Su Po-An, Lo Mu-Chen, Wang Chiao-Ling, Yang Ping-Chen, Chang Chiao-I, Huang Meng-Chuan, Huang Ming-Kuo, Cheng Kuang-I
Department of Operation Management, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Department of Human Resource, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
J Multidiscip Healthc. 2021 Dec 21;14:3485-3495. doi: 10.2147/JMDH.S330533. eCollection 2021.
This study investigated the association between professional quality of life, working context, and mental health outcomes among hospital personnel in Taiwan during the worldwide upsurge in COVID-19 cases.
We recruited 503 hospital personnel to whom we administered online questionnaires containing items from the Professional Quality of Life (ProQoL) scale, which covers compassion satisfaction (CS), burnout (BO) and compassion fatigue (CF), the Depression, Anxiety and Stress Scale (DASS-21) and questions on work-related variables. Data were collected from 13 July to 19 August 2020.
The participants generally reported moderate CS and BO and low CF. Overall prevalence of mild-to-extremely-severe stress, anxiety and depression was 24.5%, 39.6% and 31.2%, respectively. Multiple logistic regression revealed that moderate-to-high BO and CF correlated with increased risks of mild-to-extremely-severe stress (OR = 4.17 and 2.23, respectively), anxiety (OR = 4.86 and 2.81, respectively) and depression (OR = 5.83 and 3.01, respectively), while moderate-to-high CS correlated with reduced risks of stress (OR = 0.53) and depression (OR = 0.45) only. There were CS and BO differences in groups categorized by marital status and profession. Anxiety increased linearly by seniority <10, 10-19 and ≥20 years (p for trend <0.05).
In conclusion, the subscales of ProQOL, BO and CF appeared to be associated with increased risks of stress, anxiety and depression among hospital personnel during the COVID-19 epidemic. A long-term contingency program may be needed to adjust work context variables and support emotional well-being of these workers.
本研究调查了在全球新冠疫情病例激增期间台湾医院工作人员的职业生活质量、工作环境与心理健康结果之间的关联。
我们招募了503名医院工作人员，向他们发放了在线问卷，其中包含职业生活质量（ProQoL）量表中的项目，该量表涵盖了同情满意度（CS）、倦怠（BO）和同情疲劳（CF）、抑郁、焦虑和压力量表（DASS-21）以及与工作相关变量的问题。数据收集于2020年7月13日至8月19日。
参与者普遍报告了中度的CS和BO以及较低的CF。轻度至极重度压力、焦虑和抑郁的总体患病率分别为24.5%、39.6%和31.2%。多元逻辑回归显示，中度至高BO和CF与轻度至极重度压力（OR分别为4.17和2.23）、焦虑（OR分别为4.86和2.81）和抑郁（OR分别为5.83和3.01）风险增加相关，而中度至高CS仅与压力（OR = 0.53）和抑郁（OR = 0.45）风险降低相关。按婚姻状况和职业分类的组中存在CS和BO差异。焦虑随工龄<10年、10 - 19年和≥20年呈线性增加（趋势p<0.05）。
总之，在新冠疫情期间，ProQOL的子量表BO和CF似乎与医院工作人员压力、焦虑和抑郁风险增加相关。可能需要一个长期的应急计划来调整工作环境变量并支持这些工作人员的情绪健康。
