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护理人员的职业倦怠:抑郁与职业倦怠之间存在关联吗?

Burnout in nursing staff: is there a relationship between depression and burnout?

作者信息

Iacovides A, Fountoulakis K N, Moysidou C, Ierodiakonou C

机构信息

Aristotle University of Thessaloniki, General Hospital AHEPA, Greece.

出版信息

Int J Psychiatry Med. 1999;29(4):421-33. doi: 10.2190/5YHH-4CVF-99M4-MJ28.

Abstract

OBJECTIVE

There is evidence that burnout may be a clinical entity with pathological stress reaction features related to the inability in finding pleasure from work. The purpose of this study was to investigate the relationship between burnout and depression.

METHODS

The study took place in the general hospital AHEPA of Thessaloniki. All members of the nursing staff (in total 368 subjects) took part. The protocol was self-reported and anonymous, in order to obtain as valid data as possible and included the Maslach Burnout Inventory (MBI) to assess the level of burnout, the Eysenck Personality Questionnaire (EPQ) to assess personality traits, and the Zung Self-Rating Depression Scale to assess depressive symptomatology.

RESULTS

The analysis revealed a weak but significant relationship between burnout and depression.

CONCLUSIONS

Depression is a pervasive disorder that affects almost every aspect of the patient's life. On the contrary, burnout is, by definition, a syndrome restricted to the patient's professional environment. However, it seems that there may be two distinct types of burnout syndromes, of which the one comprising the majority of nurses has little or no common features with depression. The second type consists of individuals with a predisposition to develop burnout. The latter is characterized by more severe symptomatology, phenotypic similarity to depression and presumably common etiological mechanisms.

摘要

目的

有证据表明职业倦怠可能是一种具有病理应激反应特征的临床实体,与无法从工作中获得乐趣有关。本研究的目的是调查职业倦怠与抑郁之间的关系。

方法

该研究在塞萨洛尼基的综合医院阿赫帕进行。全体护理人员(共368名受试者)参与。该方案采用自我报告且匿名的方式,以便尽可能获取有效数据,包括用马氏职业倦怠量表(MBI)评估职业倦怠水平、艾森克人格问卷(EPQ)评估人格特质,以及用zung自评抑郁量表评估抑郁症状。

结果

分析显示职业倦怠与抑郁之间存在微弱但显著的关系。

结论

抑郁症是一种普遍存在的疾病,几乎影响患者生活的方方面面。相反,根据定义,职业倦怠是一种仅限于患者职业环境的综合征。然而,似乎可能存在两种不同类型的职业倦怠综合征,其中大多数护士所属的那种与抑郁症几乎没有共同特征。第二种类型由易患职业倦怠的个体组成。后者的特征是症状更严重,在表型上与抑郁症相似,且可能有共同的病因机制。

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