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巴基斯坦护理人员照顾 COVID-19 患者的倦怠和心理困扰:一项横断面研究。

Burnout and psychological distress among Pakistani nurses providing care to COVID-19 patients: A cross-sectional study.

机构信息

Benazir Bhutto Hospital, Rawalpindi, Pakistan.

Isra College of Nursing, Isra University, Islamabad, Pakistan.

出版信息

Int Nurs Rev. 2022 Dec;69(4):529-537. doi: 10.1111/inr.12750. Epub 2022 Feb 15.

Abstract

AIM

The aim of this study is to assess the burden of burnout and psychological distress and its association among Pakistani nurses providing care to patients with COVID-19.

BACKGROUND

Nurses may experience an elevated risk of burnout and psychological distress during epidemics.

METHODS

A cross-sectional study was conducted using a convenience sample of 288 nurses. Maslach Burnout Inventory was administered to measure burnout and its domains of emotional exhaustion, depersonalization, and personal accomplishment. Screening Tool for Psychological Distress was administered to measure depression, anxiety, stress, anger, and low social support.

RESULTS

Burnout was present in 48.6% of nurses, severe emotional exhaustion in 37.2%, severe depersonalization in 36.8%, and low personal accomplishment in 46.9% of nurses. Psychological distress was present in 45% of nurses. Burnout and psychological distress were significantly higher in nurses who: were working in public hospitals, did not receive training for COVID-19 prevention, and were dealing with increased patient load. Burnout and its domains were significantly associated with depression, anxiety, stress, anger, and low social support.

CONCLUSION

Nurses are experiencing high levels of burnout and psychological distress during the COVID-19 pandemic with a significant moderate-to-strong association between these conditions. These findings accentuate the need for institution-based interventions to mitigate burnout and preserve the mental health of nurses.

IMPLICATIONS FOR NURSING AND HEALTH POLICY

Hospitals must screen nurses frequently for the presence of significant burnout and psychological distress and offer supportive interventions to protect their mental health and well-being.

摘要

目的

本研究旨在评估为 COVID-19 患者提供护理的巴基斯坦护士的倦怠和心理困扰负担及其相关性。

背景

在流行期间,护士可能面临更高的倦怠和心理困扰风险。

方法

采用便利抽样法对 288 名护士进行横断面研究。采用 Maslach 倦怠量表评估倦怠及其情绪衰竭、去人格化和个人成就感三个维度。采用心理困扰筛查工具评估抑郁、焦虑、压力、愤怒和低社会支持。

结果

48.6%的护士存在倦怠,37.2%存在严重情绪衰竭,36.8%存在严重去人格化,46.9%存在个人成就感低。45%的护士存在心理困扰。在工作于公立医院、未接受 COVID-19 预防培训且处理的患者数量增加的护士中,倦怠和心理困扰更为显著。倦怠及其各维度与抑郁、焦虑、压力、愤怒和低社会支持显著相关。

结论

在 COVID-19 大流行期间,护士经历着高水平的倦怠和心理困扰,这些状况之间存在显著的中等到强关联。这些发现强调了基于机构的干预措施的必要性,以减轻倦怠并保护护士的心理健康。

对护理和卫生政策的影响

医院必须经常对护士进行倦怠和显著心理困扰的筛查,并提供支持性干预措施,以保护他们的心理健康和幸福感。

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