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意大利98个单采血浆单位中470名卫生专业人员的压力、职业倦怠与工作满意度:一项SIdEM合作研究。

Stress, burnout, and job satisfaction in 470 health professionals in 98 apheresis units in Italy: A SIdEM collaborative study.

作者信息

Tremolada Marta, Schiavo Simone, Tison Tiziana, Sormano Emilia, De Silvestro Giustina, Marson Piero, Pierelli Luca

机构信息

Department of Child and Woman Health, Oncology Hematology Division, University Hospital of Padova, Italy.

Department of Transfusion Medicine, Therapeutic Apheresis Unit, University Hospital of Padova, Italy.

出版信息

J Clin Apher. 2015 Oct;30(5):297-304. doi: 10.1002/jca.21379. Epub 2015 Jan 24.

Abstract

AIMS

In Italian and international background, there are no studies focusing on stress, burnout indicators, and job satisfaction in health professionals working in the apheresis units. This study aims to fill this void both for scientific and clinical reasons.

METHODS

The participants were 470 health professionals (220 physicians, 250 nurses), mostly female (73.4%), with an average age of 48.09 (with the 5° percentile under 32 years and the 95° percentile over 60), working in the Apheresis Units in the North (228), in the Center (131) and in the Southern-islands of Italy (111). The health professionals' years on the job were principally between one and 10 years (40.2%) or from 11 to 20 years (33.2%). The prevalent activity was therapeutic apheresis (48.5%). The self-report questionnaires were proposed electronically by a protected online site.

RESULTS

Important stress levels were identified in the health professionals. Physicians principally showed medium (47.5%) and high (35.8%) stress levels. Stress levels of nurses were mostly low (57.7%) or medium (25.7%). Female gender in nurses [t(268) = -3.29; P = 0.001] and in physician professions [t(217) = -3.01; P = 0.03] was a risk factor for stress. Both job categories were placed at a high risk level for burnout syndrome comparing with normative scales, especially the health professionals working in the center of Italy for the scales "Emotional exhaustion" [F(2) = 4.39; P = 0.013] and "Professional inefficacy" [F(2) = 4.38; P = 0.013].

CONCLUSIONS

Health professionals working in the apheresis unit show high stress levels and burnout risk. New preventive programs and specific clinical interventions should be constructed.

摘要

目的

在意大利及国际范围内,尚无针对单采血浆单位卫生专业人员的压力、职业倦怠指标和工作满意度的研究。本研究旨在从科学和临床角度填补这一空白。

方法

研究对象为470名卫生专业人员(220名医生、250名护士),大多数为女性(73.4%),平均年龄48.09岁(第5百分位数低于32岁,第95百分位数高于60岁),就职于意大利北部(228人)、中部(131人)和南部岛屿(111人)的单采血浆单位。卫生专业人员的工作年限主要在1至10年(40.2%)或11至20年(33.2%)之间。主要业务活动为治疗性单采血浆(48.5%)。通过受保护的在线网站以电子方式发放自填式问卷。

结果

研究发现卫生专业人员存在较高的压力水平。医生主要表现为中度(47.5%)和高度(35.8%)压力水平。护士的压力水平大多为低度(57.7%)或中度(25.7%)。护士职业中的女性[t(268) = -3.29;P = 0.001]和医生职业中的女性[t(217) = -3.01;P = 0.03]是压力的危险因素。与常模量表相比,两个职业类别都处于职业倦怠综合征的高风险水平,尤其是意大利中部的卫生专业人员在“情感耗竭”[F(2) = 4.39;P = 0.013]和“专业效能低下”[F(2) = 4.38;P = 0.013]量表上。

结论

在单采血浆单位工作的卫生专业人员表现出较高的压力水平和职业倦怠风险。应制定新的预防方案和具体的临床干预措施。

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