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《医学领域护士的倦怠水平及危险因素:一项荟萃分析研究》

Levels of Burnout and Risk Factors in Medical Area Nurses: A Meta-Analytic Study.

机构信息

Geriatric Center Claret, Calle Pedro Machuca N. 21b, 18011 Granada, Spain.

Brain, Mind and Behaviour Research Center (CIMCYC), University of Granada, Campus Universitario de Cartuja S.N., 18011 Granada, Spain.

出版信息

Int J Environ Res Public Health. 2018 Dec 10;15(12):2800. doi: 10.3390/ijerph15122800.

Abstract

Research findings concerning burnout prevalence rate among nurses from the medical area are contradictory. The aim of this study was to analyse associated factors, to determine nurse burnout levels and to meta-analyse the prevalence rate of each burnout dimension. A systematic review, with meta-analysis, was conducted in February 2018, consulting the next scientific databases: PubMed, CUIDEN, CINAHL, Scopus, LILACS, PsycINFO and ProQuest Health & Medical Complete. In total, 38 articles were extracted, using a double-blinded procedure. The studies were classified by the level of evidence and degrees of recommendation. The 63.15% (n = 24) of the studies used the MBI. High emotional exhaustion was found in the 31% of the nurses, 24% of high depersonalisation and low personal accomplishment was found in the 38%. Factors related to burnout included professional experience, psychological factors and marital status. High emotional exhaustion prevalence rates, high depersonalisation and inadequate personal accomplishment are present among medical area nurses. The risk profile could be a single nurse, with multiple employments, who suffers work overload and with relatively little experience in this field. The problem addressed in this study influence the quality of care provided, on patients' well-being and on the occupational health of nurses.

摘要

医学领域护士职业倦怠发生率的研究结果存在矛盾。本研究旨在分析相关因素,确定护士职业倦怠水平,并对各倦怠维度的患病率进行荟萃分析。2018 年 2 月,我们进行了一项系统评价和荟萃分析,检索了以下科学数据库:PubMed、CUIDEN、CINAHL、Scopus、LILACS、PsycINFO 和 ProQuest Health & Medical Complete。共提取了 38 篇文章,采用双盲程序。研究按证据水平和推荐程度进行分类。63.15%(n=24)的研究使用 MBI。研究发现,31%的护士情绪耗竭程度较高,24%的护士去人格化程度较高,38%的护士个人成就感较低。与职业倦怠相关的因素包括专业经验、心理因素和婚姻状况。高情绪耗竭、高去人格化和低个人成就感在医学领域的护士中较为普遍。风险因素可能是一位经验相对较少、多份工作、工作超负荷的护士。本研究中涉及的问题会影响提供的护理质量、患者的幸福感以及护士的职业健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2bf/6313576/bbeb54029605/ijerph-15-02800-g001.jpg

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