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2014 年和 2021 年初级保健专业人员的幸福感和倦怠感比较。

A comparison of emotional wellbeing and burnout of primary care professionals in 2014 and 2021.

机构信息

Faculty of Medicine, Universitat de Lleida, Lleida, Spain.

Primary Health Division, Catalan Health Institute, Lleida, Spain.

出版信息

Front Public Health. 2023 Jan 11;10:1062437. doi: 10.3389/fpubh.2022.1062437. eCollection 2022.

Abstract

BACKGROUND

Due to the pandemic that started in February-March 2020 and after many years of economic restrictions suffered by our health system, the levels of stress, exhaustion and suffering among health workers has increased.

OBJECTIVE

Our study aims to perform a comparative analysis of the degree of burnout and emotional wellbeing among health professionals between 2014 and 2021.

METHODS

This is a comparative descriptive study of two cohorts of primary care professionals of the Lleida health region (SPAIN). We have one cohort from 2014 and another from 2021 with the same selection criteria. Burnout was assessed using the Maslach Burnout Inventory (MBI-HSS) test. Gender, age, professional category and work environment were also evaluated.

RESULTS

We obtained a response rate in 2014 of 52.7% ( = 267) and of 41.4% ( = 217) in 2021 with similar sociodemographic characteristics. There are significant differences ( < 0.001) in the three categories of burnout. The high scores for emotional exhaustion and depersonalization have increased, rising between 2014 and 2021 from 23.2 to 60.8% and from 12.4 to 42.4%, respectively. However, there is also a significant increase in high personal accomplishment, rising from 9.0% in 2014 to 26.7%. We have also detected differences depending on age and professional role.

CONCLUSION

This study shows worsening burnout levels of primary care professionals in our region, specifically emotional exhaustion and depersonalization. However, it also shows that during the pandemic, personal accomplishment was reinforced.

摘要

背景

自 2020 年 2 月至 3 月爆发疫情以来,经过多年的经济限制,卫生系统工作人员的压力、疲惫和痛苦水平有所增加。

目的

我们的研究旨在对 2014 年至 2021 年期间卫生专业人员的倦怠程度和情绪健康进行比较分析。

方法

这是对莱里达卫生区(西班牙)初级保健专业人员的两个队列进行的比较描述性研究。我们有一个队列来自 2014 年,另一个来自 2021 年,具有相同的选择标准。使用 Maslach 倦怠量表(MBI-HSS)测试评估倦怠。还评估了性别、年龄、专业类别和工作环境。

结果

我们在 2014 年获得了 52.7%(=267)的应答率,在 2021 年获得了 41.4%(=217)的应答率,具有相似的社会人口特征。在三个倦怠类别中存在显著差异(<0.001)。情绪疲惫和去人性化的高分有所增加,从 2014 年到 2021 年分别从 23.2%上升到 60.8%和从 12.4%上升到 42.4%。然而,个人成就感也显著增加,从 2014 年的 9.0%上升到 26.7%。我们还根据年龄和专业角色发现了差异。

结论

本研究表明,我们地区的初级保健专业人员的倦怠程度恶化,特别是情绪疲惫和去人性化。然而,它也表明,在大流行期间,个人成就感得到了加强。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3236/9874215/194ff9ed6c22/fpubh-10-1062437-g0001.jpg

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