职业倦怠综合征及其在初级护理中的患病率:一项系统评价与荟萃分析。
Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis.
作者信息
Monsalve-Reyes Carolina S, San Luis-Costas Concepción, Gómez-Urquiza Jose L, Albendín-García Luis, Aguayo Raimundo, Cañadas-De la Fuente Guillermo A
机构信息
Departamento de Ciencias Sociales, Universidad Católica de La Santísima Concepción, Concepción, Chile.
Doctorado en Psicología de la Salud, Facultad de Psicología, Universidad Nacional de Educación a Distancia (UNED), Madrid, Spain.
出版信息
BMC Fam Pract. 2018 May 10;19(1):59. doi: 10.1186/s12875-018-0748-z.
BACKGROUND
burnout syndrome is a significant problem in nursing professionals. Although, the unit where nurses work may influence burnout development. Nurses that work in primary care units may be at higher risk of burnout. The aim of the study was to estimate the prevalence of emotional exhaustion, depersonalization and low personal accomplishment in primary care nurses.
METHODS
We performed a meta-analysis. We searched Pubmed, CINAHL, Scopus, Scielo, Proquest, CUIDEN and LILACS databases up to September 2017 to identify cross-sectional studies assessing primary care nurses' burnout with the Maslach Burnout Inventory were included. The search was done in September 2017.
RESULTS
After the search process, n = 8 studies were included in the meta-analysis, representing a total sample of n = 1110 primary care nurses. High emotional exhaustion prevalence was 28% (95% Confidence Interval = 22-34%), high depersonalization was 15% (95% Confidence Interval = 9-23%) and 31% (95% Confidence Interval = 6-66%) for low personal accomplishment.
CONCLUSIONS
Problems such as emotional exhaustion and low personal accomplishment are very common among primary care nurses, while depersonalization is less prevalent. Primary care nurses are a burnout risk group.
背景
职业倦怠综合征是护理专业人员面临的一个重大问题。尽管护士工作的单位可能会影响职业倦怠的发展。在基层医疗单位工作的护士可能面临更高的职业倦怠风险。本研究的目的是评估基层医疗护士中情感耗竭、去个性化和个人成就感低落的患病率。
方法
我们进行了一项荟萃分析。我们检索了截至2017年9月的PubMed、CINAHL、Scopus、Scielo、Proquest、CUIDEN和LILACS数据库,以识别使用马氏职业倦怠量表评估基层医疗护士职业倦怠的横断面研究并纳入分析。检索于2017年9月进行。
结果
在检索过程之后,n = 8项研究被纳入荟萃分析,代表了总共n = 1110名基层医疗护士的样本。情感耗竭患病率高的为28%(95%置信区间 = 22 - 34%),去个性化患病率高的为15%(95%置信区间 = 9 - 23%),个人成就感低落的为31%(95%置信区间 = 6 - 66%)。
结论
情感耗竭和个人成就感低落等问题在基层医疗护士中非常普遍,而去个性化则不太常见。基层医疗护士是职业倦怠风险群体。