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新冠疫情第四波期间医护人员的职业倦怠:一项来自巴基斯坦的横断面研究。

Burnout in health care workers during the fourth wave of COVID-19: A cross sectional study from Pakistan.

作者信息

Ahmad Shoaib, Yaqoob Sadia, Safdar Sifwa, Cheema Huzaifa Ahmad, Islam Zarmina, Iqbal Nida, Tharwani Zoaib Habib, Swed Sarya, Ijaz Mohammad Soban, Rehman Majeeb Ur, Shahid Abia, Tahir Ufaq, Ahmad Shkaib, Bilal Wajeeha, Essar Mohammad Yasir, Iqbal Saleem, Choudry Zafar Ali

机构信息

Punjab Medical College, Faisalabad, Pakistan.

DHQ Teaching Hospital, Faisalabad, Pakistan.

出版信息

Ann Med Surg (Lond). 2022 Aug;80:104326. doi: 10.1016/j.amsu.2022.104326. Epub 2022 Aug 7.

Abstract

OBJECTIVE

To assess the burnout among the healthcare workers during the fourth wave of COVID-19.

METHODS

In this cross-sectional study, burn out was measured in health care professionals using the MBI scale inventory during the fourth wave of COVID-19. Age, gender, marital status, having children, hospital, job type, experience, and workload, as well as the severity of burnout in each subscale, were all measured. We used the chi-square test to detect the difference between the level of burnout and other demographic variables, and a multiple logistic regression test was used to define the predicted correlation between the high level of burnout and the risk factors. Odds ratios and corresponding 95% confidence intervals (CI) were reported. A p-value of less than 0.05 indicated a statistically significant outcome.

RESULTS

Out of 776 healthcare workers who participated in our study, 468 (63.2%), 161 (21.7%) and 112 (15.1%) participants experienced low, moderate and high levels of emotional exhaustion, respectively. For the depersonalization subscale, 358 (48.3%), 188 (25.4%) and 195 (26.3%) people suffered from low, moderate, and high levels of depersonalization, respectively while 649 (87.6%), 40 (5.4%) and 52 (7.0%) respondents had low, moderate and high levels in the personal accomplishment subscale, respectively.

CONCLUSION

During the fourth wave of COVID-19, the healthcare workers reported increased level of burnout overall possibly due to the long term physical and mental impacts that the pandemic has had over the time. Moreover, healthcare workers in Pakistan were more prone to burnout as compared to other countries.

摘要

目的

评估新冠疫情第四波期间医护人员的职业倦怠情况。

方法

在这项横断面研究中,于新冠疫情第四波期间使用MBI量表对医护人员的职业倦怠进行测量。测量了年龄、性别、婚姻状况、有无子女、医院、工作类型、工作经验、工作量以及各子量表中职业倦怠的严重程度。我们使用卡方检验来检测职业倦怠水平与其他人口统计学变量之间的差异,并使用多元逻辑回归检验来确定职业倦怠高水平与风险因素之间的预测相关性。报告了优势比及相应的95%置信区间(CI)。p值小于0.05表示具有统计学意义的结果。

结果

在参与我们研究的776名医护人员中,分别有468名(63.2%)、161名(21.7%)和112名(15.1%)参与者经历了低、中和高水平的情感耗竭。在去人格化子量表方面,分别有358人(48.3%)、188人(25.4%)和195人(26.3%)经历了低、中和高水平的去人格化,而在个人成就感子量表中,分别有649名(87.6%)、40名(5.4%)和52名(7.0%)受访者处于低、中和高水平。

结论

在新冠疫情第四波期间,医护人员报告总体职业倦怠水平有所上升,这可能是由于疫情长期以来对身心造成的影响。此外,与其他国家相比,巴基斯坦的医护人员更容易出现职业倦怠。

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