Sarboozi Hoseinabadi Tahere, Kakhki Samaneh, Teimori Gholamheidar, Nayyeri Somayyeh
Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran,
Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh. Iran,
Invest Educ Enferm. 2020 Jul;38(2). doi: 10.17533/udea.iee.v38n2e03.
To assess burnout level during an outbreak of COVID-19 and to identify influencing factors between frontline nurses and nurses from other wards.
This cross-sectional study makes comparison between two groups of nurses including frontline (exposure group) and other nurses working in usual wards (non-exposure group) in Torbat Heydariyeh city, Iran. Oldenburg Burnout Inventory (OLBI), Job stress questionnaire (JSQ), and questionnaires of hospital resources, family support, and measuring the fear of COVID-19 were used as research instruments.
The scores of job stress and burnout in the exposure group with COVID-19 infection were significantly higher than in the non-exposure group (p=0.006 and p=0.002, respectively). Although, in univariate linear regression, employment status (p=0.047), experience in taking care of patient confirmed or suspected with COVID-19 infection (p=0.006), hospital resources (p=0.047), and job stress (p < 0.001) were considered as significant risk factors for COVID-19-related burnout. In multivariate regression analysis, job stress (p=0.031, β=0.308) was considered as an only factor that has a significant relationship with COVID-19-related burnout.
The burnout level in frontline nurses was higher than other nurses, the most important influencing factor was the job stress. Regarding to negative effects of burnout on both physical and mental health nurses, it is suggested that a strong strategy be considered to reduce nurses' burnout to be able to control ongoing and future outbreaks successfully.
评估新型冠状病毒肺炎（COVID-19）疫情期间的倦怠水平，并确定一线护士与其他病房护士之间的影响因素。
本横断面研究对伊朗托尔巴特海达里耶市两组护士进行比较，包括一线护士（暴露组）和在普通病房工作的其他护士（非暴露组）。采用奥尔登堡倦怠量表（OLBI）、工作压力问卷（JSQ）以及医院资源、家庭支持和对COVID-19恐惧程度的调查问卷作为研究工具。
感染COVID-19的暴露组工作压力和倦怠得分显著高于非暴露组（分别为p = 0.006和p = 0.002）。尽管在单变量线性回归中，就业状况（p = 0.047）、照顾COVID-19确诊或疑似患者的经验（p = 0.006）、医院资源（p = 0.047）和工作压力（p < 0.001）被视为与COVID-19相关倦怠的显著危险因素。在多变量回归分析中，工作压力（p = 0.031，β = 0.308）被认为是与COVID-19相关倦怠有显著关系的唯一因素。
一线护士的倦怠水平高于其他护士，最重要的影响因素是工作压力。鉴于倦怠对护士身心健康的负面影响，建议考虑采取强有力的策略来减轻护士的倦怠，以便能够成功控制当前和未来的疫情。
