ALmutairi Mohammed Nasser, El Mahalli Azza Ali
Saudi Red Crescent, Riyadh, Saudi Arabia.
Department of Public Health, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
J Multidiscip Healthc. 2020 Mar 16;13:271-279. doi: 10.2147/JMDH.S244303. eCollection 2020.
To determine levels of burnout among emergency medical services (EMS) professionals and the coping strategies they use to alleviate burnout and measure the association between burnout vs sociodemographic and work-related characteristics and coping strategies of EMS professionals.
This was a cross-sectional survey study conducted among 270 active-duty EMS professionals. The Maslach Burnout Inventory (MBI) - Health Services Survey was used to assess burnout. There are three scales of burnout: depersonalization, emotional exhaustion, and personal achievement. Coping Methods Checklist (CMC) was used to assess coping strategies. Univariate descriptive statistics were used to explore sociodemographic characteristics of participants, level of burnout, and coping strategies. Primary bivariate analyses were used to determine variables significantly correlated with each of the three MBI scores. Multiple linear regression models were used to explore correlation between variables measured in the survey with each of the three MBI scales (emotional exhaustion, depersonalization, and personal accomplishment).
EMS professionals perceived high levels of emotional exhaustion and depersonalization and low levels of personal achievement. The most frequently used coping strategies were talking with colleagues (87.4%), looking forward to being off duty (82.6%), and thinking about the positive benefits of work (81.1%). CMC7 (thinking about the positive benefits of work) contributed most to variations in emotional exhaustion, depersonalization, and personal achievement. Saudis had lower emotional exhaustion and depersonalization.
This study might provide evidence to formulate comprehensive training on how EMS workers can cope with burnout.
确定紧急医疗服务（EMS）专业人员的职业倦怠水平，以及他们用于缓解职业倦怠的应对策略，并衡量职业倦怠与EMS专业人员的社会人口统计学特征、工作相关特征及应对策略之间的关联。
这是一项针对270名在职EMS专业人员开展的横断面调查研究。采用马氏职业倦怠量表（MBI）-卫生服务调查来评估职业倦怠。职业倦怠有三个维度：去个性化、情感耗竭和个人成就感。应对方式清单（CMC）用于评估应对策略。单变量描述性统计用于探究参与者的社会人口统计学特征、职业倦怠水平和应对策略。主要双变量分析用于确定与三个MBI分数显著相关的变量。多元线性回归模型用于探究调查中测量的变量与三个MBI维度（情感耗竭、去个性化和个人成就感）之间的相关性。
EMS专业人员感受到较高水平的情感耗竭和去个性化，以及较低水平的个人成就感。最常用的应对策略是与同事交谈（87.4%）、期待下班（82.6%）以及思考工作的积极益处（81.1%）。CMC7（思考工作的积极益处）对情感耗竭、去个性化和个人成就感的变化贡献最大。沙特人情感耗竭和去个性化程度较低。
本研究可能为制定关于EMS工作者如何应对职业倦怠的综合培训提供证据。
