Division of Pulmonary and Critical Care Medicine, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand.
J Environ Public Health. 2023 May 30;2023:5719241. doi: 10.1155/2023/5719241. eCollection 2023.
To study prevalence, risk factors, and consequences of the COVID-19 pandemic related to Burnout syndrome (BOS) among Thai healthcare providers (HCPs) during the COVID-19 pandemic.
We performed a cross-sectional study among HCPs, involved in caring for patients during the pandemic in two periods (1st period, May-Jun 2021, and 2nd period, Sep-Oct 2021). Data were distributed using electronic questionnaires. BOS was defined if respondents exhibited a high level of at least one domain in the Maslach Burnout Inventory criteria. The primary outcome was prevalence of BOS.
Altogether, 2,027 and 1,146 respondents were enrolled in the 1st and 2nd periods, respectively. Most respondents were female (73.3, 68.2%). The top three job positions were physicians (49.2, 58.9%), nurses (41.2, 30.6%), and nursing assistants (4.8, 6.5%), respectively. No difference was found in overall prevalence of Burnout syndrome during the 1st and 2nd periods (73 vs. 73.5%, =0.80). Using multivariate analysis, significant risk factors for Burnout syndrome in both periods were (1) living with family (odds ratio (OR) 1.3 and 1.5), (2) tertiary care hospital (OR 1.92 and 2.13), (3) nurse (OR 1.38 and 2.29), (4) nursing assistant (OR 0.92 and 4.81), (5) salary ≤40,000 THB (OR 1.53 and 1.53), (6) >20 patients per shift (OR 1.55 and 1.88), (7) >6 shifts after hours monthly (OR 1.26 and 1.49), and (8) ≤1 rest day weekly (OR 1.3 and 1.4).
We found a high prevalence of Burnout syndrome among Thai HCPs during the pandemic. Knowing those risk factors may provide a strategy to BOS during the pandemic.
研究 COVID-19 大流行期间泰国医护人员（HCPs）与倦怠综合征（BOS）相关的流行率、危险因素和后果。
我们在两个时期（第 1 期：2021 年 5 月至 6 月；第 2 期：2021 年 9 月至 10 月）对参与照顾大流行期间患者的 HCPs 进行了横断面研究。使用电子问卷分发数据。如果受访者在 Maslach 倦怠量表标准的至少一个领域表现出高水平，则定义为 BOS。主要结局是 BOS 的流行率。
第 1 期和第 2 期分别有 2027 名和 1146 名受访者入组。大多数受访者为女性（73.3%，68.2%）。排名前三的工作岗位分别是医生（49.2%，58.9%）、护士（41.2%，30.6%）和护理助理（4.8%，6.5%）。第 1 期和第 2 期的倦怠综合征总体患病率无差异（73% vs. 73.5%，=0.80）。使用多变量分析，两个时期倦怠综合征的显著危险因素有：（1）与家人同住（比值比（OR）1.3 和 1.5）；（2）三级保健医院（OR 1.92 和 2.13）；（3）护士（OR 1.38 和 2.29）；（4）护理助理（OR 0.92 和 4.81）；（5）月薪≤40,000 泰铢（OR 1.53 和 1.53）；（6）每班超过 20 名患者（OR 1.55 和 1.88）；（7）每月超过 6 次加班（OR 1.26 和 1.49）；（8）每周休息少于 1 天（OR 1.3 和 1.4）。
我们发现 COVID-19 大流行期间泰国 HCPs 的倦怠综合征患病率很高。了解这些危险因素可能为大流行期间的 BOS 提供策略。
