Nwosu Arinze D G, Ossai Edmund, Onwuasoigwe Okechukwu, Ezeigweneme Maureen, Okpamen Jude
Department of Anaesthesia, National Orthopaedic Hospital, Enugu.
College of Health Sciences, Ebonyi State University, Abakaliki.
J Public Health Res. 2021 Feb 3;10(1):1900. doi: 10.4081/jphr.2021.1900. eCollection 2021 Jan 14.
Burnout and presenteeism are two emerging occupational health challenges which share same locus among healthcare workers, and the trend is rising. We aim to define the magnitude of burnout and presenteeism among frontline members of the health workforce and explore any correlation between the two in order to provide empirical data from our socioeconomic and geographical background. We used self-administered questionnaire to conduct a cross-sectional study among the physicians and nurses in a regional trauma centre in Enugu, Eastern Nigeria; with the respondents selected by stratified random sampling. The Oldenburg burnout inventory and Stanford presenteeism scale were used to measure burnout and presenteeism respectively, while the 2-item patient-health questionnaire (PHQ-2) was used to screen for depression. The level of statistical significance was determined by a p value of <0.05. Among the healthcare workers surveyed (n=155); 34 (21.9%) were physicians, while 121 (78.1%) were nurses. Burnout prevalence was 69%. Burnout was associated with self-rated health status and length of years in professional service but not the occupation or depression screen status of the worker. Sixty-two healthcare workers (40%) screened positive for depression. A positive screen for depression was the only factor that had significant association with lower presenteeism scores (p=0.002). The mean presenteeism scores had strong negative correlation with both the exhaustion (p<0.001) and disengagement (p<0.001) domains of burnout. Burnout is high among the healthcare workers and correlates with presenteeism scores. The mental health of the workforce greatly impaired their productivity.
职业倦怠和出勤主义是医护人员面临的两个新出现的职业健康挑战，它们在医护人员中存在相同的情况，且呈上升趋势。我们旨在确定卫生人力队伍一线成员中职业倦怠和出勤主义的程度，并探索两者之间的任何相关性，以便从我们的社会经济和地理背景中提供实证数据。我们使用自填式问卷对尼日利亚东部埃努古一家地区创伤中心的医生和护士进行了横断面研究；通过分层随机抽样选择受访者。分别使用奥尔登堡倦怠量表和斯坦福出勤主义量表来测量职业倦怠和出勤主义，同时使用2项患者健康问卷（PHQ - 2）来筛查抑郁症。统计学显著性水平由p值<0.05确定。在接受调查的医护人员中（n = 155）；34人（21.9%）是医生，121人（78.1%）是护士。职业倦怠患病率为69%。职业倦怠与自我评定的健康状况和专业服务年限有关，但与工作人员的职业或抑郁症筛查状况无关。62名医护人员（40%）抑郁症筛查呈阳性。抑郁症筛查呈阳性是与较低出勤主义得分有显著关联的唯一因素（p = 0.）。平均出勤主义得分与职业倦怠的疲惫（p<0.001）和疏离（p<0.001）两个维度都有很强的负相关。医护人员中职业倦怠程度较高，且与出勤主义得分相关。劳动力的心理健康极大地损害了他们的生产力。
