Johnson Avita R, Jayappa Rakesh, James Manisha, Kulnu Avono, Kovayil Rajitha, Joseph Bobby
Department of Community Health, St. John's Medical College, Bangalore, 560034, India.
Department of Community Medicine, S.S Institute of Medical Sciences and Research Centre, Davangere, Karnataka, India.
Saf Health Work. 2020 Sep;11(3):347-352. doi: 10.1016/j.shaw.2020.05.009. Epub 2020 Jun 13.
Low self-esteem can be an issue among health-care workers due to the hierarchical medical system. Health-care workers are also in a high pressure environment that can lead to stress and burnout. This study was conducted to estimate the proportion of health-care workers with low self-esteem, high stress, and burnout and the factors associated with these in a private hospital in Bangalore city.
This cross-sectional study included a random sample of health-care workers of various cadres - doctors, nurses, nursing aides, technicians, and workers in ancillary departments such as laundry, dietary, central sterile supply department, and pharmacy, with probability proportional to size. Rosenberg Scale for Self-esteem, Cohen's Perceived Stress Scale, and Shirom-Melamed Burnout Measure were used as study tools.
Among the 306 health-care workers, there were high levels of low self-esteem (48.4%), stress (38.6%), and burnout (48.7%), with the lowest levels being among doctors. Those aged younger than 30 years had significantly lower self-esteem and greater stress.
Health-care workers with low self-esteem were nearly thrice more likely to suffer high stress, Odds Ratio (OR) = 2.84 (1.36-5.92), and those who were stressed had more than three times higher chance of experiencing burnout, OR = 3.6 (2.02-6.55). Path analysis showed that low self-esteem among health-care workers had a direct effect on burnout, as well as an indirect effect through stress (mediator variable). This study indicates the need for screening and counseling for low self-esteem, stress, and burnout as part of a periodic medical examination of all cadres of health workers.
由于医疗体系的层级制度，医护人员中可能存在自卑问题。医护人员还处于高压环境中，这可能导致压力和职业倦怠。本研究旨在估计班加罗尔市一家私立医院中存在自卑、高压力和职业倦怠的医护人员比例以及与之相关的因素。
这项横断面研究纳入了不同岗位的医护人员随机样本——医生、护士、护理助理、技术人员以及洗衣房、饮食部、中央消毒供应室和药房等辅助科室的工作人员，采用按规模大小成比例的概率抽样方法。使用自尊的罗森伯格量表、科恩感知压力量表和希罗姆 - 梅拉梅德职业倦怠量表作为研究工具。
在306名医护人员中，自卑程度高的占48.4%，压力大的占38.6%，职业倦怠程度高的占48.7%，其中医生的这些比例最低。年龄小于30岁的人员自卑程度显著更低但压力更大。
自卑的医护人员承受高压力的可能性几乎是其他人的三倍，优势比（OR）= 2.84（1.36 - 5.92），而有压力的人员出现职业倦怠的几率则高出三倍多，OR = 3.6（2.02 - 6.55）。路径分析表明，医护人员的自卑对职业倦怠有直接影响，同时也通过压力（中介变量）产生间接影响。本研究表明，作为所有医护人员定期体检的一部分，有必要对自卑、压力和职业倦怠进行筛查和咨询。
