葡萄牙医护人员在 COVID-19 大流行期间的 burnout 现象。
Burnout among Portuguese healthcare workers during the COVID-19 pandemic.
机构信息
MEDCIDS - Department of Community Medicine, Information and Health Decision Sciences, University of Porto, Porto, Portugal.
CINTESIS - Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal.
出版信息
BMC Public Health. 2020 Dec 7;20(1):1885. doi: 10.1186/s12889-020-09980-z.
BACKGROUND
During COVID-19 pandemic, healthcare workers (HCWs) have had high workload and have been exposed to multiple psychosocial stressors. The aim of this study was to evaluate HCWs in terms of the relative contributions of socio-demographic and mental health variables on three burnout dimensions: personal, work-related, and client-related burnout.
METHODS
A cross-sectional study was performed using an online questionnaire spread via social networks. A snowball technique supported by health care institutions and professional organizations was applied.
RESULTS
A total of 2008 subjects completed the survey. Gender, parental status, marriage status, and salary reduction were found to be significant factors for personal burnout. Health problems and direct contact with infected people were significantly associated with more susceptibility to high personal and work-related burnout. Frontline working positions were associated with all three dimensions. Higher levels of stress and depression in HCWs were significantly associated with increased levels of all burnout dimensions. Higher levels of satisfaction with life and resilience were significantly associated with lower levels of all burnout dimensions.
CONCLUSIONS
All three burnout dimensions were associated with a specific set of covariates. Consideration of these three dimensions is important when designing future burnout prevention programs for HCWs.
背景
在 COVID-19 大流行期间，医护人员（HCWs）的工作量很大，并且面临多种心理社会压力源。本研究旨在评估 HCWs 的社会人口学和心理健康变量对三个倦怠维度（个人、工作相关和与客户相关的倦怠）的相对贡献。
方法
使用通过社交网络传播的在线问卷进行横断面研究。采用由医疗机构和专业组织支持的滚雪球技术。
结果
共有 2008 名受试者完成了调查。性别、父母状况、婚姻状况和减薪被认为是个人倦怠的重要因素。健康问题和与感染者的直接接触与个人和工作相关的高倦怠高度相关。一线工作岗位与所有三个维度都有关。HCWs 的压力和抑郁水平较高与所有倦怠维度的水平升高显著相关。对生活的满意度和适应力较高与所有倦怠维度的水平降低显著相关。
结论
所有三个倦怠维度都与一组特定的协变量相关。在为 HCWs 设计未来的倦怠预防计划时，考虑这三个维度很重要。
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