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妇科和产科护士中 burnout 综合征的患病率、相关因素和水平:系统评价和荟萃分析。

Prevalence, Related Factors, and Levels of Burnout Syndrome Among Nurses Working in Gynecology and Obstetrics Services: A Systematic Review and Meta-Analysis.

机构信息

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

Faculty of Health Sciences, University of Granada, Calle Cortadura Del Valle S.N., 51001 Ceuta, Spain.

出版信息

Int J Environ Res Public Health. 2019 Jul 19;16(14):2585. doi: 10.3390/ijerph16142585.

DOI:10.3390/ijerph16142585
PMID:31331046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6678444/
Abstract

BACKGROUND

Although burnout levels and the corresponding risk factors have been studied in many nursing services, to date no meta-analytical studies have been undertaken of obstetrics and gynecology units to examine the heterogeneity of burnout in this environment and the variables associated with it. In the present paper, we aim to determine the prevalence, levels, and related factors of burnout syndrome among nurses working in gynecology and obstetrics services.

METHODS

A systematic review and meta-analysis of the literature were carried out using the following sources: CINAHL (Cumulative Index of Nursing and Allied Health Literature), LILACS (Latin American and Caribbean Health Sciences Literature), Medline, ProQuest (Proquest Health and Medical Complete), SciELO (Scientific Electronic Library Online), and Scopus.

RESULTS

Fourteen relevant studies were identified, including, for this meta-analysis, n = 464 nurses. The following prevalence values were obtained: emotional exhaustion 29% (95% CI: 11-52%), depersonalization 19% (95% CI: 6-38%), and low personal accomplishment 44% (95% CI: 18-71%). The burnout variables considered were sociodemographic (age, marital status, number of children, gender), work-related (duration of the workday, nurse-patient ratio, experience or number of miscarriages/abortions), and psychological (anxiety, stress, and verbal violence).

CONCLUSION

Nurses working in obstetrics and gynecology units present high levels of burnout syndrome. In over 33% of the study sample, at least two of the burnout dimensions considered are apparent.

摘要

背景

尽管许多护理服务都对倦怠水平及其相应的危险因素进行了研究,但迄今为止,尚未针对妇产科单位进行荟萃分析研究,以检查这种环境下的倦怠异质性及其相关因素。在本文中,我们旨在确定妇产科护士中倦怠综合征的流行率、水平和相关因素。

方法

使用以下来源进行了文献的系统回顾和荟萃分析:CINAHL(护理和联合健康文献累积索引)、LILACS(拉丁美洲和加勒比卫生科学文献)、Medline、ProQuest(Proquest 健康和医学完整)、SciELO(科学电子图书馆在线)和 Scopus。

结果

确定了 14 项相关研究,其中包括 n = 464 名护士,用于此荟萃分析。得出了以下患病率值:情绪耗竭 29%(95%CI:11-52%),去人格化 19%(95%CI:6-38%)和个人成就感低 44%(95%CI:18-71%)。考虑的倦怠变量包括社会人口统计学(年龄、婚姻状况、子女数量、性别)、与工作相关(工作时间、护士与患者比例、经验或流产/堕胎次数)和心理(焦虑、压力和言语暴力)。

结论

在妇产科工作的护士表现出高水平的倦怠综合征。在超过 33%的研究样本中,至少有两个被认为的倦怠维度明显存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6423/6678444/91a83374e917/ijerph-16-02585-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6423/6678444/974cd9e3521e/ijerph-16-02585-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6423/6678444/f098b963a129/ijerph-16-02585-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6423/6678444/6badd8d6282c/ijerph-16-02585-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6423/6678444/91a83374e917/ijerph-16-02585-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6423/6678444/974cd9e3521e/ijerph-16-02585-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6423/6678444/f098b963a129/ijerph-16-02585-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6423/6678444/6badd8d6282c/ijerph-16-02585-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6423/6678444/91a83374e917/ijerph-16-02585-g004.jpg

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