From the Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, China.
Anesth Analg. 2023 Aug 1;137(2):392-398. doi: 10.1213/ANE.0000000000006298. Epub 2022 Dec 2.
Evidence has shown that large-scale pandemics can have prolonged psychological impacts on health care professionals. The current study aimed to evaluate the prevalence of burnout after the coronavirus disease 2019 (COVID-19) epidemic peak and to explore the prolonged impact of COVID-19 on burnout among Chinese anesthesiologists.
From August 2021 to October 2021, a nationwide cross-sectional survey was conducted. Burnout was measured using the Maslach Burnout Inventory-Human Service Survey. Basic demographic information, exposure to COVID-19, and perceived institutional support were documented. Validated tools measuring mental health status, including anxiety, depression, post-traumatic stress disorder (PTSD) and resilience, were also used to provide additional information on psychological distress.
Of the 8850 anesthesiologists from the 218 institutions who were invited to participate, 6331 (74.93%) completed the surveys and were included in the analysis. A total of 52.7% (95% confidence interval [CI], 51.5-53.9) met the criteria for burnout. Depression, anxiety, and PTSD were positively associated with burnout. After pooled multivariate analysis adjusting for potential confounding factors, among the COVID-19 exposure parameters, redeployment outside normal professional boundaries remained associated with an increased risk of burnout (odds ratio, 0.84; 95% CI, 0.72-0.92; P = .039). Higher perceived institutional support and resilience could act as protective factors against burnout.
The impact of the COVID-19 epidemic on the psychological well-being of anesthesiologists still exists more than 1 year after the outbreak. Building better institutional support and cultivating stronger resilience may be helpful future intervention measures.
有证据表明，大规模的大流行会对卫生保健专业人员的心理健康产生长期影响。本研究旨在评估 2019 年冠状病毒病（COVID-19）流行高峰后倦怠的流行程度，并探讨 COVID-19 对中国麻醉师倦怠的长期影响。
2021 年 8 月至 10 月，进行了一项全国性的横断面调查。使用 Maslach 倦怠量表-人类服务调查评估倦怠。记录了基本人口统计学信息、COVID-19 暴露情况和感知机构支持情况。还使用了经过验证的衡量心理健康状况的工具，包括焦虑、抑郁、创伤后应激障碍（PTSD）和韧性，以提供有关心理困扰的额外信息。
在邀请参与的 218 家机构的 8850 名麻醉师中，有 6331 名（74.93%）完成了调查并纳入分析。共有 52.7%（95%置信区间[CI]，51.5-53.9）符合倦怠标准。抑郁、焦虑和 PTSD 与倦怠呈正相关。在对潜在混杂因素进行多变量分析后，在 COVID-19 暴露参数中，超出正常专业范围的重新部署仍与倦怠风险增加相关（优势比，0.84；95%CI，0.72-0.92；P =.039）。更高的感知机构支持和韧性可以作为预防倦怠的保护因素。
COVID-19 疫情对麻醉师心理健康的影响在疫情爆发后 1 年以上仍存在。建立更好的机构支持和培养更强的韧性可能是未来的干预措施。
