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新型冠状病毒肺炎大流行期间医护人员的 burnout 患病率及其促成因素:泰国一个城市社区的横断面调查研究。

Burnout prevalence and contributing factors among healthcare workers during the COVID-19 pandemic: A cross-sectional survey study in an urban community in Thailand.

机构信息

Department of Research and Medical Innovation, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.

Department of Urban Medicine, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.

出版信息

PLoS One. 2022 Aug 4;17(8):e0269421. doi: 10.1371/journal.pone.0269421. eCollection 2022.

Abstract

BACKGROUND

Burnout is associated with an increased risk for severe COVID-19. Few studies have examined burnout prevalence related to healthcare workers during the pandemic. This study investigated the burnout prevalence and contributing factors among HCWs, including medical staff and support staff, during the COVID-19 pandemic in an urban community in Thailand.

METHODS

A cross-sectional online survey was distributed among HCWs in Bangkok, Thailand, from July-August 2021. The independent t-test and one-way analysis of variance (ANOVA) were used to compare the contributing factors and burnout items. Variable factors associated with burnout among HCWs were used in multiple linear regression models.

RESULTS

A total of 517 HCWs' survey responses were received. Most participants were medical staff (55.3%), female (83.4%), and over the age of 35 (59.4%); most participants (65.6%) did not have any diseases but had family members that did (63.6%). The prevalence of overall burnout presented among medical staff (25.9%). The results of the multiple linear regression models found that female (vs. male, β 0.088; 95% CI 0.033, 6.614) was higher associated with overall burnout score. In addition, hours of sleep as > 6 hr./day (vs. ≤ 6 hr./day, β -0.120; 95% CI -6.012, -0.969) was lower associated with overall burnout score.

CONCLUSION

This study highlights the importance of addressing burnout among HCWs, in which female medical staff who slept less than six hours per day were associated with burnout. Our study further suggested that both intervention and identification are needed of frontline HCWs to prevent and reduce the risk of burnout, as the proportion of females compared to males is high. Thus, the government should provide support in these areas to prevent a humanitarian crisis.

摘要

背景

burnout 与 COVID-19 重症风险增加相关。很少有研究调查大流行期间医护人员 burnout 的流行率。本研究调查了 COVID-19 大流行期间泰国曼谷市医护人员(包括医务人员和支持人员)的 burnout 流行率和相关因素。

方法

2021 年 7 月至 8 月,在泰国曼谷向医护人员分发了一份横断面在线调查。采用独立 t 检验和单因素方差分析(ANOVA)比较相关因素和 burnout 项目。使用多线性回归模型分析与医护人员 burnout 相关的变量因素。

结果

共收到 517 名医护人员的调查回复。大多数参与者为医务人员(55.3%)、女性(83.4%)和 35 岁以上(59.4%);大多数参与者(65.6%)没有任何疾病,但有家庭成员患有疾病(63.6%)。医务人员整体 burnout 的流行率为 25.9%。多线性回归模型的结果发现,女性(与男性相比,β 0.088;95%置信区间 0.033,6.614)与整体 burnout 评分更高相关。此外,睡眠时间大于 6 小时/天(与小于等于 6 小时/天相比,β -0.120;95%置信区间 -6.012,-0.969)与整体 burnout 评分更低相关。

结论

本研究强调了重视医护人员 burnout 的重要性,其中每天睡眠少于 6 小时的女性医务人员更容易 burnout。我们的研究进一步表明,需要对一线医护人员进行干预和识别,以预防和降低 burnout 风险,因为女性比例高于男性。因此,政府应在这些方面提供支持,以防止人道主义危机。

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