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[严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行第二波期间急症医院医生的情况:一项在线调查]

[The situation of physicians in acute hospitals during the second wave of the SARS-CoV-2 pandemic: An online survey].

作者信息

Mai Tobias, Franke Vanessa, Todisco Laura, Schilder Michael, Rohde Gernot

机构信息

Stabsstelle Pflegentwicklung, Pflegedirektion, Universitätsklinikum Frankfurt am Main, Frankfurt am Main, Deutschland.

Stabsstelle Pflegentwicklung, Pflegedirektion, Universitätsklinikum Frankfurt am Main, Frankfurt am Main, Deutschland.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2022 Nov;174:52-58. doi: 10.1016/j.zefq.2022.08.005. Epub 2022 Oct 5.

DOI:10.1016/j.zefq.2022.08.005
PMID:36209033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9534542/
Abstract

BACKGROUND

The SARS-CoV-2 pandemic has an impact on the wellbeing of health care workers. The influence of a work-related sense of coherence as well as perceived organizational support on the level of burnout and the intention to leave the job is largely unknown, especially for physicians in German hospitals.

METHOD

In December 2020 and January 2021, physicians of 81 hospitals in Hessian (Germany) participated in an online survey using the BAT (Burnout Assessment Tool), Work-SoC (Work-related Sense of Coherence), the POS-s (Perceived Organizational SUPPORT - short version) and literature-based items based.

RESULTS

Of 181 physicians, 34% showed a moderate or high burnout level, 21% would leave the job after the pandemic. The higher the work-SoC (β = -0.560; p < 0.001) and the higher the POS-s (β = -0.125; p < 0.05), the lower the burnout level. Not being able to care sufficiently for their patients has a negative impact on the sense of coherence. 46.4% reported that they did not feel sufficiently prepared by their employer during the pandemic. They wished to have support in the form of the mindfulness and resilience trainings (45%), emergency childcare (41%) and a crisis counselor in their team (32%).

CONCLUSION

Regardless of the pandemic, health-promoting work conditions have to be developed that facilitate coherent work and prevent "moral injuries" or enable physicians to deal with them.

摘要

背景

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行对医护人员的健康产生影响。与工作相关的连贯感以及感知到的组织支持对倦怠程度和离职意愿的影响在很大程度上尚不清楚,尤其是对于德国医院的医生而言。

方法

2020年12月和2021年1月,德国黑森州81家医院的医生参与了一项在线调查,该调查使用了倦怠评估工具(BAT)、与工作相关的连贯感量表(Work-SoC)、感知组织支持简版量表(POS-s)以及基于文献的项目。

结果

在181名医生中,34%表现出中度或高度倦怠水平,21%表示大流行结束后会离职。工作相关的连贯感越高(β = -0.560;p < 0.001)以及感知组织支持简版量表得分越高(β = -0.125;p < 0.05),倦怠水平越低。无法充分照顾患者对连贯感有负面影响。46.4%的人报告称,在大流行期间他们觉得雇主没有给予充分的准备。他们希望获得正念和复原力培训(45%)、紧急儿童保育(41%)以及团队中的危机顾问(32%)等形式的支持。

结论

无论是否有大流行,都必须营造促进健康的工作条件,以利于连贯工作并防止“道德伤害”,或者使医生能够应对此类伤害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3494/9534542/cd5343e02e56/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3494/9534542/cd5343e02e56/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3494/9534542/cd5343e02e56/gr1_lrg.jpg

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本文引用的文献

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Moral Distress and Perceived Community Views Are Associated with Mental Health Symptoms in Frontline Health Workers during the COVID-19 Pandemic.
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Int J Environ Res Public Health. 2021 Aug 18;18(16):8723. doi: 10.3390/ijerph18168723.
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[The different periods of COVID-19 in Germany: a descriptive analysis from January 2020 to February 2021].[德国新冠肺炎的不同时期:2020年1月至2021年2月的描述性分析]
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2021 Sep;64(9):1093-1106. doi: 10.1007/s00103-021-03394-x. Epub 2021 Aug 10.
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The Burden of Burnout among Healthcare Professionals of Intensive Care Units and Emergency Departments during the COVID-19 Pandemic: A Systematic Review.《COVID-19 大流行期间重症监护病房和急诊科医疗保健专业人员的倦怠负担:系统评价》。
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