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中国大陆 ICU 医生和护士的职业倦怠:一项全国性横断面研究。

Burnout in ICU doctors and nurses in mainland China-A national cross-sectional study.

机构信息

Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, PR China; Key Laboratory of Critical Care Medicine of Jiangsu Province, PR China.

Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, PR China; Key Laboratory of Critical Care Medicine of Jiangsu Province, PR China.

出版信息

J Crit Care. 2021 Apr;62:265-270. doi: 10.1016/j.jcrc.2020.12.029. Epub 2021 Jan 12.

Abstract

PURPOSE

A national cross-sectional study was performed to investigate the severity of burnout and its associated factors among doctors and nurses in ICUs in mainland China.

METHOD

This is a cross-sectional survey. A total of 2411 ICU doctors and nurses in mainland China were included. Demographic and psychological data were collected via questionnaire. The Maslach Burnout Inventory (MBI) was used to evaluate burnout. Differences among regions and departments were analyzed. Multivariate logistic regression was applied to determine the associated factors.

RESULTS

Among the participants, 1122 (46.54%) were doctors, and 1289 (53.46%) were nurses. A total of 800 doctors (71.3% of all doctors) and 881 nurses (68.3% of all nurses) were deemed to be burnout. People working in the general ICU were most likely to be burnout. Factors associated with burnout included having low frequency of exercise, having comorbidities, working in a high-quality hospital, having more years of work experience, having more night shifts and having fewer paid vacation days.

CONCLUSIONS

The burnout rate of ICU doctors and nurses in mainland China is 69.7%. Our study provides baseline data about burnout among Chinese medical staff predating COVID-19, which could help in the analysis and interpretation of burnout during the COVID-19 pandemic.

摘要

目的

本研究旨在调查中国大陆 ICU 医生和护士的倦怠严重程度及其相关因素。

方法

这是一项横断面研究。共纳入中国大陆 2411 名 ICU 医生和护士。通过问卷调查收集人口统计学和心理数据。采用 Maslach 倦怠量表(MBI)评估倦怠情况。分析了不同地区和科室之间的差异。采用多变量逻辑回归分析确定相关因素。

结果

参与者中,医生 1122 人(占所有医生的 46.54%),护士 1289 人(占所有护士的 53.46%)。共有 800 名医生(所有医生的 71.3%)和 881 名护士(所有护士的 68.3%)被认为是倦怠。普通 ICU 工作者最容易倦怠。与倦怠相关的因素包括锻炼频率低、患有共病、在高质量医院工作、工作经验更多、上夜班更多和带薪休假天数更少。

结论

中国大陆 ICU 医生和护士的倦怠率为 69.7%。我们的研究提供了 COVID-19 之前中国医务人员倦怠的基线数据,这有助于分析和解释 COVID-19 大流行期间的倦怠情况。

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