Ghahramani Sulmaz, Lankarani Kamran Bagheri, Yousefi Mohammad, Heydari Keyvan, Shahabi Saeed, Azmand Sajjad
Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Medicine, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Front Psychiatry. 2021 Nov 10;12:758849. doi: 10.3389/fpsyt.2021.758849. eCollection 2021.
Burnout among healthcare personnel has been exacerbated by the COVID-19 pandemic's unique features. During the COVID-19 pandemic, this systematic review and meta-analysis aims to provide a complete assessment of the prevalence of burnout across various healthcare personnel. Until January 2021, systematic searches for English language papers were conducted using PubMed, Scopus, EMBASE, Web of Science, Cochrane Library, and ProQuest. Thirty observational studies were found after conducting systematic searches. The pooled overall prevalence of burnout was 52% [95% confidence interval (CI) 40-63%]. Pooled emotional exhaustion (EE), depersonalization (DP), and lack of personal accomplishment (PA) were 51% (95% CI 42-61%), 52% (95% CI 39-65%), and 28% (95% CI 25-31%), respectively. This study demonstrated that nearly half of the healthcare workers experienced burnout during the COVID-19 pandemic. In the studies that were included, non-frontline COVID-19 exposed healthcare personnel also experienced burnout. From high to lower middle-income countries, there was a gradient in the prevalence of total burnout, EE, and lack of PA. Further studies on burnout in low and lower-middle-income countries are suggested. A uniform diagnostic tool for the assessment of burnout is warranted.
新冠疫情的独特特征加剧了医护人员的职业倦怠。在新冠疫情期间，本系统综述和荟萃分析旨在全面评估各类医护人员职业倦怠的患病率。截至2021年1月，通过PubMed、Scopus、EMBASE、Web of Science、Cochrane图书馆和ProQuest对英文论文进行了系统检索。经过系统检索后，共找到30项观察性研究。职业倦怠的总体合并患病率为52%[95%置信区间（CI）40 - 63%]。情感耗竭（EE）、去个性化（DP）和个人成就感低落（PA）的合并患病率分别为51%（95%CI 42 - 61%）、52%（95%CI 39 - 65%）和28%（95%CI 25 - 31%）。本研究表明，在新冠疫情期间，近一半的医护人员经历了职业倦怠。在纳入的研究中，未直接接触新冠疫情的非一线医护人员也出现了职业倦怠。从高收入国家到中低收入国家，总体职业倦怠、情感耗竭和个人成就感低落的患病率呈梯度变化。建议对低收入和中低收入国家的职业倦怠进行进一步研究。有必要制定一种统一的职业倦怠评估诊断工具。
