在 COVID-19 大流行期间，与医护人员倦怠、弹性和生活质量相关的人口统计学和工作相关因素：来自马来西亚的横断面研究。
Demographic and work-related factors associated with burnout, resilience, and quality of life among healthcare workers during the COVID-19 pandemic: A cross sectional study from Malaysia.
机构信息
International Medical School, Management and Science University, Shah Alam, Selangor, Malaysia.
Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, Selangor, Malaysia.
出版信息
Front Public Health. 2022 Dec 16;10:1021495. doi: 10.3389/fpubh.2022.1021495. eCollection 2022.
INTRODUCTION
The healthcare setting is a stressful and demanding work environment, and healthcare workers face a continuous expansion of their job roles and responsibilities. Past studies have shown that factors affecting burnout, resilience, and quality of life among healthcare workers merit further research, as there were inconsistent findings, especially with regards to the influence of demographic and work-related factors. Therefore, this study aims to determine whether demographic and work-related factors are associated with burnout, resilience, and quality of life among healthcare workers.
METHOD
This cross-sectional study was conducted between February 15, 2022 and March 15, 2022, among 394 healthcare workers from Putrajaya and Selangor hospitals, Malaysia. Maslach Burnout Inventory, World Health Organization Quality of Life-BREF 26 inventory, and Brief Resilience Scale were utilized to capture information on burnout, quality of life, and resilience, respectively.
RESULTS
The mean score of physical health of participants who work more than 10 h (11.38) is lower than participants who work from 8 to 10 h (13.00) and participants who work 7 h daily (13.03), -value < 0.001. Similarly, the mean score of psychological health of participants who work more than 10 h (12.35) is lower than participants who work from 8 to 10 h (13.72) and participants who work 7 h daily (13.68), -value = 0.001. Higher income levels were associated with high resilience and quality of life.
CONCLUSION
It is imperative that healthcare practitioners and policy makers adopt and implement interventions to promote a healthy workplace environment, address ethical concerns, and prevent burnout among healthcare workers during the COVID-19 pandemic. Managing the issue of long working hours could possibly result in improved resilience, burnout, and quality of life among healthcare workers. Despite this study able to tickle out some policy specific areas where interventions are needed, identifying effective solutions and evaluating their efficiency will require larger and interventional studies.
简介
医疗保健环境是一个充满压力和要求的工作环境，医护人员面临着工作角色和职责的不断扩展。过去的研究表明，影响医护人员 burnout、韧性和生活质量的因素值得进一步研究，因为存在不一致的发现，特别是在人口统计学和工作相关因素的影响方面。因此，本研究旨在确定人口统计学和工作相关因素是否与医护人员的 burnout、韧性和生活质量有关。
方法
这是一项横断面研究，于 2022 年 2 月 15 日至 2022 年 3 月 15 日在马来西亚布城和雪兰莪医院的 394 名医护人员中进行。使用 Maslach Burnout Inventory、World Health Organization Quality of Life-BREF 26 清单和 Brief Resilience Scale 分别捕获 burnout、生活质量和韧性信息。
结果
工作时间超过 10 小时的参与者的身体健康平均得分（11.38）低于工作 8-10 小时的参与者（13.00）和每天工作 7 小时的参与者（13.03），-值<0.001。同样，工作时间超过 10 小时的参与者的心理健康平均得分（12.35）低于工作 8-10 小时的参与者（13.72）和每天工作 7 小时的参与者（13.68），-值=0.001。较高的收入水平与高韧性和生活质量相关。
结论
在 COVID-19 大流行期间，医疗保健从业者和政策制定者必须采取并实施干预措施，以促进健康的工作环境，解决道德问题，并防止医护人员 burnout。管理长时间工作的问题可能会导致医护人员的韧性、 burnout 和生活质量得到改善。尽管这项研究能够发现一些需要干预的政策特定领域，但确定有效的解决方案并评估其效率将需要更大规模和干预性研究。
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