Kasemy Zeinab A, Abd-Ellatif Eman E, Abdel Latif Asmaa A, Bahgat Nadia M, Shereda Hanaa Mohammad Abo, Shattla Safaa Ibrahim, Aboalizm Samira E, Abd Elhy Asmaa Hamed, Allam Abeer R, Ramadan Ahmed N, Amer Hemat Mostafa, Ahmed Naglaa Abdelmawgoud, AlJifri Abobakr A, El Dalatony Mervat M
Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Shibin Al Kawm, Egypt.
Department of Public Health and Community Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Front Public Health. 2020 Nov 26;8:581373. doi: 10.3389/fpubh.2020.581373. eCollection 2020.
Work is a social double edged weapon activity that may have positive and negative effects on individual's quality of life and health. To estimate workaholism prevalence and to determine its effects on quality of life, mental health, and burnout among healthcare workers (HCWs). Using a cross-sectional study, 1,080 Egyptian participants distributed as HCWs and non-HCWs were recruited. The study included 4 questionnaires to assess workaholism, quality of life (QoL), Psychological capital questionnaire (), and General health questionnaire (GHQ). Maslach Burnout Inventory (MBI) was applied to critical specialty HCWs in addition to pro-inflammatory markers including Il6, TNFα, and CoQ10. This study revealed that 24.4 and 24.8% of HCWs were workaholic and hardworking, respectively, in comparison to 5.9 and 28.1% among non-HCWs ( < 0.001). Somatic symptoms and anxiety/ insomnia domains of GHQ were higher among HCWs than non-HCWs ( < 0.001 and 0.002, respectively). QoL was significantly lower among HCWs than non-HCWs ( < 0.001). Workaholism was reported among 43.2% of HCWs with critical specialty ( < 0.001). Components of PCQ components were significantly higher among HCWs with critical specialty than non-critical HCWs while QoL showed the reverse ( < 0.05). Working excessively was a predictor to burnout [Emotional exhaustion (β = -0.23) and depersonalization (β = -0.25)] and TNFα (β = 0.41). Emotional exhaustion was a predictor to Il6 (β = 0.66), TNFα (β = 0.73), and CoQ10 (β = -0.78). There is a significant association between workaholism and psychologically poor-health and poor quality of life among HCWs. Critical specialty healthcare workers showed association between workaholism, burnout and pro-inflammatory markers. Addressing of personal characteristics, supporting factors in the work environment and periodic examination of the healthcare workers and responding accordingly is required.
工作是一种具有社会双面性的活动，可能对个人生活质量和健康产生积极和消极影响。旨在评估医护人员（HCWs）中工作狂的患病率，并确定其对生活质量、心理健康和职业倦怠的影响。采用横断面研究，招募了1080名埃及参与者，分为医护人员和非医护人员。该研究包括4份问卷，以评估工作狂、生活质量（QoL）、心理资本问卷和一般健康问卷（GHQ）。除了包括白细胞介素6（Il6）、肿瘤坏死因子α（TNFα）和辅酶Q10在内的促炎标志物外，还对关键专科的医护人员应用了马氏职业倦怠量表（MBI）。该研究表明，与非医护人员中的5.9%和28.1%相比，医护人员中分别有24.4%和24.8%是工作狂和工作努力的人（P<0.001）。医护人员中GHQ的躯体症状和焦虑/失眠领域高于非医护人员（分别为P<0.001和0.002）。医护人员的生活质量显著低于非医护人员（P<0.001）。在关键专科的医护人员中，有43.2%报告有工作狂现象（P<0.001）。关键专科医护人员的心理资本问卷（PCQ）各成分显著高于非关键专科医护人员，而生活质量则相反（P<0.05）。过度工作是职业倦怠[情感耗竭（β=-0.23）和去个性化（β=-0.25）]和TNFα（β=0.41）的预测因素。情感耗竭是Il6（β=0.66）、TNFα（β=0.73）和辅酶Q10（β=-0.78）的预测因素。工作狂与医护人员心理健康状况差和生活质量差之间存在显著关联。关键专科医护人员的工作狂、职业倦怠和促炎标志物之间存在关联。需要关注个人特征、工作环境中的支持因素，并定期对医护人员进行检查并相应做出反应。
