Ntantana Asimenia, Matamis Dimitrios, Savvidou Savvoula, Giannakou Maria, Gouva Mary, Nakos George, Koulouras Vasilios
ICU "Papageorgiou" General Hospital of Thessaloniki, Greece.
ICU "Papageorgiou" General Hospital of Thessaloniki, Greece.
Intensive Crit Care Nurs. 2017 Aug;41:11-17. doi: 10.1016/j.iccn.2017.02.009. Epub 2017 Apr 10.
To investigate if burnout in the Intensive Care Unit (ICU) is influenced by aspects of personality, religiosity and job satisfaction.
Cross-sectional study, designed to assess burnout in the ICU and to investigate possible determinants. Three different questionnaires were used: the Malach Burnout Inventory, the Eysenck Personality Questionnaire and the Spiritual/Religious Attitudes Questionnaire. Predicting factors for high burnout were identified by multivariate logistic regression analysis.
SETTING/PARTICIPANTS: This national study was addressed to physicians and nurses working full-time in 18 Greek ICU departments from June to December 2015.
The participation rate was 67.9% (n=149) and 65% (n=320) for ICU physicians and nurses, respectively). High job satisfaction was recorded in both doctors (80.8%) and nurses (63.4%). Burnout was observed in 32.8% of the study participants, higher in nurses compared to doctors (p<0.001). Multivariate analysis revealed that neuroticism was a positive and extraversion a negative predictor of exhaustion (OR 5.1, 95%CI 2.7-9.7, p<0.001 and OR 0.49, 95%CI 0.28-0.87, p=0.014, respectively). Moreover, three other factors were identified: Job satisfaction (OR 0.26, 95%CI 0.14-0.48, p<0.001), satisfaction with current End-of-Life care (OR 0.41, 95%CI 0.23-0.76, p=0.005) and isolation feelings after decisions to forego life sustaining treatments (OR 3.48, 95%CI 1.25-9.65, p=0.017).
Personality traits, job satisfaction and the way End-of-Life care is practiced influence burnout in the ICU.
调查重症监护病房（ICU）的职业倦怠是否受到人格、宗教信仰和工作满意度等因素的影响。
横断面研究，旨在评估ICU中的职业倦怠并调查可能的决定因素。使用了三种不同的问卷：马拉克倦怠量表、艾森克人格问卷和精神/宗教态度问卷。通过多因素逻辑回归分析确定高倦怠的预测因素。
研究背景/参与者：这项全国性研究针对的是2015年6月至12月在希腊18个ICU科室全职工作的医生和护士。
ICU医生和护士的参与率分别为67.9%（n = 149）和65%（n = 320）。医生（80.8%）和护士（63.4%）的工作满意度都较高。32.8%的研究参与者存在职业倦怠，护士中的倦怠率高于医生（p<0.001）。多因素分析显示，神经质是倦怠的正向预测因素，外向性是倦怠的负向预测因素（OR分别为5.1，95%CI 2.7 - 9.7，p<0.001和OR 0.49，95%CI 0.28 - 0.87，p = 0.014）。此外，还确定了其他三个因素：工作满意度（OR 0.26，95%CI 0.14 - 0.48，p<0.001）、对当前临终关怀的满意度（OR 0.41，95%CI 0.23 - 0.76，p = 0.005）以及放弃维持生命治疗决定后的孤独感（OR 3.48，95%CI 1.25 - 9.65，p = 0.017）。
人格特质、工作满意度和临终关怀的实施方式会影响ICU中的职业倦怠。
