脑瘫患儿正规照料者的职业倦怠

Burnout of Formal Caregivers of Children with Cerebral Palsy.

作者信息

Vicentic Sreten, Sapic Rosa, Damjanovic Aleksandar, Vekic Berislav, Loncar Zlatibor, Dimitrijevic Ivan, Ilankovic Andrej, Jovanovic Aleksandar A

机构信息

Clinic of Psychiatry, Clinical Center of Serbia, Belgrade, Serbia.

High School for Teachers, Kikinda, Serbia.

出版信息

Isr J Psychiatry Relat Sci. 2016;53(2):10-15.

PMID:28079032

Abstract

BACKGROUND

Burnout syndrome is under-researched within caregivers (CGs) of children with cerebral palsy. The primary aim was to determine the burnout level of formal CGs of children with cerebral palsy (G1) and to compare it with a control group (G2) of professional pediatric nurses, and second, to correlate the level of depression and anxiety with the burnout level.

METHOD

In a total sample of 60 CGs, the Maslach Burnout Inventory Human Services Survey (MBI-HSS), consisting of three structural units - emotional exhaustion (MBIEE) subscale, depersonalization (MBI-DP) subscale and personal accomplishment (MBI-PA) subscale - was used to measure burnout. The Beck Anxiety Inventory (BAI) was used for the assessment of anxiety, and the Beck Depression Inventory (BDI) for depression.

RESULTS

A significant difference was shown on the MBI-EE subscale and on the BDI test (p<0.05), in both cases higher scores were obtained by G1. High burnout was observed in all subscales, on the MBI-EE subscale registered 50% of CGs in G1, and 17% in control G2. Correlation of the MBI-EE subscale with BDI and BAI tests was highly significant (p<0.01).

CONCLUSIONS

These findings indicate the need for future research aimed at formulating preventive strategies for caregivers' mental health. Better care for caregivers would provide them with better professional satisfaction, and consequently would lead to better care for patients.

摘要

背景

在脑瘫患儿的照料者（CGs）中，职业倦怠综合征的研究较少。主要目的是确定脑瘫患儿的正规照料者（G1组）的职业倦怠水平，并将其与专业儿科护士的对照组（G2组）进行比较，其次，将抑郁和焦虑水平与职业倦怠水平进行关联。

方法

在总共60名照料者的样本中，使用由三个结构单元组成的马氏职业倦怠量表-人类服务调查（MBI-HSS）来测量职业倦怠，这三个结构单元分别是情感耗竭（MBI-EE）子量表、去个性化（MBI-DP）子量表和个人成就感（MBI-PA）子量表。使用贝克焦虑量表（BAI）评估焦虑，使用贝克抑郁量表（BDI）评估抑郁。

结果

在MBI-EE子量表和BDI测试中显示出显著差异（p<0.05），在这两种情况下，G1组的得分更高。在所有子量表中都观察到高职业倦怠，在MBI-EE子量表上，G1组中有50%的照料者出现职业倦怠，而对照组G2中这一比例为17%。MBI-EE子量表与BDI和BAI测试的相关性非常显著（p<0.01）。