Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.
Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal.
Physiother Res Int. 2021 Jul;26(3):e1915. doi: 10.1002/pri.1915. Epub 2021 May 26.
This study described the burnout experienced by physiotherapists during the COVID-19 pandemic and analysed the role of possible factors of this occupational phenomenon.
Cross-sectional study based on a web-based survey applied to physiotherapists living in Portugal. The survey included sociodemographic, health status and clinical practice questions. The Copenhagen Burnout Inventory (personal, work- and patient-related burnout), the Resilience Scale, the Depression Anxiety and Stress Scales and the Satisfaction with Life Scale were used.
A total of 511 physiotherapists (median 33 years old, 82% females) completed the survey. The participants worked mainly in private practice (50%) and wards (35%). During COVID-19, 52% were working directly with patients, but only 18% were working with COVID-19 patients. Personal (42%), work- (42%) and patient-related burnout (25%) was observed. Three significant models explained personal- (R = 51%), work- (R = 31%) and patient-related burnout (R = 16%). Lower levels of resilience and higher levels of depression and stress were significantly associated with personal, work- and patient-related burnout. Being female and working directly with patients were additionally associated with both personal and work-related burnout. Having health problems and working with COVID-19 patients were only associated with personal burnout.
More than 40% of physiotherapists experienced personal and work-related burnout and 25% patient-related burnout, with resilience, depression and stress having a relevant role in the three burnout dimensions. Early detection and management strategies need to be implemented to address physiotherapists' physical and psychological fatigue and exhaustion.
本研究描述了新冠肺炎大流行期间物理治疗师所经历的职业倦怠，并分析了这一职业现象的可能因素的作用。
这是一项基于网络调查的横断面研究，对象为居住在葡萄牙的物理治疗师。调查包括社会人口学、健康状况和临床实践问题。使用了哥本哈根倦怠量表（个人、工作和患者相关倦怠）、韧性量表、抑郁焦虑和压力量表以及生活满意度量表。
共有 511 名物理治疗师（中位数年龄 33 岁，82%为女性）完成了调查。参与者主要在私人诊所（50%）和病房（35%）工作。在新冠肺炎疫情期间，52%的人直接与患者一起工作，但只有 18%的人与新冠肺炎患者一起工作。观察到个人（42%）、工作（42%）和患者相关倦怠（25%）。三个显著模型解释了个人（R = 51%）、工作（R = 31%）和患者相关倦怠（R = 16%）。较低的韧性水平以及较高的抑郁和压力水平与个人、工作和患者相关的倦怠显著相关。女性和直接与患者一起工作与个人和工作相关的倦怠都有关联。有健康问题和与新冠肺炎患者一起工作仅与个人倦怠有关。
超过 40%的物理治疗师经历了个人和工作相关的倦怠，25%的人经历了患者相关的倦怠，韧性、抑郁和压力在这三个倦怠维度中起着重要作用。需要实施早期检测和管理策略，以解决物理治疗师的身体和心理疲劳。
