Alameri Fayeza, Aldaheri Noura, Almesmari Sarah, Basaloum Manea, Albeshr Nouf Albdulrahman, Simsekler Mecit Can Emre, Ugwuoke Nnamdi Valbosco, Dalkilinc Murat, Al Qubaisi Mai, Campos Luciana Aparecida, Almahmeed Wael, Alefishat Eman, Al Tunaiji Hashel, Baltatu Ovidiu Constantin
Zayed Military Hospital, Abu Dhabi, United Arab Emirates.
College of Engineering, Khalifa University, Abu Dhabi, United Arab Emirates.
Front Psychiatry. 2022 Apr 4;13:867233. doi: 10.3389/fpsyt.2022.867233. eCollection 2022.
The objective of this study was to investigate the psychosocial and cardiovascular markers in healthcare professionals during the COVID-19 pandemic.
This was a STROBE compliant, blended exploratory study. Residents, staff physicians, nurses, and auxiliary healthcare professionals from both inpatient and outpatient medicine services were recruited using a planned random probability sample. The Maslach Burnout Inventory (MBI), Fuster-BEWAT score (FBS), and socio-demographic factors, as well as sleep quality, were studied. The correlations between burnout severity and cardiovascular risk were examined using multivariable linear regression models adjusted for confounding variables, such as sociodemographic and anthropometric characteristics.
The regression analysis with FBS as the outcome showed a negative association between cardiovascular health and emotional exhaustion [Coef.(95%CI): -0.029 (-0.048, -0.01), = 0.002]. The higher the emotional exhaustion the lower the cardiovascular health. Further, the model showed a positive association between personal accomplishment and cardiovascular health [Coef.(95%CI): 0.045 (0.007, 0.082), = 0.02]. Emotional exhaustion was significantly positive correlated with REM sleep and light average (Spearman's rank correlation: 0.37 and 0.35, respectively, with < 0.05).
The data from this study show that healthcare practitioners who are with burnout and emotional exhaustion have an elevated cardiovascular risk, however, causality cannot be determined. As an adaptive response to stressful situations, REM sleep increases. The findings of this study may be relevant in creating preventive strategies for burnout and cardiovascular risk reduction or prevention.
[www.ClinicalTrials.gov], identifier [NCT04422418].
本研究的目的是调查新冠疫情期间医护人员的心理社会和心血管指标。
这是一项符合STROBE标准的混合探索性研究。采用计划随机概率抽样法招募住院和门诊医疗服务的住院医师、执业医师、护士及辅助医护人员。研究了马氏职业倦怠量表（MBI）、富斯特-贝瓦特评分（FBS）、社会人口学因素以及睡眠质量。使用针对社会人口学和人体测量特征等混杂变量进行调整的多变量线性回归模型，检验职业倦怠严重程度与心血管风险之间的相关性。
以FBS为结果的回归分析显示，心血管健康与情感耗竭之间呈负相关[系数（95%置信区间）：-0.029（-0.048，-0.01），P = 0.002]。情感耗竭程度越高，心血管健康状况越差。此外，该模型显示个人成就感与心血管健康之间呈正相关[系数（95%置信区间）：0.045（0.007，0.082），P = 0.02]。情感耗竭与快速眼动睡眠和浅睡眠平均时长显著正相关（斯皮尔曼等级相关系数分别为0.37和0.35，P < 0.05）。
本研究数据表明，存在职业倦怠和情感耗竭的医护人员心血管风险升高，但无法确定因果关系。作为对压力情境的适应性反应，快速眼动睡眠增加。本研究结果可能有助于制定预防职业倦怠和降低或预防心血管风险的策略。
