工作场所外生活事件与倦怠的关联：对护理助理的横断面研究。
The Association of Life Events Outside the Workplace and Burnout: A Cross-Sectional Study on Nursing Assistants.
机构信息
Grupo de Interconsulta, Departamento e Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05403-903, Brazil.
Divisão de Psicologia, Instituto Central Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05508-000, Brazil.
出版信息
Int J Environ Res Public Health. 2022 Jul 30;19(15):9342. doi: 10.3390/ijerph19159342.
BACKGROUND
Burnout, by definition, is related to adverse chronic workplace stressors. Life events outside the workplace have been associated with an increased risk of psychiatric morbidity. However, it is unknown whether life events outside the workplace increase the severity of burnout.
PURPOSE
The aim of the study was to investigate the association between burnout and life events outside the workplace in nursing assistants.
METHODS
In an observational, cross-sectional, single-site study of 521 nursing assistants at a university hospital, we assessed burnout with the Maslach Burnout Inventory-Human Services Survey, and life events with the Social Readjustment Rating Scale. We constructed equations of multiple linear regression analyses that included each burnout subscale as the dependent variable and a domain of life events as the independent variable. Results were adjusted for potential confounders, including gender, no religion or faith, years of work, and depression.
RESULTS
An increase in the number of life events in the domain of personal changes or difficulties (e.g., personal injury or illness, sexual difficulties, change in recreation, church activities, social activities, sleeping habits, eating habits and revision of personal habits) was associated with increased severity of emotional exhaustion. An increase in the number of life events in the domain of changes in familial situation and in the domains of death of relatives or friends were associated with increased severity of depersonalization. Those associations were independent of work-related life events and other potential confounders.
CONCLUSIONS
Life events outside the workplace may increase the levels of burnout in nursing assistants.
背景
burnout（职业倦怠）的定义与负面的慢性工作场所压力源有关。工作场所以外的生活事件与精神疾病发病风险增加有关。然而，目前尚不清楚工作场所以外的生活事件是否会增加 burnout（职业倦怠）的严重程度。
目的
本研究旨在调查护理助理 burnout（职业倦怠）与工作场所以外生活事件之间的关系。
方法
在一项针对大学医院 521 名护理助理的观察性、横断面、单站点研究中，我们使用 Maslach Burnout Inventory-Human Services Survey（MBI-HSS）评估 burnout（职业倦怠），使用 Social Readjustment Rating Scale（SRRS）评估生活事件。我们构建了多元线性回归分析方程，将每个 burnout（职业倦怠）子量表作为因变量，将生活事件的一个领域作为自变量。结果调整了性别、无宗教信仰、工作年限和抑郁等潜在混杂因素。
结果
生活事件领域（个人变化或困难，如个人受伤或患病、性困难、娱乐活动、教会活动、社交活动、睡眠习惯、饮食习惯和个人习惯的改变）中生活事件数量的增加与情绪耗竭严重程度的增加有关。生活事件领域（家庭情况变化）和亲属或朋友死亡领域中生活事件数量的增加与去人性化严重程度的增加有关。这些关联独立于与工作相关的生活事件和其他潜在的混杂因素。
结论
工作场所以外的生活事件可能会增加护理助理的 burnout（职业倦怠）水平。
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