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新冠疫情期间医院工作人员的倦怠情况:国际 Cope-Corona 调查研究的纵向结果。

Burnout among hospital staff during the COVID-19 pandemic: Longitudinal results from the international Cope-Corona survey study.

机构信息

Paracelsus Medical University, General Hospital Nuremberg, Department for Psychosomatic Medicine and Psychotherapy, Nuremberg, Germany.

Paracelsus Medical University, General Hospital Nuremberg, Department for Psychosomatic Medicine and Psychotherapy, Nuremberg, Germany.

出版信息

J Psychosom Res. 2023 Jan;164:111102. doi: 10.1016/j.jpsychores.2022.111102. Epub 2022 Nov 21.

Abstract

OBJECTIVE

Long-term changes in burnout and its predictors in hospital staff during the COVID-19 pandemic were investigated in an international study.

METHODS

Two online surveys were distributed to hospital staff in seven countries (Germany, Andorra, Ireland, Spain, Italy, Romania, Iran) between May and October 2020 (T1) and between February and April 2021 (T2), using the following variables: Burnout (emotional exhaustion and depersonalization), job function, age, gender, and contact with COVID-19 patients; individual resources (self-compassion, sense of coherence, social support) and work-related resources and demands (support at the workplace, risk perception, health and safety at the workplace, altruistic acceptance of risk). Data were analyzed using linear mixed models repeated measures, controlled for age.

RESULTS

A total of 612 respondents were included (76% women). We found an increase in burnout from T1 to T2. Burnout was high among personnel with high contact with COVID-19 patients. Individual factors (self-compassion, sense of coherence) and work-related factors (support at the workplace, risk perception, health and safety at the workplace) showed associations with burnout. Low health and safety at the workplace at T1 was associated with an increase in emotional exhaustion at T2. Men showed an increase in depersonalization if they had much contact with COVID-19 patients.

CONCLUSION

Burnout represents a potential problematic consequence of occupational contact with COVID-19 patients. Special attention should be paid to this group in organizational health management. Self-compassion, sense of coherence, support at the workplace, risk perception, and health and safety at the workplace may be important starting points for interventions.

REGISTRATION

Müller, M. M. (2020, August 30). Cope-Corona: Identifying and strengthening personal resources of hospital staff to cope with the Corona pandemic. Open Science Foundation.

摘要

目的

在一项国际研究中,调查了 COVID-19 大流行期间医院工作人员的倦怠及其预测因素的长期变化。

方法

2020 年 5 月至 10 月(T1)和 2021 年 2 月至 4 月(T2)期间,通过以下变量向七个国家(德国、安道尔、爱尔兰、西班牙、意大利、罗马尼亚、伊朗)的医院工作人员分发了两份在线调查:倦怠(情绪衰竭和去人性化)、工作职能、年龄、性别和与 COVID-19 患者的接触;个人资源(自我同情、意义感、社会支持)和与工作相关的资源和需求(工作场所的支持、风险认知、工作场所的健康和安全、利他主义接受风险)。使用线性混合模型重复测量进行数据分析,控制年龄。

结果

共纳入 612 名受访者(76%为女性)。我们发现从 T1 到 T2 倦怠感增加。与 COVID-19 患者接触较多的人员倦怠感较高。个人因素(自我同情、意义感)和与工作相关的因素(工作场所的支持、风险认知、工作场所的健康和安全)与倦怠感相关。T1 时工作场所的健康和安全状况不佳与 T2 时情绪衰竭的增加有关。如果男性与 COVID-19 患者接触过多,则会出现去人性化的增加。

结论

倦怠是与 COVID-19 患者职业接触的潜在问题后果。在组织健康管理中应特别关注这一群体。自我同情、意义感、工作场所的支持、风险认知和工作场所的健康和安全可能是干预的重要起点。

注册

Müller,M. M.(2020 年 8 月 30 日)。Cope-Corona:识别和加强医院工作人员的个人资源以应对冠状病毒大流行。开放科学基金会。

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