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[新冠疫情期间意大利护理人员的职业倦怠综合征。多中心调查研究]

[Burnout syndrome among Italian nursing staff during the COVID 19 emergency. Multicentric survey study].

作者信息

Damico Vincenzo, Murano Liana, Demoro Giuseppe, Russello Giuseppe, Cataldi Giusy, D'Alessandro Antonella

机构信息

Azienda Socio Sanitaria Territoriale di Lecco, Italy. PhD Candidate, Dipartimento di Biomedicina e Prevenzione, Universita' di Roma Tor Vergata.Correspondence:

Residenza Sanitaria Assistenziale, Madonna della Neve Onlus, Premana, Lecco, Italy.

出版信息

Prof Inferm. 2020 Oct-Dec;73(4):250-257. doi: 10.7429/pi.2020.734250.

DOI:10.7429/pi.2020.734250
PMID:33780608
Abstract

AIM

To analyze the prevalence of Burnout defined by the MBI-GS among Italian nursing staff during the COVID-19 emergency.

INTRODUCTION

The recent health emergency which in the first half of 2020 has seen Italy involved in the management of patients with COVID-19 (COronaVIrus Disease 19), has led to further stress for hospitals both in terms of beds and in terms of workload for healthcare workers.

METHOD

A multicenter study was conducted. A convenience sample of 208 nurses participated in the study. Between March 20 and July 20, 2020, the Maslach Burnout Inventory-General Survey (MBI-GS) questionnaire was made available online by using the Google Forms platform in order to detect and measure the severity of Burnout Syndrome (BOS).

RESULTS

BOS-related symptoms (medium or high score) for individual MBI-GS domains were identified in at least 68% of nurses. One hundred and sixty-one nurses (77.4%) had a risk of emotional exhaustion, 143 (68.7%) of depersonalization, and 162 (77.9%) of reduced professional accomplishment. High risk was observed among nurses who managed COVID patients at their own operating unit (RR = 1.27, p = 0.016). Severe BOS risk was observed in 146 nurses analyzed (70.2%) with an increased risk among Intensive Care nurses.

CONCLUSIONS

Our results suggest that the nurses during the coronavirus pandemic, had high levels of work-related suffering and were at risk of physical and emotional exhaustion. Further research should be undertaken to establish causal relationships between BOS and personal and environmental risk factors among healthcare professionals in relation to the COVID-19.

摘要

目的

分析意大利护理人员在新冠疫情紧急状态期间,根据哥本哈根倦怠量表(MBI-GS)定义的职业倦怠患病率。

引言

2020年上半年,意大利参与了新冠病毒病(COVID-19)患者的管理工作,这场近期爆发的卫生紧急事件给医院带来了床位和医护人员工作量方面的双重压力。

方法

开展了一项多中心研究。便利抽样选取了208名护士参与研究。2020年3月20日至7月20日期间,通过谷歌表单平台在线发放马氏倦怠量表通用版(MBI-GS)问卷,以检测和衡量职业倦怠综合征(BOS)的严重程度。

结果

在至少68%的护士中,发现了与MBI-GS各领域相关的BOS症状(中度或高分)。161名护士(77.4%)存在情感耗竭风险,143名(68.7%)存在去人格化风险,162名(77.9%)存在个人成就感降低风险。在本单位负责管理新冠患者的护士中观察到高风险(相对危险度RR = 1.27,p = 0.016)。在分析的146名护士(70.2%)中观察到严重的BOS风险,重症监护护士的风险更高。

结论

我们的结果表明,在新冠疫情期间,护士的工作相关痛苦程度较高,存在身体和情感耗竭的风险。应进一步开展研究,以确定医护人员中BOS与个人及环境风险因素之间,与新冠疫情相关的因果关系。

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