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新冠疫情期间医院病房一线与非一线医护人员职业倦怠与工作压力的比较研究

Comparative Study of Occupational Burnout and Job Stress of Frontline and Non-Frontline Healthcare Workers in Hospital Wards during COVID-19 Pandemic.

作者信息

Etesam Farnaz, Akhlaghi Mitra, Vahabi Zahra, Akbarpour Samaneh, Sadeghian Mohammad Hossein

机构信息

Department of Psychiatry, Psychosomatic Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Public Health. 2021 Jul;50(7):1428-1435. doi: 10.18502/ijph.v50i7.6633.

Abstract

BACKGROUND

Paying attention to the issue of mental health in the workplace, especially with current pandemic conditions of COVID-19 is of significant importance. Therefore, this study aimed to determine the factors affecting occupational burnout among health care center staff during the pandemic of coronavirus infection.

METHODS

The present study was a case-control study carried out in the first half of the year 2020 on medical staff working in hospitals in Tehran. The sample size was 324 individuals, including 175 employees working in general (non-COVID) wards and 149 people working in COVID-19 wards. Demographic characteristics questionnaire and two standard questionnaires of Maslach Burnout Inventory and Parker and DeCotiis Job Stress Scale were distributed.

RESULTS

Total score of job stress and its two dimensions (time and pressure) had a significant relationship with different levels of occupational burnout. Logistic regression analyses showed significant relations between job stress with emotional exhaustion (95% CI, 1.11-1.19, OR=1.15) and depersonalization. Participants in both wards experienced statistically significant increasing trends given the different components of occupational burnout concurrently by increasing their total stress score.

CONCLUSION

Hospital staff's levels of stress and occupational burnout regardless of where they worked (COVID-19 wards or general wards) were not significantly different and existed among the members of both groups. On the other hand, job stress and its dimensions (time pressure and anxiety) had a significant relationship with the main dimensions of occupational burnout.

摘要

背景

关注工作场所的心理健康问题,尤其是在当前新冠疫情的情况下,具有重要意义。因此,本研究旨在确定在冠状病毒感染大流行期间影响医疗保健中心工作人员职业倦怠的因素。

方法

本研究为病例对照研究,于2020年上半年对德黑兰医院的医务人员进行。样本量为324人,包括175名在普通(非新冠)病房工作的员工和149名在新冠病房工作的人员。发放了人口统计学特征问卷以及马氏职业倦怠量表和帕克与德科蒂斯工作压力量表这两个标准问卷。

结果

工作压力总分及其两个维度(时间和压力)与不同程度的职业倦怠存在显著关系。逻辑回归分析显示工作压力与情感耗竭(95%置信区间,1.11 - 1.19,比值比 = 1.15)和去个性化之间存在显著关系。两个病房的参与者在职业倦怠的不同组成部分上,随着总压力得分的增加,均呈现出具有统计学意义的上升趋势。

结论

医院工作人员的压力水平和职业倦怠程度,无论他们在何处工作(新冠病房或普通病房),均无显著差异,且两组人员中均存在。另一方面,工作压力及其维度(时间压力和焦虑)与职业倦怠的主要维度存在显著关系。

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