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台湾地区三级医院中患有职业倦怠和代谢综合征的医护人员的年龄、性别和职业差异——一项横断面研究

Age, Sex, and Profession Difference Among Health Care Workers With Burnout and Metabolic Syndrome in Taiwan Tertiary Hospital-A Cross-Section Study.

作者信息

Tsai Huel-Ju, Tsou Meng-Ting

机构信息

Departments of Health Evaluation Center, MacKay Memorial Hospital, Taipei City, Taiwan.

Department of Family Medicine, MacKay Memorial Hospital, Taipei City, Taiwan.

出版信息

Front Med (Lausanne). 2022 Apr 14;9:854403. doi: 10.3389/fmed.2022.854403. eCollection 2022.

Abstract

BACKGROUND

This cross-sectional study aimed to analyze the association between burnout, work-related factors and metabolic syndrome (MetS) among various health-care workers (HCWs) at a tertiary hospital in Taiwan.

METHODS

Relevant demographic data were obtained through written questionnaires. Information about psychosocial and work conditions, including assigned department, working hours, shifts, and sleep condition, was obtained. Burnout was evaluated according to the Chinese version of Maslach Burnout Inventory-Health Services Survey. MetS was analyzed according to the criteria of the National Cholesterol Education Program of Taiwan-Treatment Panel for Adults III.

RESULTS

A total of 1,055 non-doctor/nurse and 2,078 doctor/nurse staff with a median age of 45.2 and 36.1 years participated in this study. The incidence of burnout was nearly 6.42 and 6.68% and that of MetS was 31.4 and 13.5% in non-doctor/nurse and doctor/nurse staff, respectively. The results showed that burnout induced a higher Odds ratio (OR) of MetS in the doctor/nurse group (OR = 1.96, = 0.01). Other factors, such as night shift and seniority (>10 years), led to a higher OR of MetS, but a decreased risk was observed based on seniority (2-4 years). Further, young female participants and young doctors/nurses with burnout had a higher OR of MetS compare to other groups (OR = 2.43 and 2.32, < 0.05).

CONCLUSION

The study results suggested positive relationship between burnout and MetS in young female staffs and young doctors/nurses. For doctor/nurse staff with higher seniority or more night shifts, strategies are needed to prevent burnout and MetS.

摘要

背景

本横断面研究旨在分析台湾一家三级医院各类医护人员职业倦怠、工作相关因素与代谢综合征(MetS)之间的关联。

方法

通过书面问卷获取相关人口统计学数据。获取有关社会心理和工作条件的信息,包括科室分配、工作时间、轮班和睡眠状况。根据中文版的马氏职业倦怠量表-医疗卫生服务调查评估职业倦怠。根据台湾成人治疗小组第三次报告的美国国家胆固醇教育计划标准分析代谢综合征。

结果

共有1055名非医生/护士人员和2078名医生/护士人员参与本研究,年龄中位数分别为45.2岁和36.1岁。非医生/护士人员和医生/护士人员的职业倦怠发生率分别约为6.42%和6.68%,代谢综合征发生率分别为31.4%和13.5%。结果显示,职业倦怠在医生/护士组中导致代谢综合征的比值比(OR)更高(OR = 1.96, = 0.01)。其他因素,如夜班和工龄(>10年),导致代谢综合征的OR更高,但工龄在2 - 4年时风险降低。此外,与其他组相比,有职业倦怠的年轻女性参与者和年轻医生/护士患代谢综合征的OR更高(OR = 2.43和2.32, < 0.05)。

结论

研究结果表明年轻女性员工以及年轻医生/护士的职业倦怠与代谢综合征之间存在正相关。对于工龄较长或夜班较多的医生/护士人员,需要采取策略预防职业倦怠和代谢综合征。

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