From the BHF Centre for Cardiovascular Science, Chancellor's Building, 51 Little France Crescent, Edinburgh, EH16 4SA, UK.
Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
QJM. 2021 Oct 7;114(6):374-380. doi: 10.1093/qjmed/hcab065.
The COVID-19 pandemic is putting health professionals under increasing pressure. This population is already acknowledged to be at risk of burnout.
We aim to provide a 'snapshot' of the levels of burnout, anxiety, depression and distress among healthcare workers during the COVID-19 pandemic.
We distributed an online survey via social media in June 2020 open to any UK healthcare worker. The primary outcome measure was symptoms of burnout measured using the Copenhagen Burnout Inventory. Secondary outcomes of depression, anxiety, distress and subjective measures of stress were also recorded. Multivariate logistic regression analysis was performed to identify factors associated with burnout, depression, anxiety and distress.
A total of 539 persons responded to the survey; 90% female and 53% nurses. Participants with moderate-to-severe burnout were younger (49% vs. 33% under 40 years, P = 0.004), more likely to have pre-existing comorbidities (21% vs. 12%, P = 0.031), twice as likely to have been redeployed from their usual role (22% vs. 11%; P = 0.042), or to work in an area dedicated to COVID-19 patients (50% vs. 32%, P < 0.001) and were almost 4 times more likely to have previous depression (24% vs. 7%; P = 0.012).
Independent predictors of burnout were being younger, redeployment, exposure to patients with COVID-19, being female and a history of depression. Evaluation of existing psychological support interventions is required with targeted approaches to ensure support is available to those most at risk.
COVID-19 大流行给卫生专业人员带来了越来越大的压力。该人群已经被认为有倦怠的风险。
我们旨在提供 COVID-19 大流行期间医护人员倦怠、焦虑、抑郁和困扰程度的“快照”。
我们于 2020 年 6 月通过社交媒体向任何英国卫生保健工作者分发了在线调查。主要结局指标是使用哥本哈根倦怠量表测量的倦怠症状。还记录了抑郁、焦虑、困扰和主观压力测量的次要结局。采用多变量逻辑回归分析来确定与倦怠、抑郁、焦虑和困扰相关的因素。
共有 539 人对调查做出了回应;90%为女性,53%为护士。有中度至重度倦怠的参与者更年轻(49%比 40 岁以下的 33%,P=0.004),更有可能患有先前存在的合并症(21%比 12%,P=0.031),更有可能从常规角色重新部署(22%比 11%;P=0.042),或在专门用于 COVID-19 患者的区域工作(50%比 32%,P<0.001),并且之前有抑郁的可能性几乎高出 4 倍(24%比 7%;P=0.012)。
倦怠的独立预测因素是年轻、重新部署、接触 COVID-19 患者、女性和抑郁史。需要评估现有的心理支持干预措施,并采取有针对性的方法,以确保为最有风险的人提供支持。