印度尼西亚医护人员的职业倦怠维度概况。
Burnout dimension profiles among healthcare workers in Indonesia.
作者信息
Lamuri Aly, Shatri Hamzah, Umar Jahja, Sudaryo Mondastri K, Malik Khamelia, Sitepu Monika S, Muzellina Virly N, Nursyirwan Saskia A, Idrus Muhammad F, Renaldi Kaka, Abdullah Murdani
机构信息
Indonesia Medical Education and Research Institute, Neuroscience and Brain Development Cluster, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Division of Psychosomatic and Palliative Care, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
出版信息
Heliyon. 2023 Mar;9(3):e14519. doi: 10.1016/j.heliyon.2023.e14519. Epub 2023 Mar 11.
BACKGROUND
Besides biological impact, COVID-19 also poses a threat to psychological wellbeing and the quality of life. Healthcare workers, especially those assuming a front-line post, are at a higher risk of being affected, both physically and psychologically. This study aims to analyse variables potentially associated with burnout and psychological distress among healthcare workers with various health center stratifications, where we commenced a nationwide survey to establish the baseline data.
METHOD
An analytic observational study with a cross-sectional design was conducted on the 11th - September 18, 2020. Participants were enrolled from healthcare institutions represented by epicenter of the COVID-19 pandemic in Indonesia, which were Java, Sumatra, Bali, and were asked questionnaires, including the Depression, Anxiety and Stress Scale 21 (DASS-21), Maslach Burnout Inventory (MBI), Somatic Symptom Scale 8 (SSS-8), also Well-Being Index (WBI). A linear mixed effect model was used to analyse how three dimensions of burnout vary across occupations.
RESULTS
A total of 3629 healthcare workers were analysed in this study. Burnout syndrome was found in 37.5% of healthcare workers. The prevalence of burnout among medical personnel, nurses, and midwives was 44.6%, 33.5%, and 36.2%, respectively. The prevalence of burnout in healthcare workers was most common in Java (38.4%) and healthcare workers who work in the hospital (28.6%). Based on the burnout dimensions, 48.2% of healthcare workers experienced moderate to high emotional exhaustion, 51.8% moderate to high depersonalization, and 96.9% high personal accomplishment. The values was 0.33,0.28,0.27 for emotional exhaustion, depersonalization and personal accomplishment model. Calculated power of the emotional exhaustion and depersonalization model was 100% for both midwife and nurse variable. Meanwhile, the power of the personal accomplishment model was 100% for midwife and 94.7% for nurse variable.
CONCLUSION
The extent of the three burnout dimensions is pervasive in all occupational levels and the place of work (hospital/community health center).
背景
除了生物影响外，新冠病毒疾病（COVID-19）还对心理健康和生活质量构成威胁。医护人员，尤其是那些处于一线岗位的人员，在身体和心理上受到影响的风险更高。本研究旨在分析不同健康中心分层的医护人员中与职业倦怠和心理困扰潜在相关的变量，为此我们开展了一项全国性调查以建立基线数据。
方法
于2020年9月11日至18日进行了一项采用横断面设计的分析性观察研究。参与者来自印度尼西亚新冠病毒疾病大流行中心地区（爪哇岛、苏门答腊岛、巴厘岛）的医疗机构，并被问及一些问卷，包括抑郁、焦虑和压力量表21项（DASS - 21）、马氏职业倦怠量表（MBI）、躯体症状量表8项（SSS - 8）以及幸福感指数（WBI）。采用线性混合效应模型分析职业倦怠的三个维度在不同职业中的变化情况。
结果
本研究共分析了3629名医护人员。37.5%的医护人员存在职业倦怠综合征。医务人员、护士和助产士的职业倦怠患病率分别为44.6%、33.5%和36.2%。医护人员中职业倦怠患病率在爪哇岛最为常见（38.4%），在医院工作的医护人员中患病率为（28.6%）。基于职业倦怠维度，48.2%的医护人员经历了中度至高度的情感耗竭，51.8%经历了中度至高度的去人格化，96.9%有高度的个人成就感。情感耗竭、去人格化和个人成就感模型的 值分别为0.33、0.28、0.27。助产士和护士变量的情感耗竭和去人格化模型的计算效能均为100%。同时，个人成就感模型助产士变量的效能为100%，护士变量的效能为94.7%。
结论
职业倦怠的三个维度在所有职业层次和工作场所（医院/社区卫生中心）都普遍存在。
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