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助产士职业倦怠的流行率及其预测因素:系统评价和荟萃分析。

Prevalence and Predictors of Burnout in Midwives: A Systematic Review and Meta-Analysis.

机构信息

Nursing Department, Faculty of Health Sciences, University of Granada, Campus Universitario de Ceuta, C/Cortadura del Valle SN, 51001 Ceuta, Spain.

Andalusian Health Service, Avenida del Sur N. 11, 18014 Granada, Spain.

出版信息

Int J Environ Res Public Health. 2020 Jan 19;17(2):641. doi: 10.3390/ijerph17020641.

DOI:10.3390/ijerph17020641
PMID:31963831
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7013833/
Abstract

The prevalence of burnout in midwives has been briefly studied. Given the negative effects of burnout syndrome in the physical and mental health, and also related to the quality of care provided, rates of absenteeism and sick leave; identifying related factors for the syndrome are needed. The aim was to determine the prevalence, levels, and factors related to the burnout syndrome, measured with the Copenhagen Burnout Inventory in midwives. A systematic review and meta-analysis were selected from CINAHL, LILACS, ProQuest, PsycINFO, PubMed, SciELO, and Scopus databases, with the search equation "burnout AND (midwife OR midwives OR nurses midwives)". Fourteen articles were found with a total of 8959 midwives. Most of the studies showed moderate levels of personal burnout. The prevalence obtained was 50% (95% CI = 38-63) for personal burnout; 40% (95% CI = 32-49) for work-related burnout; and 10% (95% CI = 7-13) for client-related burnout. Midwives' age, less experience, and living alone constitute the main related factors, as well as, the scarcity of resources, work environment, and the care model used. Most midwives present personal and work-related burnout, which indicates a high risk of developing burnout. Personal factors and working conditions should be taken into account when assessing burnout risk profiles of midwives.

摘要

助产士的倦怠流行情况已被简要研究。鉴于倦怠综合征对身心健康的负面影响,以及与所提供的护理质量相关,旷工和病假率较高;因此需要确定与该综合征相关的因素。目的是确定助产士中使用哥本哈根倦怠量表测量的倦怠综合征的流行率、水平和相关因素。从 CINAHL、LILACS、ProQuest、PsycINFO、PubMed、SciELO 和 Scopus 数据库中选择了系统评价和荟萃分析,搜索方程为“倦怠 AND(助产士 OR 助产士 OR 护士助产士)”。共发现了 14 篇文章,其中共有 8959 名助产士。大多数研究显示个人倦怠程度中等。获得的患病率为个人倦怠 50%(95%CI=38-63);与工作相关的倦怠 40%(95%CI=32-49);与客户相关的倦怠 10%(95%CI=7-13)。助产士的年龄、经验较少和独居是主要的相关因素,以及资源匮乏、工作环境和使用的护理模式。大多数助产士都存在个人和与工作相关的倦怠,这表明他们有很高的倦怠风险。在评估助产士倦怠风险概况时,应考虑个人因素和工作条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8c/7013833/6ee4cba85147/ijerph-17-00641-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8c/7013833/b8f0787086ef/ijerph-17-00641-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8c/7013833/62d09a5864a8/ijerph-17-00641-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8c/7013833/65e1ded94da4/ijerph-17-00641-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8c/7013833/6ee4cba85147/ijerph-17-00641-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8c/7013833/b8f0787086ef/ijerph-17-00641-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8c/7013833/62d09a5864a8/ijerph-17-00641-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8c/7013833/65e1ded94da4/ijerph-17-00641-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8c/7013833/6ee4cba85147/ijerph-17-00641-g004.jpg

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