Department of Nephrology, Hypertension and Kidney Transplantation, Medical University of Lodz, Pomorska Str. 251, 91-213, Lodz, Poland.
Student Scientific Society affiliated with the Department of Nephrology, Hypertension and Kidney Transplantation, Medical University of Lodz, Lodz, Poland.
J Nephrol. 2022 Nov;35(8):2077-2086. doi: 10.1007/s40620-022-01418-6. Epub 2022 Aug 30.
Burnout was already found to be an important factor in the professional landscape of nephrology prior to the COVID-19 outbreak and is expected to worsen during the pandemic.
The aim of our study was to assess pandemic experiences, perceptions, and burnout among Polish dialysis unit professionals in the COVID-19 period.
A survey, which consisted of a Pandemic Experiences and Perceptions Survey (PEPS) and a Maslach Burnout Inventory was distributed online to Polish dialysis units. The study group comprised 379 participants (215 nurses, 148 physicians, and 16 respondents of other professions).
The pandemic largely affected or completely dominated the work of dialysis units according to 53.4% and 25.5% of nurses responding to the PEPS, respectively. Among physicians, the prevalence was 55.5% and 15.4% of participants, respectively. Serious or life-threatening risk was perceived by 72.1% and 11.9% of dialysis healthcare professionals, respectively. Furthermore, 74.6% of the study participants stated that their work in a dialysis setting amidst the pandemic was felt to be associated with serious risk for their relatives. Adequate personal protective equipment and information from management decreased burnout among dialysis staff. Burnout was lower in all dimensions among those participants who felt more in control of their exposure to infection, provided by proper training, equipment, and support (p = 0.0004 for emotional exhaustion, p = 0.0007 for depersonalization, and p < 0.0001 for feelings of personal accomplishment).
The COVID-19 pandemic has largely affected the work in dialysis units. Providing proper training, equipment, and support may decrease burnout among dialysis staff.
在 COVID-19 爆发之前，倦怠已经被发现是肾脏病学专业领域的一个重要因素，预计在大流行期间会恶化。
我们的研究旨在评估 COVID-19 期间波兰透析单位专业人员的大流行经历、认知和倦怠情况。
一项调查，包括大流行经历和认知调查（PEPS）和马斯拉赫倦怠量表，在线分发给波兰透析单位。研究组由 379 名参与者（215 名护士、148 名医生和 16 名其他专业的受访者）组成。
PEPS 调查结果显示，分别有 53.4%和 25.5%的护士认为大流行极大地影响或完全主导了透析单位的工作。在医生中，这一比例分别为 55.5%和 15.4%。分别有 72.1%和 11.9%的透析医护人员认为存在严重或危及生命的风险。此外，74.6%的研究参与者表示，他们在大流行期间在透析环境中的工作被认为对其亲属存在严重风险。充足的个人防护设备和管理层的信息减少了透析人员的倦怠。在那些认为自己对感染暴露更有控制感的参与者中，倦怠在所有维度上都较低，这种控制感来自于适当的培训、设备和支持（情绪衰竭方面 p=0.0004，去人格化方面 p=0.0007，个人成就感方面 p<0.0001）。
COVID-19 大流行极大地影响了透析单位的工作。提供适当的培训、设备和支持可能会降低透析人员的倦怠。
