Negueu Annicet Bopda, Cumber Samuel Nambile, Donatus Layu, Nkfusai Claude Ngwayu, Ewang Bestina Forkwa, Bede Fala, Beteck Terrence Epie, Shirinde Joyce, Djientcheu Vincent de Paul, Nkoum Benjamin Alexandre
Department of Public Health, School of Health Sciences, Catholic University of Central Africa, Yaoundé, Cameroon.
Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
Pan Afr Med J. 2019 Jun 21;34:126. doi: 10.11604/pamj.2019.34.126.19969. eCollection 2019.
Burnout or burnout syndrome is a public health problem in Cameroon. It manifests itself by emotional exhaustion, depersonalization, and diminished personal accomplishment of the subject. It affects most healthcare workers (HCW) and the consequences are numerous. In Cameroon in general, and Yaounde Central Hospital (HCY) in particular, in recent years, healthcare workers have continued to express dissatisfaction with their working conditions through strikes and threats of various kinds. The care of patients is suboptimal with sometimes dramatic consequences and ethical concerns.
Our cross-sectional study aimed to determine the factors that are associated with burnout among healthcare personnel (HCW) of HCY. To do this, for one month, we administered to these HCWs our questionnaire designed according to the theoretical models of MASLACH and SIEGRIST. We were able to obtain information from 104 caregivers; data entry and analysis was done with SPSS 20.
The results show that HCWs of four departments of HCY have similar manifestations to those found in the literature and the prevalence of burnout syndrome amon HCWs of HCY was 63%. Seven factors were statistically significantly associated with burnout syndrome among HCWs in HCY: the department (care unit) the HCW was assigned to (OR = 3.93, 1.16-13.24, p-value = 0.027); marital status (OR: 2.56, 1.22 - 5.39, p-value = 0.049); the effort-reward imbalance (OR: 2.31, 1.10 - 4.84, p-value = 0.026); having received been threatened physically or verbally (OR: 3.75, 1.49 - 9.41, 0.005); maintaining the balance between private and professional life (OR: 3.41, 1.19- 10.7, p-value = 0.038); frequency of forgetfulness (OR: 4.25 -1.33, 7.91, p-value = 0.002) and attribution of errors to working conditions (OR: 2.05, 1.52 - 24.0; -value = 0.011).
Burnout is common among HCWs of HCY and is likely to keep increasing if nothing is done. Prevention and promotion strategies for occupational health are strongly needed in aspects of improving working conditions; making good political and managerial decisions; improving relationships between caregivers and caregivers-hierarchy and constant research, monitoring and control of risk factors.
职业倦怠或倦怠综合征是喀麦隆的一个公共卫生问题。它表现为情绪耗竭、去人格化以及个体成就感降低。它影响着大多数医护人员，后果众多。在喀麦隆总体而言，尤其是雅温得中心医院，近年来，医护人员持续通过各种罢工和威胁来表达对工作条件的不满。患者护理情况欠佳，有时会产生严重后果并引发伦理问题。
我们的横断面研究旨在确定雅温得中心医院医护人员中与职业倦怠相关的因素。为此，在一个月的时间里，我们向这些医护人员发放了根据马斯拉克和西格里斯特的理论模型设计的问卷。我们成功获取了104名护理人员的信息；数据录入和分析使用SPSS 20完成。
结果显示，雅温得中心医院四个科室的医护人员有与文献中发现的类似表现，雅温得中心医院医护人员中倦怠综合征的患病率为63%。七个因素在统计学上与雅温得中心医院医护人员的倦怠综合征显著相关：医护人员被分配到的科室（护理单元）（OR = 3.93，1.16 - 13.24，p值 = 0.027）；婚姻状况（OR：2.56，1.22 - 5.39，p值 = 0.049）；努力 - 回报失衡（OR：2.31，1.10 - 4.84，p值 = 0.026）；曾受到身体或言语威胁（OR：3.75，1.49 - 9.41，0.005）；维持私人生活和职业生活的平衡（OR：3.41，1.19 - 10.7，p值 = 0.038）；遗忘频率（OR：4.25 - 1.33，7.91，p值 = 0.002）以及将错误归因于工作条件（OR：2.05，1.52 - 24.0；p值 = 0.011）。
职业倦怠在雅温得中心医院的医护人员中很常见，如果不采取措施可能会持续增加。在改善工作条件、做出良好的政治和管理决策、改善护理人员之间的关系以及护理人员与层级之间的关系，以及持续研究、监测和控制风险因素等方面，强烈需要职业健康的预防和促进策略。
