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肿瘤护理专业人员的倦怠现状及预测因素:一项横断面研究。

Prevalence of burnout and predictive factors among oncology nursing professionals: a cross-sectional study.

机构信息

PhD. Researcher and Professor, Postgraduation, Hospital de Câncer de Barretos, Barretos (SP), Brazil.

RN. Nurse and Master's Student, Postgraduation, Hospital de Câncer de Barretos, Barretos (SP), Brazil.

出版信息

Sao Paulo Med J. 2021 Jul-Aug;139(4):341-350. doi: 10.1590/1516-3180.2020.0606.R1.1202021.

DOI:10.1590/1516-3180.2020.0606.R1.1202021
PMID:34190870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9615590/
Abstract

BACKGROUND

Burnout is a syndrome that mostly affects professionals working in contact with patients and their caregivers. In oncology care, nursing professionals are constantly required to provide emotional support for patients and their caregivers, throughout the process of becoming ill, suffering and dying.

OBJECTIVE

To evaluate the prevalence and factors associated with burnout in a sample of nursing professionals at a cancer hospital.

DESIGN AND SETTING

Cross-sectional study conducted at Hospital de Câncer de Barretos.

METHODS

The study population comprised 655 nursing professionals. Burnout syndrome was assessed using the Maslach Burnout Inventory Human Service Survey. Univariate analysis and binary logistic regression models were used to identify independent predictors associated with burnout.

RESULTS

Among 304 nursing professionals included in the study, 27 (8.9%) were classified as presenting burnout according to the two-dimensional criteria, and four (1.3%) were classified based on the three-dimensional criteria. Workplace characteristics were not associated with burnout, while single marital status (odds ratio, OR = 2.695; P = 0.037), perceived workplace stressors, such as impatience with colleagues (OR = 3.996; P = 0.007) and melancholy (OR = 2.840; P = 0.021) were considered to be predictors of burnout. Nursing professionals who would choose the profession again (OR = 0.214; P = 0.001) were least likely to present burnout.

CONCLUSION

Perceived workplace stressors are strongly associated with burnout. Strategies focusing on restructuring of daily work processes and on activities that stimulate positive relationships are important for professionals' health because motivation to continue working in oncology nursing has a protective effect against burnout.

摘要

背景

burnout 是一种主要影响与患者及其护理人员接触的专业人员的综合征。在肿瘤护理中,护理专业人员在患者及其护理人员患病、痛苦和死亡的整个过程中,经常需要为其提供情感支持。

目的

评估癌症医院护理专业人员样本中 burnout 的流行情况和相关因素。

设计与环境

在巴雷托斯癌症医院进行的横断面研究。

方法

研究人群包括 655 名护理专业人员。使用 Maslach Burnout Inventory Human Service Survey 评估 burnout 综合征。采用单因素分析和二元逻辑回归模型,确定与 burnout 相关的独立预测因素。

结果

在纳入研究的 304 名护理专业人员中,根据二维标准,有 27 名(8.9%)被归类为存在 burnout,根据三维标准,有 4 名(1.3%)被归类为存在 burnout。工作场所特征与 burnout 无关,而单身婚姻状况(比值比,OR = 2.695;P = 0.037)、与同事相处不耐烦(OR = 3.996;P = 0.007)和忧郁(OR = 2.840;P = 0.021)等感知工作压力源被认为是 burnout 的预测因素。再次选择该职业的护理专业人员(OR = 0.214;P = 0.001)最不可能出现 burnout。

结论

感知工作压力源与 burnout 密切相关。关注日常工作流程重组和促进积极关系的活动的策略对于专业人员的健康非常重要,因为继续从事肿瘤护理工作的动机对 burnout 具有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b5a/9615590/235e70b8b96c/1806-9460-spmj-139-04-341-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b5a/9615590/235e70b8b96c/1806-9460-spmj-139-04-341-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b5a/9615590/235e70b8b96c/1806-9460-spmj-139-04-341-gf1.jpg

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