Health Management Center, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
Department of Occupational Health and Safety Management, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
Int J Environ Res Public Health. 2021 Apr 1;18(7):3654. doi: 10.3390/ijerph18073654.
The coronavirus disease 2019 (COVID-19) pandemic results in a profound physical and mental burden on healthcare professionals. This study aims to evaluate burnout status and mood disorder of healthcare workers during this period. An online questionnaire was voluntarily answered by eligible adult employees in a COVID-19 specialized medical center. The major analysis included the burnout status and mood disorder. Factors related to more severe mood disorder were also identified. A total of 2029 participants completed the questionnaire. There were 901 (44.4%) and 923 (45.5%) participants with moderate to severe personal and work-related burnout status, respectively. Nurses working in the emergency room (ER), intensive care unit (ICU)/isolation wards, and general wards, as well as those with patient contact, had significantly higher scores for personal burnout, work-related burnout, and mood disorder. This investigation identified 271 participants (13.35%) with moderate to severe mood disorder linked to higher personal/work-related burnout scores and a more advanced burnout status. Univariate analysis revealed that nurses working in the ER and ICU/isolation wards were associated with moderate to severe mood disorder risk factors. Multivariate analysis demonstrated that working in the ER (OR, 2.81; 95% CI, 1.14-6.90) was the only independent risk factor. More rest, perquisites, and an adequate supply of personal protection equipment were the most desired assistance from the hospital. Compared with the non-pandemic period (2019), employees working during the COVID-19 pandemic (2020) have higher burnout scores and percentages of severe burnout. In conclusion, this study suggests that the COVID-19 pandemic has had an adverse impact on healthcare professionals. Adequate measures should be adopted as early as possible to support the healthcare system.
新型冠状病毒肺炎(COVID-19)大流行给医护人员带来了巨大的身心负担。本研究旨在评估疫情期间医护人员的 burnout 状态和情绪障碍。采用在线问卷对一家 COVID-19 定点医疗机构的成年员工进行了自愿调查。主要分析包括 burnout 状态和情绪障碍。还确定了与更严重情绪障碍相关的因素。共有 2029 名参与者完成了问卷。分别有 901 名(44.4%)和 923 名(45.5%)参与者的个人和工作相关 burnout 状态为中度至重度。在急诊科(ER)、重症监护病房(ICU)/隔离病房和普通病房工作的护士以及有患者接触的护士,个人 burnout、工作相关 burnout 和情绪障碍的评分明显更高。这项调查发现 271 名(13.35%)参与者存在中度至重度情绪障碍,与较高的个人/工作相关 burnout 评分和更严重的 burnout 状态有关。单因素分析显示,在 ER 和 ICU/隔离病房工作的护士与中度至重度情绪障碍的风险因素有关。多因素分析表明,在 ER 工作(OR,2.81;95%CI,1.14-6.90)是唯一的独立危险因素。更多的休息、津贴和充足的个人防护设备是医院最希望提供的帮助。与非大流行时期(2019 年)相比,COVID-19 大流行期间(2020 年)的员工 burnout 评分和重度 burnout 的比例更高。总之,本研究表明 COVID-19 大流行对医护人员产生了不利影响。应尽早采取充分措施支持医疗系统。