From the Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York (L.A.P., J.V., J.R.); Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York (L.A.P., M.T., J.R.); US Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, West Haven, Connecticut (R.H.P.); Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut (R.H.P.); Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut (R.H.P.); Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York (J.H.R., A.F., C.C., D.C.); Mental Illness Research, Education, and Clinical Center, James J. Peters VA Medical Center, Bronx, New York (C.C.); Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, New York (D.C.).
J Occup Environ Med. 2023 May 1;65(5):362-369. doi: 10.1097/JOM.0000000000002790. Epub 2023 Jan 20.
This study aimed to longitudinally examine the prevalence and correlates of burnout in frontline healthcare workers (FHCWs) during COVID-19 in New York City.
A prospective cohort study of 786 FHCWs at Mount Sinai Hospital was conducted during the initial COVID surge in April to May 2020 (T1) and November 2020 to January 2021 (T2) to assess factors impacting burnout.
Burnout increased from 38.9% to 44.8% ( P = 0.002); 222 FHCWs (28.3%) had persistent burnout, 82 (10.5%) had early burnout, and 129 (16.5%) had delayed burnout. Relative to FHCWs with no burnout ( n = 350; 44.7%), those with persistent burnout reported more prepandemic burnout (relative risk [RR], 6.67), less value by supervisors (RR, 1.79), and lower optimism (RR, 0.82), whereas FHCWs with delayed burnout reported more prepandemic burnout (RR, 1.75) and caring for patients who died (RR, 3.12).
FHCW burnout may be mitigated through increasing their sense of value, support, and optimism; treating mental health symptoms; and counseling regarding workplace distress.
本研究旨在纵向探讨 COVID-19 期间纽约市一线医护人员（FHCWs）的 burnout 患病率及其相关因素。
对 2020 年 4 月至 5 月（T1）和 11 月至 2021 年 1 月（T2）期间在西奈山医院的 786 名 FHCWs 进行了一项前瞻性队列研究，以评估影响 burnout 的因素。
burnout 从 38.9%增加到 44.8%（P=0.002）；222 名 FHCWs（28.3%）出现持续 burnout，82 名（10.5%）出现早期 burnout，129 名（16.5%）出现延迟 burnout。与无 burnout 的 FHCWs（n=350；44.7%）相比，持续 burnout 的 FHCWs 报告了更多的 pre-pandemic burnout（相对风险 [RR]，6.67），更少的主管认同（RR，1.79）和更低的乐观程度（RR，0.82），而延迟 burnout 的 FHCWs 报告了更多的 pre-pandemic burnout（RR，1.75）和照顾死亡患者（RR，3.12）。
通过增加 FHCWs 的价值感、支持感和乐观感，治疗心理健康症状，并就工作场所压力提供咨询，可能会减轻 FHCW 的 burnout。
