Elhadi Muhammed, Msherghi Ahmed, Elgzairi Moutaz, Alhashimi Ayiman, Bouhuwaish Ahmad, Biala Marwa, Abuelmeda Seraj, Khel Samer, Khaled Ala, Alsoufi Ahmed, Elmabrouk Amna, Alshiteewi Fatimah Bin, Hamed Tasneem Ben, Alhadi Bushray, Alhaddad Sara, Elhadi Ahmed, Zaid Ahmed
Faculty of Medicine, University of Tripoli, Tripoli, Libya.
Faculty of Medicine, University of Benghazi, Benghazi, Libya.
Front Psychiatry. 2020 Dec 11;11:579563. doi: 10.3389/fpsyt.2020.579563. eCollection 2020.
We aimed to determine the prevalence of burnout among hospital healthcare workers in Libya during the coronavirus disease (COVID-19) pandemic and civil war. A cross-sectional study was conducted from April 18 to May 2, 2020 among Libyan healthcare workers. Data on participant characteristics were collected with a specifically designed questionnaire. Burnout was assessed with the abbreviated Maslach Burnout Inventory (aMBI) comprising three subscales: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA), with each sub-scale score range from 0 to 18. For EE and DP, scores of 10 to 18 were regarded as "moderate to severe burnout." PA was scored inversely, where a score ≤ 10 indicated severe burnout. The study yielded a sample size of 532 participants. Of these, 357 (67.1%) reported emotional exhaustion (EE Score ≥ 10), 252 (47.4%) reported depersonalization (DP score ≥ 10), and 121 (22.7%) reported a lower sense of personal accomplishment (PA score ≤ 10). Verbal abuse was experienced by 304 participants (57.1%) and physical abuse in 93 (17.5). Gender was associated with high emotional exhaustion and high depersonalization. Being 35 years or older was associated with high depersonalization. Professional specialty was significantly associated with high emotional exhaustion and depersonalization. Fear of COVID-19 infection was associated with high emotional exhaustion and high depersonalization. The rising prevalence of mental disorders and inadequate availability of health services facilities during the COVID-19 pandemic and civil war demonstrated the need for healthcare policies to address the well-being of healthcare workers to decrease the risk of loss, suicide, and medical negligence.
我们旨在确定在冠状病毒病（COVID-19）大流行和内战期间利比亚医院医护人员职业倦怠的患病率。2020年4月18日至5月2日对利比亚医护人员进行了一项横断面研究。通过专门设计的问卷收集参与者特征数据。使用简化版马氏职业倦怠量表（aMBI）评估职业倦怠，该量表包括三个子量表：情感耗竭（EE）、去人格化（DP）和个人成就感（PA），每个子量表得分范围为0至18分。对于EE和DP，得分10至18分被视为“中度至重度职业倦怠”。PA得分则相反，得分≤10分表明严重职业倦怠。该研究获得了532名参与者的样本量。其中，357人（67.1%）报告有情感耗竭（EE得分≥10），252人（47.4%）报告有去人格化（DP得分≥10），121人（22.7%）报告个人成就感较低（PA得分≤10）。304名参与者（57.1%）遭受过言语虐待，93人（17.5%）遭受过身体虐待。性别与高情感耗竭和高去人格化相关。35岁及以上与高去人格化相关。专业特长与高情感耗竭和去人格化显著相关。对COVID-19感染的恐惧与高情感耗竭和高去人格化相关。在COVID-19大流行和内战期间，精神障碍患病率上升以及卫生服务设施供应不足，表明需要制定医疗政策来关注医护人员的福祉，以降低损失、自杀和医疗过失的风险。
