Department of Nuclear Medicine and Molecular Imaging, Division of Radiological Sciences, Singapore General Hospital, Singapore.
Department of Diagnostic Radiology, Division of Radiological Sciences, Singapore General Hospital, Singapore.
J Med Imaging Radiat Oncol. 2021 Apr;65(2):139-145. doi: 10.1111/1754-9485.13152. Epub 2021 Feb 16.
We aimed to study anxiety and burnout among Division of Radiological Sciences (RADSC) staff during the COVID-19 pandemic and identify potential risk and protective factors. These outcomes were compared with non-RADSC staff.
A cross-sectional online study was conducted between 12 March and 20 July 2020 in the largest public tertiary hospital receiving COVID-19 cases. Burnout and anxiety were assessed with the Physician Work-Life Scale and the Generalized Anxiety Disorder-7 Scale, respectively. Workplace factors were examined as potential risk and protective factors using multivariable ordinary least squares regression analyses, adjusting for pertinent demographic characteristics.
RADSC staff (n = 180) and non-RADSC staff (n = 1458) demonstrated moderate-to-severe anxiety rates of 6.7 and 13.2 % and burnout rates of 17.8 and 23.9 %, respectively. RADSC staff reported significantly lower anxiety (mean ± SD: 4.0 ± 3.7 vs 4.9 ± 4.5; P-value < 0.05), burnout (mean ± SD: 1.9 ± 0.7 vs 2.1 ± 0.8; P-value < 0.01), increased teamwork (82.2% vs 74.1%; P-value < 0.05) and fewer night shifts (36.7% vs 41.1%; P-value < 0.01). Among RADSC staff, higher job dedication was associated with lower anxiety (b (95% CI) = -0.28 (-0.45, -0.11)) and burnout (b (95% CI) = -0.07 (-0.11,-0.04)), while longer than usual working hours was associated with increased anxiety (b (95% CI) = 1.42 (0.36, 2.45)) and burnout (b (95% CI) = 0.28 (0.09, 0.48)).
A proportion of RADSC staff reported significant burnout and anxiety, although less compared to the larger hospital cohort. Measures to prevent longer than usual work hours and increase feelings of enthusiasm and pride in one's job may further reduce the prevalence of anxiety problems and burnout in radiology departments.
本研究旨在探讨 COVID-19 大流行期间放射科学科（RADSC）工作人员的焦虑和倦怠情况，并确定潜在的风险和保护因素。这些结果与非 RADSC 工作人员进行了比较。
这是一项在 2020 年 3 月 12 日至 7 月 20 日期间在接收 COVID-19 病例的最大的公立三级医院进行的横断面在线研究。使用医师工作生活量表和广泛性焦虑障碍 7 量表分别评估倦怠和焦虑。使用多变量普通最小二乘回归分析，调整相关人口统计学特征，检查工作场所因素作为潜在的风险和保护因素。
RADSC 工作人员（n=180）和非 RADSC 工作人员（n=1458）的焦虑发生率分别为 6.7%和 13.2%，倦怠发生率分别为 17.8%和 23.9%。RADSC 工作人员报告的焦虑（平均值±标准差：4.0±3.7 与 4.9±4.5；P 值<0.05）、倦怠（平均值±标准差：1.9±0.7 与 2.1±0.8；P 值<0.01）、团队合作增加（82.2%与 74.1%；P 值<0.05）和夜班减少（36.7%与 41.1%；P 值<0.01）明显较低。在 RADSC 工作人员中，更高的工作投入与较低的焦虑（b（95%CI）=-0.28（-0.45，-0.11））和倦怠（b（95%CI）=-0.07（-0.11，-0.04））相关，而工作时间超过通常时间与焦虑增加（b（95%CI）=1.42（0.36，2.45））和倦怠（b（95%CI）=0.28（0.09，0.48））相关。
尽管与更大的医院队列相比，RADSC 工作人员的焦虑和倦怠比例较低，但仍有一部分人报告存在显著的焦虑和倦怠。采取措施防止工作时间超过通常时间，并增加对工作的热情和自豪感，可能会进一步降低放射科焦虑问题和倦怠的发生率。
