International Health Program, National Yang Ming Chiao Tung University, Taipei.
Institute of Public Health, National Yang Ming Chiao Tung University, Taipei.
Int J Soc Psychiatry. 2023 Jun;69(4):1033-1042. doi: 10.1177/00207640231152209. Epub 2023 Feb 6.
Healthcare workers are vulnerable to burnout, especially during the COVID-19 pandemic in the low resource settings. Belize is a small Central American developing country known for its chronic healthcare worker shortage and this is the first study to assess burnout prevalence and its associated factors among healthcare workers in Belize.
To evaluate the prevalence of burnout and its associated factors in HCWs in Belize covering multiple domains (mental health, physical symptoms, and coping behaviors) during the COVID-19 pandemic.
A cross-sectional survey that was developed and validated by a panel of experts was delivered online to all the healthcare workers in Belize from September to November 2021. Burnout was assessed using Copenhagen Burnout Inventory. Depression and anxiety screening was carried out using the Patient Health Questionnaire - 2 (PHQ-2) and Generalized Anxiety Disorder 2-item (GAD-2). Burnout associated factors were estimated using logistic regression models.
Of the total of 263 participants, 27.76% had overall burnout: 56.65% had personal, 54.37% had work-related, and 19.39% had patient-related burnout. Burnout was positively associated with anxiety (OR: 3.14 [1.67, 5.92]), depression (OR: 4.45 [2.30, 8.61]), intentions of quitting their jobs (OR: 2.59 [1.49, 4.51]), health status worsening (OR: 2.21 [1.26, 3.87]), multiple physical symptom presentation (OR: 1.19, [1.10, 1.29]), and use of multiple maladaptive coping behaviors (OR: 1.66, [1.30, 2.12]).
Healthcare workers in Belize showed substantial levels of burnout which were significantly associated with using maladaptive coping behaviors, presenting multiple physical symptoms, quitting their jobs, health status worsening, and other mental health issues. These findings should be used to develop and implement programs such as regular health check-ups, health promotion awareness campaigns, and worker recruitment strategies which would improve the working conditions, quality of life, and psychological well-being of our healthcare workers.
医疗工作者容易出现倦怠，尤其是在资源匮乏的环境下应对 COVID-19 大流行时。伯利兹是一个中美洲的小型发展中国家，以长期存在医护人员短缺而闻名，这是第一项评估伯利兹医护人员倦怠流行程度及其相关因素的研究。
评估 COVID-19 大流行期间伯利兹医疗保健工作者（涵盖心理健康、身体症状和应对行为等多个领域）的倦怠流行程度及其相关因素。
2021 年 9 月至 11 月，通过由专家组成的小组开发和验证的横断面调查，向伯利兹的所有医护人员在线提供该调查。使用哥本哈根倦怠量表评估倦怠情况。使用患者健康问卷-2（PHQ-2）和广泛性焦虑症 2 项（GAD-2）进行抑郁和焦虑筛查。使用逻辑回归模型估计与倦怠相关的因素。
在 263 名参与者中，27.76%的人存在总体倦怠：56.65%的人存在个人倦怠，54.37%的人存在工作相关倦怠，19.39%的人存在与患者相关的倦怠。倦怠与焦虑（比值比 [OR]：3.14 [1.67, 5.92]）、抑郁（OR：4.45 [2.30, 8.61]）、辞职意向（OR：2.59 [1.49, 4.51]）、健康状况恶化（OR：2.21 [1.26, 3.87]）、出现多种身体症状（OR：1.19 [1.10, 1.29]）和使用多种适应性不良应对行为（OR：1.66 [1.30, 2.12]）显著相关。
伯利兹的医疗工作者表现出相当程度的倦怠，这与使用适应性不良的应对行为、出现多种身体症状、辞职、健康状况恶化以及其他心理健康问题显著相关。这些发现应被用于制定和实施相关计划，例如定期健康检查、健康促进宣传活动和工作人员招聘策略，这将改善我们医疗工作者的工作条件、生活质量和心理健康。
