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COVID-19大流行期间马来西亚医护人员的职业倦怠患病率及其相关因素:一项嵌入式混合方法研究

Burnout Prevalence and Its Associated Factors among Malaysian Healthcare Workers during COVID-19 Pandemic: An Embedded Mixed-Method Study.

作者信息

Roslan Nurhanis Syazni, Yusoff Muhamad Saiful Bahri, Razak Asrenee Ab, Morgan Karen

机构信息

Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kelantan 16150, Malaysia.

Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia and Hospital USM, Universiti Sains Malaysia, Kelantan 16150, Malaysia.

出版信息

Healthcare (Basel). 2021 Jan 17;9(1):90. doi: 10.3390/healthcare9010090.

Abstract

Coronavirus disease 2019 (COVID-19) has become a global health threat and has placed an extraordinary demand on healthcare workers around the world. In this study, we aim to examine the prevalence of burnout and its associated factors and experience among Malaysian healthcare workers during the COVID-19 pandemic through an embedded mixed-method study design. We found that more than half of Malaysian healthcare workers in this sample experienced burnout. Direct involvement in COVID-19 screening or treatment, having a medical condition, and less psychological support in the workplace emerged to be the significant factors in personal-, work-, and patient-related burnout. Participants described their workloads, uncertainties caused by the pandemic, challenging work-family balance, and stretched workplace relationships as the sources of burnout. Exhaustion appeared to be the major symptom, and many participants utilized problem-focused coping to deal with the adversities experienced during the pandemic. Participants reported physical-, occupational-, psychological-, and social-related negative impacts resulting from burnout. As the pandemic trajectory is yet unknown, these findings provide early insight and guidance for possible interventions.

摘要

2019年冠状病毒病(COVID-19)已成为全球健康威胁,给世界各地的医护人员带来了巨大压力。在本研究中,我们旨在通过嵌入式混合方法研究设计,调查马来西亚医护人员在COVID-19大流行期间职业倦怠的患病率及其相关因素和经历。我们发现,该样本中超过一半的马来西亚医护人员经历了职业倦怠。直接参与COVID-19筛查或治疗、患有疾病以及工作场所的心理支持较少,是导致个人、工作和患者相关职业倦怠的重要因素。参与者将他们的工作量、疫情造成的不确定性、具有挑战性的工作与家庭平衡以及紧张的工作场所关系描述为职业倦怠的根源。疲惫似乎是主要症状,许多参与者采用以问题为中心的应对方式来应对大流行期间所经历的逆境。参与者报告了职业倦怠导致的身体、职业、心理和社会相关的负面影响。由于疫情的发展轨迹尚不明朗,这些发现为可能的干预措施提供了早期见解和指导。

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