Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 7008558, Japan.
Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI 96822, USA.
Int J Environ Res Public Health. 2021 Nov 4;18(21):11581. doi: 10.3390/ijerph182111581.
The coronavirus disease 2019 (COVID-19) pandemic has posed a significant challenge to the modern healthcare system and led to increased burnout among healthcare workers (HCWs). We previously reported that HCWs who engaged in COVID-19 patient care had a significantly higher prevalence of burnout (50.0%) than those who did not in November 2020 (period 1). We performed follow-up surveys in HCWs in a Japanese national university hospital, including basic demographics, whether a participant engaged in care of COVID-19 patients in the past 2 weeks, and the Maslach Burnout Inventory in February 2021 (period 2) and May 2021 (period 3). Periods 1 and 3 were amid the surges of COVID-19 cases, and period 2 was a post-surge period with a comparatively small number of COVID-19 patients requiring hospitalization. Response rates to the surveys were 33/130 (25.4%) in period 1, 36/130 (27.7%) in period 2, and 56/162 (34.6%) in period 3, respectively. While no consistent tendency in the prevalence of burnout based on variables was observed throughout the periods, the prevalence of burnout tends to be higher in periods 1 and 3 in those who engaged in COVID-19 patient care in the last 2 weeks (50.0%, 30.8%, 43.1% in period 1, 2, and 3, respectively). Given the prolonged pandemic causing stigmatization and hatred against HCWs leading to increased prevalence of burnout, high-level interventions and supports are warranted.
2019 年冠状病毒病（COVID-19）大流行对现代医疗体系构成了重大挑战，并导致医护人员（HCWs）的倦怠感增加。我们之前报告称，2020 年 11 月（第 1 期）从事 COVID-19 患者护理的 HCWs 的倦怠发生率（50.0%）明显高于未从事 COVID-19 患者护理的 HCWs。我们对日本国立大学医院的 HCWs 进行了随访调查，包括基本人口统计学特征、参与者在过去 2 周内是否参与 COVID-19 患者护理，以及 2021 年 2 月（第 2 期）和 2021 年 5 月（第 3 期）的 Maslach 倦怠量表。第 1 期和第 3 期都处于 COVID-19 病例激增期间，第 2 期是疫情过后的时期，需要住院治疗的 COVID-19 患者数量相对较少。第 1 期、第 2 期和第 3 期的调查回复率分别为 33/130（25.4%）、36/130（27.7%）和 56/162（34.6%）。尽管在各期之间，根据变量观察到倦怠的流行率没有一致的趋势，但在过去 2 周内从事 COVID-19 患者护理的人群中，第 1 期和第 3 期的倦怠发生率较高（第 1 期、第 2 期和第 3 期分别为 50.0%、30.8%和 43.1%）。鉴于大流行持续时间较长，导致 HCWs 受到污名化和仇恨，倦怠的流行率增加，需要采取高级别的干预和支持措施。
