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朝觐季节麦加两家三级护理医院重症监护室医护人员的职业倦怠情况

Burnout among ICU Healthcare Workers at Two Tertiary Care Hospitals in Makkah during the Hajj Season.

作者信息

Rugaan Asia, Aisa Tharwat, Alkhatib Kasim H, Baky Moamen Abdel, Al Tatar Faisal, Ramadan Ibrahim, Elmorsy Soha, Hussein Adel

机构信息

Department of Adult Critical Care Medicine, King Abdullah Medical City, Makkah, Saudi Arabia.

Department of Adult Critical Care Medicine, Al Noor Specialist Hospital, Makkah, Saudi Arabia.

出版信息

Saudi J Med Med Sci. 2023 Jan-Mar;11(1):54-59. doi: 10.4103/sjmms.sjmms_199_21. Epub 2023 Jan 4.

Abstract

BACKGROUND

The Hajj season results in increased workload and longer shift hours for healthcare workers at the intensive care units (ICUs), which may result in burnout.

OBJECTIVE

To determine the point prevalence of professional burnout and its predictors among healthcare workers at the ICUs of two tertiary care hospitals in Makkah during the Hajj season.

METHODS

This cross-sectional descriptive study included all healthcare professionals working at the ICU departments of two of the largest tertiary care hospitals in the Makkah region during the 1439/2018 Hajj season. The original Maslach Burnout Inventory (MBI) questionnaire was used to measure burnout. Logistic regression models were fitted to estimate the effect size of the associated risk factors.

RESULTS

A total of 354 participants completed the questionnaire. Moderate to severe burnout was found in each of the three subscales: emotional exhaustion, 56%; depersonalization, 82%, and impaired personal achievement, 72%. Nurses were significantly more likely to experience burnout compared with physicians ( = 0.017). Independent predictors of moderate or severe burnout were being aged ≤40 years (odds ratio [OR]: 2.1, 95% CI: 0.395-4.002; = 0.045), female gender (OR: 2.2, 95% CI: 0.242-4.346; = 0.037); work having a negative impact on family (OR: 3, 95% CI: 0.164-5.504; = 0.019); unsatisfaction with salary (OR: 2.8, 95% CI: 0.28-5.056; = 0.025); and working at the cardiac critical care unit (OR: 2.6, 95% CI: 0.440-4.467; = 0.035).

CONCLUSION

This study revealed that the point prevalence of burnout is common among ICU healthcare workers during the Hajj season. These findings can be used by policymakers to devise strategies to mitigate the risks of burnout during the Hajj season.

摘要

背景

朝觐季节导致重症监护病房(ICU)医护人员的工作量增加和轮班时间延长,这可能会导致职业倦怠。

目的

确定麦加两家三级护理医院ICU医护人员在朝觐季节职业倦怠的现患率及其预测因素。

方法

这项横断面描述性研究纳入了在1439/2018朝觐季节期间,麦加地区两家最大的三级护理医院ICU工作的所有医护人员。使用原始的马氏职业倦怠量表(MBI)问卷来测量职业倦怠。采用逻辑回归模型来估计相关危险因素的效应大小。

结果

共有354名参与者完成了问卷。在三个分量表中均发现了中度至重度职业倦怠:情感耗竭,56%;去个性化,82%;个人成就感降低,72%。与医生相比,护士经历职业倦怠的可能性显著更高(P = 0.017)。中度或重度职业倦怠的独立预测因素为年龄≤40岁(比值比[OR]:2.1,95%置信区间[CI]:0.395 - 4.002;P = 0.045)、女性(OR:2.2,95% CI:0.242 - 4.346;P = 0.037);工作对家庭有负面影响(OR:3,95% CI:0.164 - 5.504;P = 0.019);对薪资不满意(OR:2.8,95% CI:0.28 - 5.056;P = 0.025);以及在心脏重症监护病房工作(OR:2.6,95% CI:0.440 - 4.467;P = 0.035)。

结论

本研究表明,朝觐季节期间,职业倦怠的现患率在ICU医护人员中很常见。政策制定者可利用这些研究结果制定策略,以减轻朝觐季节期间职业倦怠的风险。

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