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土耳其 COVID-19 大流行期间精神科医生的压力和倦怠。

Stress and Burnout in Psychiatrists in Turkey during COVID-19 Pandemic.

机构信息

Department of Child and Adolescent Psychiatry, Ankara City Hospital, 06000 Ankara, Turkey,

出版信息

Psychiatr Danub. 2021 Summer;33(2):225-230. doi: 10.24869/psyd.2021.225.

Abstract

BACKGROUND

Clinicians working in mental health (MH) services seem to be at increased risk of burnout. This study aimed to investigate the stress and burnout levels of psychiatrists working in MH services in Turkey and determine the relationship between stress, workload, and support during the COVID-19 pandemic.

SUBJECTS AND METHODS

An online questionnaire was sent to child and adult psychiatrists registered with Turkish professional mail groups. 217 psychiatrists replied, with equal numbers from child (n=108) and adult (n=109) MH services. The Copenhagen Burnout Inventory and study-specific questionnaire were used.

RESULTS

60.8% of psychiatrists (n=132) experienced medium-or high-intensity work-related burnout, 49.8% (n=108) experienced patient-related burnout, and 31.8% (n=69) experienced medium-or high-intensity personal burnout. Patient-related burnout scores were significantly higher in the child psychiatry group than in the adult psychiatry group. The majority (n=126, 58.1%) reported either moderate or higher stress levels linked to the COVID-19 pandemic. Turnover intention, reluctance to retrain in psychiatry and sense of lack of value in the job are all associated with higher levels of burnout.

CONCLUSIONS

The current COVID-19 pandemic is likely to bring additional stressors to psychiatrists. This study shows that psychiatrists in Turkey already exhibit high levels of work-related stress. Organizational interventions to ameliorate psychiatrists' wellbeing and work conditions are required.

摘要

背景

精神卫生(MH)服务领域的临床医生似乎面临更高的倦怠风险。本研究旨在调查土耳其 MH 服务中精神科医生的压力和倦怠水平,并确定 COVID-19 大流行期间的压力、工作量和支持之间的关系。

方法

向土耳其专业邮件组注册的儿童和成人精神科医生发送了在线问卷。217 名精神科医生回复了问卷,儿童(n=108)和成人(n=109)MH 服务的人数相等。使用哥本哈根倦怠量表和特定于研究的问卷。

结果

60.8%(n=132)的精神科医生经历了中高强度与工作相关的倦怠,49.8%(n=108)经历了与患者相关的倦怠,31.8%(n=69)经历了中高强度的个人倦怠。儿童精神病学组的患者相关倦怠得分明显高于成人精神病学组。大多数(n=126,58.1%)报告 COVID-19 大流行导致的中等或更高水平的压力。离职意愿、不愿在精神病学领域再培训以及对工作缺乏价值感都与更高的倦怠水平相关。

结论

当前的 COVID-19 大流行可能会给精神科医生带来额外的压力源。本研究表明,土耳其的精神科医生已经表现出高度的工作压力。需要采取组织干预措施来改善精神科医生的幸福感和工作条件。

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