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埃塞俄比亚东部德雷达瓦市公共卫生机构卫生专业人员职业倦怠的患病率及相关因素

Prevalence of burnout and associated factors among health professionals working in public health facilities of Dire Dawa city administration, Eastern Ethiopia.

作者信息

Ahmed Fila, Hawulte Behailu, Yuya Mohammed, Birhanu Simon, Oljira Lemessa

机构信息

School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

School of Nursing and Midwifery, Haramaya University, Harar, Ethiopia.

出版信息

Front Public Health. 2022 Aug 11;10:836654. doi: 10.3389/fpubh.2022.836654. eCollection 2022.

Abstract

BACKGROUND

Burnout is a common condition among health workers, characterized by emotional tiredness, depersonalization, and a sense of low personal accomplishment. Ethiopia has major health workforce management challenges, including shortages, poor motivation, retention, and performance, and research evidence is limited for health professionals' burnout status, particularly in Eastern Ethiopia. Therefore, this study is aimed at determining the prevalence of burnout and associated factors among health professionals working at governmental health facilities in Eastern Ethiopia.

METHOD

An institutional-based cross-sectional study was conducted among health professionals using structured self-administered validated questionnaires using the Maslach Burnout Inventory scale. Data were entered into Epi-Data version 3.1 and exported to SPSS version 22 for analysis. Multivariable logistic regression was used to determine the association between burnout and its predictors.

RESULTS

A total of 508 health professionals were approached, out of which 501 participated (a response rate of 98.4%). The magnitude of burnout was 54.1 with a 95% confidence interval of 49.9-58.0%. Working in a hospital (AOR = 3.55, 95%CI: 2.00, 6.33), age >/= 40 (AOR = 3.98, 95%CI:1.60, 9.89) and 30-39 years (AOR = 1.90, 95%CI:1.08, 3.34), being female(AOR = 2.41, 95%CI: 1.37, 4.25), being widowed (AOR = 3.39, 95%CI: 1.13, 10.18), having intention of leaving work (AOR = 2.28, 95%CI: 1.35, 3.87), using at least one substance (AOR = 2.24, 95%CI: 1.36, 3.69), having a 6-11 years of experience (AOR = 2.17, 95%CI: 1.15, 4.06), having no job supervision (AOR = 4.65, 95%CI: 2.07, 10.43), monthly payment <10,000 (AOR = 5.69, 95%CI: 2.30, 14.07) and between 10,000 to 15,000 (AOR = 2.74, 95%CI: 1.22, 6.15), working in Pediatric Unit (AOR = 3.28, 95%CI: 1.24, 8.70), and profession type (Midwifery, Public health officer, Medical Laboratory professionals) were factors significantly associated with burnout.

CONCLUSION

Burnout affected more than half of the health professionals working in governmental health facilities in Dire Dawa. Health facility type, age, sex, marital status, intention to leave work, substance use, work experience, job supervision, monthly payment, profession type, and working unit were significantly associated predictors of burnout.

摘要

背景

职业倦怠是医护人员中常见的一种状态,其特征为情绪疲惫、人格解体以及个人成就感低落。埃塞俄比亚在卫生人力管理方面面临重大挑战,包括人员短缺、积极性不高、留用率低以及工作表现不佳等问题,而且关于卫生专业人员职业倦怠状况的研究证据有限,尤其是在埃塞俄比亚东部地区。因此,本研究旨在确定埃塞俄比亚东部地区政府卫生机构中卫生专业人员的职业倦怠患病率及其相关因素。

方法

采用基于机构的横断面研究方法,对卫生专业人员使用经过验证的结构化自填问卷,问卷采用马氏职业倦怠量表。数据录入Epi-Data 3.1版本,并导出到SPSS 22版本进行分析。采用多变量逻辑回归分析来确定职业倦怠与其预测因素之间的关联。

结果

共接触了508名卫生专业人员,其中501人参与(应答率为98.4%)。职业倦怠的发生率为54.1%,95%置信区间为49.9 - 58.0%。在医院工作(调整后比值比[AOR]=3.55,95%置信区间:2.00,6.33)、年龄≥40岁(AOR = 3.98,95%置信区间:1.60,9.89)以及30 - 39岁(AOR = 1.90,95%置信区间:1.08,3.34)、女性(AOR = 2.41,95%置信区间:1.37,4.25)、丧偶(AOR = 3.39,95%置信区间:1.13,10.18)、有离职意向(AOR = 2.28,95%置信区间:1.35,3.87)、至少使用一种物质(AOR = 2.24,95%置信区间:1.36,3.69)、有6 - 11年工作经验(AOR = 2.17,95%置信区间:1.15,4.06)、没有工作监督(AOR = 4.65,95%置信区间:2.07,10.43)、月收入<10,000(AOR = 5.69,95%置信区间:2.30,14.07)以及10,000至15,000(AOR = 2.74,95%置信区间:1.22,6.15)、在儿科病房工作(AOR = 3.28,95%置信区间:1.24,8.70)以及职业类型(助产士、公共卫生官员、医学检验专业人员)是与职业倦怠显著相关的因素。

结论

职业倦怠影响了迪雷达瓦政府卫生机构中超过一半的卫生专业人员。卫生机构类型、年龄、性别、婚姻状况、离职意向、物质使用、工作经验、工作监督、月收入、职业类型以及工作科室是职业倦怠的显著相关预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89eb/9403244/ff1abfc3fb0a/fpubh-10-836654-g0001.jpg

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