Center for Cognition and Brain Sciences, University of Macau, Avenida da Universidade, Taipa, Macau SAR, China.
Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University; Sichuan Clinical Medical Research Center for Neurosurgery, Academician (Expert) Workstation of Sichuan Province, Neurological diseases and brain function laboratory, Sichuan, China.
Psychiatr Q. 2021 Jun;92(2):645-653. doi: 10.1007/s11126-020-09806-6.
This study examined the prevalence of burnout and its association with quality of life (QOL) among psychiatric nurses in China.Ten psychiatric hospitals were included. Burnout and QOL were measured using standardized instruments. Altogether, 1449 nurses completed the assessment. The mean scores of emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA) were 11.87 (SD = 6.72), 6.98 (SD = 5.71) and 22.06 (SD = 8.67), respectively. Of the participants, 59.8% (95% CI: 57-62%) experienced burnout; with 23.3% (95% CI: 21-25%) in EE, 14.6% (95% CI: 13-16%) in DP and 45.1% (95% CI: 43-48%) in PA. Psychiatric nurses who reported burnout had lower QOL in social (F = 86.20, P < 0.001), physical (F = 170.46, P < 0.001), psychological (F = 205.63, P < 0.001), and environmental (F = 120.24, P < 0.001) domains. Multiple logistic regression analysis revealed that alcohol users (P = 0.04; OR = 1.29, 95%CI: 1.01-1.64 in model 1 and P = 0.03; OR = 1.32, 95%CI: 1.04-1.69 in model 2) were significantly more susceptible to burnout, while senior nurses (P = 0.007; OR = 0.70, 95%CI: 0.53-0.91) and nurses with longer work experience (P = 0.02; OR = 0.70, 95%CI: 0.53-0.91) were less likely to develop burnout. Burnout is common in psychiatric nurses in China. In light of its negative impact on health and QOL, there is an urgent need for regular screening as well as effective preventive measures and interventions to reduce burnout within this at-risk occupational group.
这项研究调查了中国精神科护士中 burnout 的流行情况及其与生活质量（QOL）的关系。纳入了 10 家精神科医院。使用标准化工具测量 burnout 和 QOL。共有 1449 名护士完成了评估。情感耗竭（EE）、去人格化（DP）和个人成就感（PA）的平均得分分别为 11.87（SD=6.72）、6.98（SD=5.71）和 22.06（SD=8.67）。参与者中有 59.8%（95%CI：57-62%）经历了 burnout；其中 23.3%（95%CI：21-25%）为 EE，14.6%（95%CI：13-16%）为 DP，45.1%（95%CI：43-48%）为 PA。报告 burnout 的精神科护士在社会（F=86.20，P<0.001）、身体（F=170.46，P<0.001）、心理（F=205.63，P<0.001）和环境（F=120.24，P<0.001）领域的 QOL 较低。多因素逻辑回归分析显示，饮酒者（P=0.04；OR=1.29，95%CI：1.01-1.64 在模型 1 和 P=0.03；OR=1.32，95%CI：1.04-1.69 在模型 2）更容易发生 burnout，而资深护士（P=0.007；OR=0.70，95%CI：0.53-0.91）和工作经验较长的护士（P=0.02；OR=0.70，95%CI：0.53-0.91）不太可能发生 burnout。在中国，精神科护士 burnout 很常见。鉴于其对健康和 QOL 的负面影响，迫切需要对这一高危职业群体进行定期筛查，以及采取有效的预防措施和干预措施来减少 burnout。
