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韩国 COVID-19 疫情期间医院卫生工作者 burnout 的预测因素。

Predictors of Burnout in Hospital Health Workers during the COVID-19 Outbreak in South Korea.

机构信息

Department of Industrial and Management Systems Engineering, Kyung Hee University, Yongin 17104, Korea.

Department of Nursing, Catholic Kwandong University, Gangneung 25601, Korea.

出版信息

Int J Environ Res Public Health. 2021 Nov 8;18(21):11720. doi: 10.3390/ijerph182111720.

Abstract

This study aimed to identify the factors that influence the components of burnout-emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA)-among hospital health workers, including doctors and nurses, during the COVID-19 pandemic. We analyzed 200 healthcare workers' responses to the Employee Health Promotion Survey conducted at a general hospital in Seoul with over 200 hospital beds. The questionnaire included items about COVID-19-related burnout and its influencing factors. We performed three different multiple regression analyses using EE, DP, and PA as the dependent variables. The results show that sex, marital status, workload of treating suspected COVID-19 patients, fear of COVID-19 infection, anxiety, and depression predicted EE. The predictors of DP were job category, consecutive months of work in the current department, satisfaction with work environment, anxiety, and depression. The predictors of PA were the workload of directly interacting with patients, socioeconomic status, and job stress. For EE and DP, burnout was found to be worse in doctors and nurses than in other health workers; moreover, burnout was worse among nurses than among doctors across all three aspects of burnout. The findings can be used to establish tailored policies to address each burnout component.

摘要

本研究旨在确定影响医院卫生工作者(包括医生和护士)在 COVID-19 大流行期间 burnout 各组成部分(情绪耗竭 EE、去人格化 DP 和个人成就感 PA)的因素。我们分析了首尔一家拥有 200 多张病床的综合医院进行的“员工健康促进调查”中 200 名医护人员的回答。该问卷包含与 COVID-19 相关 burnout 及其影响因素的项目。我们使用 EE、DP 和 PA 作为因变量进行了三次不同的多元回归分析。结果表明,性别、婚姻状况、治疗疑似 COVID-19 患者的工作量、对 COVID-19 感染的恐惧、焦虑和抑郁预测了 EE。DP 的预测因素是工作类别、当前部门连续工作月数、对工作环境的满意度、焦虑和抑郁。PA 的预测因素是与患者直接互动的工作量、社会经济地位和工作压力。对于 EE 和 DP,与其他卫生工作者相比,医生和护士的 burnout 更严重;此外,在所有三个 burnout 方面,护士的 burnout 都比医生更严重。这些发现可用于制定有针对性的政策来解决每个 burnout 组成部分。

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