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[新冠疫情期间医护人员职业倦怠的患病率及相关因素。一项横断面研究]

[Prevalence of burnout in healthcare workers during the COVID-19 pandemic and associated factors. A cross-sectional study].

作者信息

Castro Horacio M, Prieto Manuel A, Muñoz Agustín M

机构信息

Sección de Neumonología, Hospital Italiano de Buenos Aires, Argentina. E-mail:

Servicio de Clínica Médica, Hospital Italiano de San Justo Agustín Rocca, Buenos Aires, Argentina.

出版信息

Medicina (B Aires). 2022;82(4):479-486.

Abstract

The COVID-19 pandemic generated an overload of the health system and mental, emotional, and physical exhaustion of workers. Previous studies have reported elevated levels of burnout syndrome in healthcare workers. The objective of the study was to estimate the prevalence and associated factors of burnout syndrome in healthcare workers. A cross-sectional study was conducted through the administration of an email survey during the second wave of COVID-19 cases. Burnout was evaluated using the Maslach Burnout Inventory questionnaire. The prevalence of burnout was estimated and the associated factors were analyzed using multivariate logistic regression analysis. The 84% of the participants completed the survey (N = 133), 106 were physicians (80%), 11 administrators (8%), 9 respiratory physiologists (7%), and 7 nurses (5%). 62% were women. The prevalence of burnout was 38% (95% CI 30-47%) and it was different according to the occupation (p = < 0.001). Physicians and respiratory kinesiologists presented the highest values with a prevalence of 40% and 89% respectively. In the multivariate analysis, the variables that were independently associated with the burnout syndrome were: being a physician (OR = 8.9; 95% CI: 1.1-71; p: 0.041) and being a respiratory kinesiologist (OR = 137.5; 95% CI: 2-262; p 0.001). The prevalence of burnout syndrome in healthcare workers during the COVID-19 pandemic was high. Mainly in respiratory kinesiologists and physicians.

摘要

新冠疫情导致卫生系统不堪重负,医护人员出现精神、情感和身体上的疲惫。此前的研究报告称医护人员职业倦怠综合征水平升高。本研究的目的是估计医护人员职业倦怠综合征的患病率及其相关因素。在新冠病例第二波流行期间,通过电子邮件调查开展了一项横断面研究。使用马氏职业倦怠量表问卷评估职业倦怠情况。估计职业倦怠的患病率,并使用多因素逻辑回归分析相关因素。84%的参与者完成了调查(N = 133),其中106人是医生(80%),11人是管理人员(8%),9人是呼吸生理学家(7%),7人是护士(5%)。62%为女性。职业倦怠的患病率为38%(95%CI 30 - 47%),且因职业不同而有所差异(p = < 0.001)。医生和呼吸运动学家的患病率最高,分别为40%和89%。在多因素分析中,与职业倦怠综合征独立相关的变量为:是医生(OR = 8.9;95%CI:1.1 - 71;p:0.041)以及是呼吸运动学家(OR = 137.5;95%CI:2 - 262;p 0.001)。新冠疫情期间医护人员职业倦怠综合征的患病率较高。主要集中在呼吸运动学家和医生身上。

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