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职业倦怠与首次急性冠状动脉综合征发作后员工生活质量改善缓慢相关:一项基于中国医院的纵向研究。

Job burnout is associated with slow improvement of quality of life in the employees after a first episode of acute coronary syndrome: A hospital-based longitudinal study in China.

作者信息

Shi Yunke, Zhu Caifeng, Jiang Ruxin, Zhang Min, Cai Hongyan, Hu Zhao, Sun Huang, Liu Yixi, Ye Yujia, Ma Yiming, Cao Xingyu, von Känel Roland, Li Jian

机构信息

Cardiology Department, The 1st Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, China.

Cardiology Department, The People's Hospital of Chuxiong Yi Autonomous Prefecture, Chuxiong, Yunnan 675000, China.

出版信息

J Psychosom Res. 2022 Jan;152:110690. doi: 10.1016/j.jpsychores.2021.110690. Epub 2021 Dec 1.

Abstract

OBJECTIVE

This study investigated the association between job burnout and quality of life (QoL) after acute coronary syndrome (ACS) in a Chinese sample.

METHODS

This was a one-year longitudinal study. Participants included patients with a first episode of ACS who were still employed. The Copenhagen Burnout Inventory (CBI) assessed job burnout before discharge, and QoL was assessed using the Medical Outcome Study 8-Items Short Form Health Survey (SF-8) and the Seattle Angina Questionnaire (SAQ) before discharge (baseline), at one month, six months and 12 months after discharge. Generalized estimating equations determined the association between job burnout and longitudinal changes of QoL.

RESULTS

All participants were assigned to either a "low job burnout" group (n = 70) or a "high job burnout" group (n = 50), based on the upper quartile of job burnout scores. Longitudinally over 1-year follow-up period, the scores of the SF-8 and SAQ among patients with a high level of burnout were lower than those in the low job burnout group. Job burnout was significantly associated with lower physical and mental health (SF-8), as well as greater physical limitation and lower treatment satisfaction (SAQ) over time.

CONCLUSION

Job burnout at baseline predicted slow improvement of QoL after ACS in a Chinese working sample.

摘要

目的

本研究在中国样本中调查急性冠状动脉综合征(ACS)后职业倦怠与生活质量(QoL)之间的关联。

方法

这是一项为期一年的纵向研究。参与者包括首次发作ACS且仍在工作的患者。哥本哈根职业倦怠量表(CBI)在出院前评估职业倦怠情况,生活质量在出院前(基线)、出院后1个月、6个月和12个月使用医学结局研究8项简表健康调查(SF-8)和西雅图心绞痛问卷(SAQ)进行评估。广义估计方程确定职业倦怠与生活质量纵向变化之间的关联。

结果

根据职业倦怠得分的上四分位数,所有参与者被分为“低职业倦怠”组(n = 70)或“高职业倦怠”组(n = 50)。在1年的随访期内,纵向来看,高倦怠水平患者的SF-8和SAQ得分低于低职业倦怠组。随着时间的推移,职业倦怠与较低的身心健康(SF-8)以及更大的身体限制和更低的治疗满意度(SAQ)显著相关。

结论

在中国工作样本中,基线时的职业倦怠预示着ACS后生活质量改善缓慢。

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