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护士在新冠疫情期间的倦怠:公共卫生的新挑战。

Burnout in nurses during the COVID-19 pandemic in China: New challenges for public health.

机构信息

Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.

出版信息

Biosci Trends. 2021 May 11;15(2):129-131. doi: 10.5582/bst.2021.01099. Epub 2021 Mar 26.

Abstract

During the COVID-19 pandemic, frontline nurses have faced extraordinary personal and professional challenges. These challenges have had mental health consequences, and concerning reports of burnout have emerged globally. We conducted a cross-sectional survey at a designated COVID-19 hospital in Shanghai at the peak of the pandemic, i.e. about 2 months after the onset of the outbreak from February to April 2020. Findings revealed burnout in 6.85% of nurses. Of 336 respondents, 87 (25.89%) had a high level of emotional exhaustion, 61 (18.15%) had a high level of depersonalization, and 100 (29.76%) had a low level of personal accomplishment. Burnout can be prevented by offering more support from families and supervisors, paying attention to health monitoring and personal protection, and creating a rational human resource allocation and shift management system. Specific training on infection control and self-protection, mental health guidance, and stress coping techniques must be implemented. As the current health crisis ultimately abates, moving the focus from mental health issues to public health issues, more attention and support at the national and organizational levels are needed to reduce occupational discrimination, nurse autonomy and status need to be promoted, and public health emergency teams need to be created. A positive and fair working environment is essential to effective healthcare delivery.

摘要

在 COVID-19 大流行期间,一线护士面临着非同寻常的个人和职业挑战。这些挑战对他们的心理健康产生了影响,全球范围内出现了令人担忧的 burnout 报告。我们在 2020 年 2 月至 4 月疫情爆发约 2 个月时,在上海的一家指定 COVID-19 医院进行了一项横断面调查。研究结果显示,护士中有 6.85%存在 burnout 现象。在 336 名受访者中,87 人(25.89%)情绪耗竭程度较高,61 人(18.15%)去人性化程度较高,100 人(29.76%)个人成就感较低。通过为家庭和主管提供更多支持、关注健康监测和个人防护、建立合理的人力资源配置和轮班管理制度,可以预防 burnout。必须实施关于感染控制和自我防护、心理健康指导以及应对压力的技巧的具体培训。随着当前卫生危机的最终缓解,需要将注意力从心理健康问题转移到公共卫生问题上,需要在国家和组织层面给予更多的关注和支持,以减少职业歧视,提升护士自主权和地位,并建立公共卫生应急团队。创造一个积极、公平的工作环境对于有效的医疗保健服务至关重要。

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