Pereira-Lima Karina, Loureiro Sonia Regina, Silveira Isabella Lara Machado, Crippa José Alexandre, Hallak Jaime Eduardo Cecílio, Zuardi Antonio Waldo, Osório Flávia de Lima
Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brazil.
Departamento de Neurociências e Ciências do Comportamento, Universidade de São Paulo, Ribeirão Preto, Brazil.
Front Psychol. 2022 Apr 26;13:880049. doi: 10.3389/fpsyg.2022.880049. eCollection 2022.
Health care workers from low- and middle-income countries have been playing a critical role in overcoming the challenges related to the COVID-19 pandemic; yet little is known about the relationship between workplace protections and wellbeing of Brazilian health care workers during the pandemic. This study aimed to evaluate whether Brazilian health care workers were satisfied with their workplace measures to protect their physical and mental health during the pandemic, and to assess the associations of such levels of satisfaction with indicators of burnout. Licensed Brazilian health care professionals were recruited popular media between 5/19/2020 and 8/23/2020 to complete an online survey including questions about their demographic/professional characteristics, satisfaction with their workplace protective measures during the pandemic, and validated questionnaires assessing neuroticism, resilient coping, and symptoms of burnout. Most participants reported being dissatisfied with their workplace measures to protect their physical (516, 56.3%) and mental health (756, 82.5%). In multivariable analysis adjusted for personal and environmental factors, dissatisfaction with workplace physical health protections was significantly associated with higher levels of emotional exhaustion ( = 1.08, 95% CI = 0.47-1.69) and depersonalization ( = 0.61, 95% CI = 0.10-1.12), and dissatisfaction with workplace mental health protections significantly associated with higher levels emotional exhaustion ( = 1.17, 95% CI = 0.40-1.95). Efforts to improve both physical and mental health protective measures are critical to guarantee that health care workers continue to provide care at their maximum capacity.
来自低收入和中等收入国家的医护人员在克服与新冠疫情相关的挑战方面发挥了关键作用；然而，对于疫情期间巴西医护人员的工作场所保护措施与幸福感之间的关系，我们知之甚少。本研究旨在评估巴西医护人员对疫情期间工作场所保护其身心健康措施的满意度，并评估这种满意度水平与职业倦怠指标之间的关联。2020年5月19日至2020年8月23日期间，通过大众媒体招募了有执照的巴西医护专业人员，以完成一项在线调查，该调查包括有关他们的人口统计学/专业特征、对疫情期间工作场所保护措施的满意度，以及评估神经质、韧性应对和职业倦怠症状的经过验证的问卷。大多数参与者报告对工作场所保护其身体健康（516人，56.3%）和心理健康（756人，82.5%）的措施不满意。在针对个人和环境因素进行调整的多变量分析中，对工作场所身体健康保护措施的不满与更高水平的情感耗竭（β = 1.08，95%置信区间 = 0.47 - 1.69）和去个性化（β = 0.61，95%置信区间 = 0.10 - 1.12）显著相关，对工作场所心理健康保护措施的不满与更高水平的情感耗竭（β = 1.17，95%置信区间 = 0.40 - 1.95）显著相关。努力改善身心健康保护措施对于确保医护人员继续以最大能力提供护理至关重要。
