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与工作相关的心理后果:职业倦怠对医护人员心理健康状况的影响。

Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers.

作者信息

Papathanasiou Ioanna V

机构信息

Nursing Department, Technological Educational Institute of Thessaly, Greece.

出版信息

Acta Inform Med. 2015 Feb;23(1):22-8. doi: 10.5455/aim.2015.23.22-28. Epub 2015 Feb 22.

Abstract

INTRODUCTION

Burnout can create problems in every aspect of individual's' human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life.

AIM

The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers.

MATERIAL AND METHODS

The sample in this study consisted of 240 health care employees. The Greek version of Maslach's Burnout Inventory (MBI) was used for measuring burnout levels and the Greek version of the Symptoms Rating Scale for Depression and Anxiety (SRSDA) questionnaire was used to evaluate health care providers' mental health status. Descriptive statistics were initially generated for sample characteristics. Normality was checked by the Kolmogorov-Smirnov test and data was processed with parametric tests. General linear models with MBI dimensions as independent variables and SRSDA subscales as dependent variables were used to determine the relation between burnout and mental health status. Statistics were processed with SPSS v. 17.0 (SPSS, Chicago, IL, USA). Statistical significance was set at p=0.05.

RESULTS

The average age of the sample is 40.00±7.95 years. Regarding gender the percentage of men is 21.40% (N=49) and of women is 78.60% (N=180). Overall the professional burnout of health care workers is moderate. The mean score for emotional exhaustion is 26.41, for personal accomplishment 36.70 and for depersonalization 9.81. The mean for each subscale of SRSDA is 8.23±6.79 for Depression Beck-21, 3.96±4.26 for Depression Beck-13, 4.91±4.44 for Melancholia, 6.32±4.35 for Asthenia and 6.36±4.72 for Anxiety. The results of general linear models with the MBI dimensions as independent variables and the SRSDA subscales as dependent variables are shown that emotional exhaustion and personal accomplishment are statistically correlated with all subscales of SRSDA, while depersonalization is not correlated with any SRSDA subscale.

CONCLUSIONS

Burnout appears to implicate mental health status of healthcare providers in work index. Emotional exhaustion is the burnout dimension that is correlated the most with employees' mental health.

摘要

引言

职业倦怠会给个人生活的方方面面带来问题。它可能会对人际关系和家庭关系产生不利影响,并导致对生活的总体消极态度。

目的

本研究的目的是调查职业倦怠是否与医护人员的心理健康状况相关。

材料与方法

本研究的样本包括240名医护人员。使用希腊版的马氏职业倦怠量表(MBI)来测量职业倦怠水平,并使用希腊版的抑郁与焦虑症状评定量表(SRSDA)问卷来评估医护人员的心理健康状况。首先对样本特征进行描述性统计。通过柯尔莫哥洛夫-斯米尔诺夫检验检查正态性,并使用参数检验对数据进行处理。以MBI维度为自变量、SRSDA子量表为因变量的一般线性模型用于确定职业倦怠与心理健康状况之间的关系。使用SPSS v. 17.0(SPSS,美国伊利诺伊州芝加哥)进行统计处理。设定统计学显著性水平为p = 0.05。

结果

样本的平均年龄为40.00±7.95岁。在性别方面,男性占21.40%(N = 49),女性占78.60%(N = 180)。总体而言,医护人员的职业倦怠程度为中等。情感耗竭的平均得分为26.41,个人成就感为36.70,去个性化为9.81。SRSDA各子量表的平均分分别为:抑郁贝克-21为8.23±6.79,抑郁贝克-13为3.96±4.26,忧郁症为4.91±4.44,无力感为6.32±4.35,焦虑为6.36±4.72。以MBI维度为自变量、SRSDA子量表为因变量的一般线性模型结果表明,情感耗竭和个人成就感与SRSDA的所有子量表在统计学上相关,而去个性化与SRSDA的任何子量表均不相关。

结论

职业倦怠似乎在工作指标方面与医护人员的心理健康状况有关。情感耗竭是与员工心理健康相关性最高的职业倦怠维度。

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