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中国上海新冠疫情局部爆发期间儿科医护人员的职业倦怠综合征、医患关系及家庭支持:一项横断面调查研究

Burnout syndrome, doctor-patient relationship and family support of pediatric medical staff during a COVID-19 Local outbreak in Shanghai China: A cross-sectional survey study.

作者信息

Lyu Baiyu, Xu Meijia, Lu Lijuan, Zhang Xiaoying

机构信息

Department of Pediatrics, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

出版信息

Front Pediatr. 2023 Feb 13;11:1093444. doi: 10.3389/fped.2023.1093444. eCollection 2023.

DOI:10.3389/fped.2023.1093444
PMID:36861079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9968926/
Abstract

OBJECTIVES

To explore burnout syndrome (BOS) incidence, doctor-patient relationship, and family support on pediatric medical staff in Shanghai comprehensive hospitals during a COVID-19 local outbreak.

METHODS

A cross-sectional survey of pediatric medical staff from 7 comprehensive hospitals across Shanghai was conducted from March to July 2022. The survey included BOS, doctor-patient relationships, family support, and the related factors of COVID-19. The T-test, variance, the LSD-t test, Pearson's r correlation coefficient, and multiple regression analyses examined the data.

RESULTS

Using Maslach Burnout Inventory-General Survey (MBI-GS), 81.67% of pediatric medical staff had moderate BOS, and 13.75% were severe. The difficult doctor-patient relationship was positively correlated with emotional exhaustion(EE), cynicism(Cy), and negatively with personal accomplishment(PA). When medical staff need help, the greater the support provided by the family, the lower the EE and CY, and the higher the PA.

CONCLUSION

"In our study, the pediatric medical staff in Shanghai comprehensive hospitals had significant BOS during a COVID-19 local outbreak." We provided the potential steps that can be taken to reduce the increasing rate of BOS in pandemics. These measures include increased job satisfaction, psychological support, maintaining good health, increased salary, lower intent to leave the profession, regularly carrying out COVID-19 prevention training, improving doctor-patient relations, and strengthening family support.

摘要

目的

探讨新冠疫情局部暴发期间上海综合性医院儿科医护人员的职业倦怠综合征(BOS)发生率、医患关系及家庭支持情况。

方法

于2022年3月至7月对上海市7家综合性医院的儿科医护人员进行横断面调查。调查内容包括职业倦怠综合征、医患关系、家庭支持以及新冠疫情相关因素。采用t检验、方差分析、LSD-t检验、Pearson相关系数和多元回归分析对数据进行分析。

结果

采用马氏职业倦怠量表通用版(MBI-GS)评估,81.67%的儿科医护人员存在中度职业倦怠,13.75%存在重度职业倦怠。医患关系困难与情感耗竭(EE)、玩世不恭(Cy)呈正相关,与个人成就感(PA)呈负相关。当医护人员需要帮助时,家庭给予的支持越大,情感耗竭和玩世不恭程度越低,个人成就感越高。

结论

“在我们的研究中,新冠疫情局部暴发期间,上海综合性医院的儿科医护人员存在显著的职业倦怠综合征。”我们提出了一些可采取的潜在措施,以降低疫情期间职业倦怠综合征的上升率。这些措施包括提高工作满意度、提供心理支持、保持健康、提高薪酬、降低离职意愿、定期开展新冠疫情防控培训、改善医患关系以及加强家庭支持。