PT. Doctoral Student, Universidade Federal do Ceará (UFC), Fortaleza (CE), Brazil.
PT, PhD. Adjunct Professor, Department of Physiotherapy, Universidade Federal do Ceará (UFC), Fortaleza (CE), Brazil.
Sao Paulo Med J. 2022 Jul-Aug;140(4):553-558. doi: 10.1590/1516-3180.2021.0287.R1.291021.
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has placed considerable psychological stress on frontline healthcare workers (HCWs). OBJECTIVE: To evaluate the prevalence of burnout syndrome among HCWs facing the COVID-19 outbreak. DESIGN AND SETTING: Cross-sectional study conducted in six public intensive care units (ICUs) in the city of Fortaleza, Brazil. METHODS: An online survey was conducted among HCWs to measure the three dimensions of burnout. RESULTS: A total of 62 physicians (23.4%), 65 nurses (24.5%), 58 nurse technologists (21.9%) and 80 physiotherapists (30.2%) completed the questionnaire. Nearly half of the participants (48.6%) had high levels of emotional exhaustion, and almost one-third of them (29.4%) had high levels of depersonalization. Low levels of professional efficacy were observed in 18.1% of the sample. The independent determinants of depersonalization burnout were age < 33 years (odds ratio, OR 2.03; 95% confidence interval, CI 1.15-3.56; P = 0.01) and female gender (OR 0.33; 95% CI 0.18-0.62; P = 0.01). Increased workload was associated with both depersonalization (OR 2.37; 95% CI 2.02-5.50; P = 0.04) and emotional exhaustion (OR 1.89; 95% CI 1.04-3.58; P = 0.030). CONCLUSION: The COVID-19 pandemic has had a great impact on the dimensions of depersonalization and emotional exhaustion. Consideration of these dimensions is important when designing future burnout prevention programs for frontline personnel.
背景:2019 年冠状病毒病(COVID-19)大流行给一线医护人员(HCWs)带来了相当大的心理压力。
目的:评估应对 COVID-19 爆发的医护人员 burnout 综合征的患病率。
设计和设置:在巴西福塔莱萨市的六家公立重症监护病房(ICUs)进行的横断面研究。
方法:对 HCWs 进行在线调查,以衡量 burnout 的三个维度。
结果:共有 62 名医生(23.4%)、65 名护士(24.5%)、58 名护士技师(21.9%)和 80 名物理治疗师(30.2%)完成了问卷。近一半的参与者(48.6%)情绪耗竭水平较高,其中近三分之一(29.4%)的人有较高的去人性化水平。在样本中,有 18.1%的人职业效能感较低。去人性化 burnout 的独立决定因素是年龄<33 岁(优势比,OR 2.03;95%置信区间,CI 1.15-3.56;P=0.01)和女性(OR 0.33;95%CI 0.18-0.62;P=0.01)。工作量增加与去人性化(OR 2.37;95%CI 2.02-5.50;P=0.04)和情绪耗竭(OR 1.89;95%CI 1.04-3.58;P=0.030)均相关。
结论:COVID-19 大流行对去人性化和情绪耗竭维度产生了重大影响。在为一线人员设计未来的 burnout 预防计划时,考虑这些维度很重要。
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