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什么保护青年住宿照料者免受职业倦怠?个体韧性的纵向分析。

What Protects Youth Residential Caregivers from Burning Out? A Longitudinal Analysis of Individual Resilience.

机构信息

Child and Adolescent Psychiatry, University Basel, Psychiatric University Hospital Basel, Wilhelm Klein-Strasse 27, 4002 Basel, Switzerland.

University Hospital Ulm, Department for Child and Adolescent Psychiatry and Psychotherapy, Steinhövelstrasse 5, 89075 Ulm, Germany.

出版信息

Int J Environ Res Public Health. 2020 Mar 25;17(7):2212. doi: 10.3390/ijerph17072212.

Abstract

: Professional caregivers are exposed to multiple stressors and have high burnout rates; however, not all individuals are equally susceptible. We investigated the association between resilience and burnout in a Swiss population of professional caregivers working in youth residential care. : Using a prospective longitudinal study design, participants ( = 159; 57.9% women) reported on burnout symptoms and sense of coherence (SOC), self-efficacy and self-care at four annual sampling points. The associations of individual resilience measures and sociodemographic variables, work-related and personal stressors, and burnout symptoms were assessed. Cox proportional hazards regressions were calculated to compute hazard ratios over the course of three years. : Higher SOC, self-efficacy and self-care were related to lower burnout symptoms in work-related and personal domains. Higher SOC and self-efficacy were reported by older caregivers and by those with children. All three resilience measures were highly correlated. A combined model analysis weakened the protective effect of self-efficacy, leaving only SOC and self-care negatively associated with burnout. : This longitudinal analysis suggests that SOC and self-caring behaviour in particular protect against burnout. Our findings could have implications for promoting self-care practices, as well as cultivating a meaningful, comprehensible and manageable professional climate in all facets of institutional care.

摘要

专业护理人员面临多种压力源,倦怠率较高;然而,并非所有人都同样容易受到影响。我们研究了瑞士青年住宿护理专业护理人员群体中韧性与倦怠之间的关系。

采用前瞻性纵向研究设计,参与者(n=159;57.9%为女性)在四个年度采样点报告了倦怠症状和心理一致感(SOC)、自我效能感和自我护理情况。评估了个体韧性衡量指标以及社会人口统计学变量、与工作相关和个人压力源与倦怠症状之间的关联。使用 Cox 比例风险回归计算了三年内的风险比。

更高的 SOC、自我效能感和自我护理与工作相关和个人领域的倦怠症状较低有关。年龄较大的护理人员和有子女的护理人员报告的 SOC 和自我效能感更高。这三个韧性衡量指标高度相关。综合模型分析削弱了自我效能感的保护作用,只剩下 SOC 和自我护理与倦怠呈负相关。

这项纵向分析表明,SOC 和自我照顾行为特别能预防倦怠。我们的发现可能对促进自我护理实践以及在机构护理的各个方面培养有意义、可理解和可管理的专业氛围产生影响。

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