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加拿大护士职业倦怠与精神障碍症状之间的关联

Associations Between Burnout and Mental Disorder Symptoms Among Nurses in Canada.

作者信息

Stelnicki Andrea M, Jamshidi Laleh, Angehrn Andréanne, Hadjistavropoulos Heather D, Carleton R Nicholas

机构信息

Canadian Institute for Public Safety Research and Treatment, University of Regina, Regina, Canada.

Department of Psychology, University of Regina, Regina, Canada.

出版信息

Can J Nurs Res. 2021 Sep;53(3):254-263. doi: 10.1177/0844562120974194. Epub 2020 Dec 6.

DOI:10.1177/0844562120974194
PMID:33283544
Abstract

BACKGROUND

Nurses appear to be at a greater risk of burnout compared to other medical professionals. Higher levels of burnout are significantly associated with higher levels of anxiety, stress, and depression symptoms.

PURPOSE

The current study was designed to estimate levels of burnout among Canadian nurses, examine the association between burnout and mental disorder symptoms, and identify characteristics that may increase the risk for reporting symptoms of burnout.

METHOD

Canadian nurses ( = 3257; 94.3% women) were surveyed online in both English and French. The survey assessed current symptoms of burnout and mental disorders (i.e., Posttraumatic Stress Disorder, Major Depressive Disorder, Generalized Anxiety Disorder, Panic Disorder).

RESULTS

Most nurses (63.2%) reported at least some symptoms of burnout and many (29.3%) reported clinically significant levels of burnout. Age and years of service were the only demographic variables that explained burnout rates. Participants reporting clinically significant levels of burnout were significantly more likely than participants with no burnout to screen positive for all mental disorders, but particularly for Major Depressive Disorder.

CONCLUSIONS

Monitoring burnout may be an effective way to identify nurses at risk of developing symptoms of mental disorders. Younger and early-career nurses are an important group to target for prevention programs.

摘要

背景

与其他医学专业人员相比,护士似乎更容易出现职业倦怠。更高水平的职业倦怠与更高水平的焦虑、压力和抑郁症状显著相关。

目的

本研究旨在评估加拿大护士的职业倦怠水平,探讨职业倦怠与精神障碍症状之间的关联,并确定可能增加职业倦怠症状报告风险的特征。

方法

对3257名加拿大护士(94.3%为女性)进行了英语和法语的在线调查。该调查评估了当前的职业倦怠和精神障碍症状(即创伤后应激障碍、重度抑郁症、广泛性焦虑症、惊恐障碍)。

结果

大多数护士(63.2%)报告至少有一些职业倦怠症状,许多护士(29.3%)报告有临床显著水平的职业倦怠。年龄和工作年限是仅有的能够解释职业倦怠率的人口统计学变量。报告有临床显著水平职业倦怠的参与者比没有职业倦怠的参与者更有可能在所有精神障碍筛查中呈阳性,尤其是重度抑郁症。

结论

监测职业倦怠可能是识别有发展为精神障碍症状风险的护士的有效方法。年轻和早期职业生涯的护士是预防项目的重要目标群体。

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