Google Scholar、机构知识库和联系作者，纳入在儿科牙医、住院医师或教师中采用MBI的定量观察性调查研究。两名评价者独立提取研究特征、MBI各维度得分、复合职业倦怠定义和相关因素；分歧通过共识解决。采用乔安娜·布里格斯研究所患病率研究批判性评估清单（2020年，9个条目）评估方法学质量，并使用GRADE对证据确定性进行分级。五项横断面调查（n=915；约旦、埃及、黎巴嫩、美国和韩国）符合纳入标准。随机效应荟萃分析（Freeman-Tukey变换）显示，高EE的合并患病率估计为45%（95% CI：27%-64%），高DP为36%（10%-67%），低PA为27%（10%-49%）；两项使用等效双维度标准的研究得出复合职业倦怠患病率为16%（4%-34%）。异质性 y 在所有结局中都是极端的（I² > 90%），证据确定性极低。倦怠，尤其是情感耗竭（EE），在儿科牙医中经常被报道，尽管估计值高度依赖于背景，并且需要协调、纵向、多国且伴有同步心理健康测量的研究。
完整摘要 · 英文原文
Burnout, encompassing high emotional exhaustion (EE), high depersonalisation (DP), and low personal accomplishment (PA) as measured by the Maslach Burnout Inventory (MBI), remains poorly characterised among paediatric dentists. This systematic review and meta-analysis aimed to estimate prevalence of MBI-based burnout dimensions and associated factors, following a protocol prospectively registered with PROSPERO (CRD420251238894) and reported per PRISMA 2020 and MOOSE guidelines. Five databases (PubMed/MEDLINE, Scopus, Web of Science, EBSCOhost, and Cochrane Library) were searched from inception to November 30, 2025, supplemented by Google Scholar, institutional repositories, and author contacts, for quantitative observational surveys using the MBI in paediatric dentists, residents, or faculty. Two reviewers independently extracted study characteristics, MBI domain scores, composite burnout definitions, and associated factors, with discrepancies resolved by consensus; methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Prevalence Studies (2020, nine items), and evidence certainty was graded using GRADE. Five cross-sectional surveys (n=915; Jordan, Egypt, Lebanon, United States, and Republic of Korea) met inclusion criteria. Random-effects meta-analysis (Freeman-Tukey transformation) showed pooled prevalence estimates of 45% for high EE (95% CI: 27%-64%), 36% for high DP (10%-67%), and 27% for low PA (10%-49%); two studies using equivalent two-domain criteria yielded a composite burnout prevalence of 16% (4%-34%). Heterogeneity was extreme (I² > 90%) across all outcomes, with very low certainty of evidence. Burnout, particularly EE, is frequently reported among paediatric dentists, though estimates are highly context-dependent, and harmonised, longitudinal, multi-country studies with concurrent mental health measures are needed.