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治疗登革热感染的医护人员的压力与倦怠综合征:一项横断面研究。

Stress and burnout syndrome in health-care providers treating dengue infection: A cross-sectional study.

作者信息

Boo Y L, Liam C C K, Lim S Y, Look M L, Tan M H, Ching S M, Wan J L, Chin P W, Hoo F K

机构信息

Hospital Sultanah Nora Ismail, Department of Medicine, Batu Pahat, Johor, Malaysia.

Hospital Kuala Lumpur, Department of Medicine, Malaysia.

出版信息

Med J Malaysia. 2018 Dec;73(6):371-375.

Abstract

INTRODUCTION

Increased prevalence of dengue fever had led to increase stress in providing optimal care for patients. This has been identified as a potential factor that may lead to negative health effects on medical doctors. This study was designed to review the prevalence and associated factors of burnout syndrome (including depression, anxiety, and stress level) among clinicians in the setting of increasing cases of dengue in Malaysia.

METHODS

A cross-sectional, multi-centre study was carried out among doctors in contact with patients with dengue infection from four major hospitals in Malaysia in 2015 using Maslach Burnout Inventory and DASS-21 questionnaire.

RESULTS

A total of 313 respondents were included in this study with 15.9% of the respondents experiencing high burnout syndrome. Long working hours, depression, anxiety, and stress were significantly associated with high degree of burnout syndrome (p<0.05). However, number of dengue cases reviewed was not significantly associated with the degree of burnout syndrome. Depression and stress were among factors identified as the predictors for burnout syndrome.

CONCLUSION

High degree of burnout syndrome among clinicians with significant correlations with symptoms of depression and stress will require early identification to enable early measures to resolve, as well as prevent it. Future studies with more hospitals involvement should be conducted to establish the relationship between the degree of burnout syndrome and prevalence of dengue infection.

摘要

引言

登革热患病率的增加导致在为患者提供最佳护理方面压力增大。这已被确定为可能对医生健康产生负面影响的一个潜在因素。本研究旨在回顾在马来西亚登革热病例不断增加的背景下,临床医生中倦怠综合征(包括抑郁、焦虑和压力水平)的患病率及相关因素。

方法

2015年,采用马氏倦怠量表和DASS - 21问卷,对马来西亚四家主要医院中接触登革热感染患者的医生开展了一项横断面多中心研究。

结果

本研究共纳入313名受访者,其中15.9%的受访者经历了高度倦怠综合征。长时间工作、抑郁、焦虑和压力与高度倦怠综合征显著相关(p<0.05)。然而,审查的登革热病例数与倦怠综合征程度无显著关联。抑郁和压力是被确定为倦怠综合征预测因素的因素之一。

结论

临床医生中高度倦怠综合征与抑郁和压力症状显著相关,需要早期识别以便能够尽早采取措施解决并预防。应开展有更多医院参与的未来研究,以确定倦怠综合征程度与登革热感染患病率之间的关系。

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