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澳大利亚一家地区医院在新冠疫情期间的倦怠、压力和韧性:一项纵向研究。

Burnout, stress and resilience of an Australian regional hospital during COVID-19: a longitudinal study.

机构信息

Victoria University, 70/104 Ballarat Rd, Footscray, VIC, 3011, Australia.

Federation University, University Dr, Mount Helen, VIC, 3350, Australia.

出版信息

BMC Health Serv Res. 2022 Sep 2;22(1):1115. doi: 10.1186/s12913-022-08409-0.

Abstract

Coronavirus disease 2019 (COVID-19) has placed huge strain on hospital staff around the world. The aim of the current longitudinal study was to investigate the resilience, stress and burnout of hospital staff located at a large, regional hospital in Victoria, Australia during the COVID-19 pandemic over time via cross-sectional surveys. The surveys were disseminated six times from August 2020 to March 2021, with the first three data collection points distributed during a state-wide lockdown. A total of 558 responses from various professional roles within the hospital over the survey period were included in the sample. Analysis of variance indicated significant main effects for the psychological variables across time, age, and workload. Hospital staff reported an increase in burnout levels throughout the eight-months. Significant negative relationships were observed between resilience and burnout, and between resilience and stress. A backward regression highlighted the contribution of resilience, stress, age, and nursing roles on burnout. Hierarchical regression analysis indicated that resilience contributed to the stress-burnout relationship. This study strengthens the evidence between resilience and burnout among healthcare workers and hospital staff and highlights the need for psychological wellbeing programs to be implemented for hospital staff impacted by a prolonged worldwide pandemic.

摘要

2019 年冠状病毒病(COVID-19)给全世界的医院工作人员带来了巨大的压力。本纵向研究的目的是通过横断面调查,随着时间的推移,调查位于澳大利亚维多利亚州一家大型地区医院的医院工作人员的适应力、压力和倦怠情况。这些调查从 2020 年 8 月至 2021 年 3 月共进行了 6 次,前三个数据收集点分布在全州封锁期间。在整个调查期间,来自医院不同专业角色的共有 558 份回复被纳入样本。方差分析表明,心理变量在时间、年龄和工作量方面存在显著的主要影响。医院工作人员报告说,在八个月的时间里,倦怠水平不断上升。在适应力和倦怠之间,以及适应力和压力之间观察到显著的负相关关系。向后回归突出了适应力、压力、年龄和护理角色对倦怠的贡献。层次回归分析表明,适应力对压力-倦怠关系有贡献。这项研究加强了医疗保健工作者和医院工作人员之间适应力和倦怠之间的证据,并强调需要为受全球大流行影响的医院工作人员实施心理健康计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f33/9438236/aabd752f85f7/12913_2022_8409_Fig1_HTML.jpg

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