Health Policy and Administration Department, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
The Airlangga Centre for Health Policy, Surabaya, Indonesia.
BMC Health Serv Res. 2023 Jul 5;23(1):730. doi: 10.1186/s12913-023-09677-0.
Most studies in advanced care settings reported that the increasing workload increases the work-life imbalance and harms the mental health of health workers. The COVID-19 Pandemic's tracing, testing, treatment, and mass vaccination also have multiplied the primary healthcare workers' workload. Nevertheless, studies on primary care workers are scarce. This study aimed to investigate how the COVID-19-related work-life balance impact stress on primary healthcare workers in the third years of the pandemic.
The study was a cross-sectional, web-based survey conducted on primary healthcare workers in Kediri Regency, Indonesia, with the highest Omicron case surge worldwide. It was conducted right after the surge between July and August 2022, the third year of the COVID-19 pandemic hit Indonesia. Under coordination with the local government health officials, primary healthcare workers were invited to participate in an online survey. The respondents were asked to evaluate their sociodemography, work conditions, personal life, and perceived stress (using the Perceived Stress Scale) during the pandemic. Their work-life balance was evaluated using the Work/Non-work Interference and Enhancement Scale. We used several hierarchical linear regression models to determine which variables contribute to work stress among primary healthcare workers.
Sociodemographic characteristics, including gender, age, marital status, years of professional experience, and educational level, were not significantly associated with stress levels among our respondents. Separately, work conditions and personal life variables did not associate with stress levels. However, primary healthcare workers' work and personal lives interfere with each other during the pandemic and are associated with their higher stress.
During the pandemic, the work life of primary health workers interferes with their personal life more than the interference of personal life on their work life. At the same time, the work life's enhancement on the personal life and vice versa were lower than its interference. Those conditions are associated with higher perceived stress of primary health workers.
大多数在高级护理环境中进行的研究报告称，工作量的增加导致工作与生活失衡，损害卫生工作者的心理健康。COVID-19 的追踪、检测、治疗和大规模疫苗接种也使初级保健工作者的工作量倍增。然而，针对初级保健工作者的研究却很少。本研究旨在探讨 COVID-19 相关的工作与生活平衡如何影响大流行第三年初级保健工作者的压力。
本研究是一项横断面、基于网络的调查，在印度尼西亚基尔迪里摄政区（全球 Omicron 病例激增的地方）的初级保健工作者中进行。该调查于 2022 年 7 月至 8 月之间的激增之后进行，即 COVID-19 袭击印度尼西亚的第三年。在与当地政府卫生官员协调下，邀请初级保健工作者参加在线调查。要求受访者评估他们在大流行期间的社会人口统计学特征、工作条件、个人生活和感知压力（使用感知压力量表）。他们的工作与生活平衡使用工作/非工作干扰和增强量表进行评估。我们使用了几个层次线性回归模型来确定哪些变量会导致初级保健工作者的工作压力。
社会人口统计学特征，包括性别、年龄、婚姻状况、专业经验年限和教育水平，与受访者的压力水平没有显著相关性。单独来看，工作条件和个人生活变量与压力水平无关。然而，初级保健工作者的工作和个人生活在大流行期间相互干扰，与他们的更高压力有关。
在大流行期间，初级卫生工作者的工作生活对个人生活的干扰超过了个人生活对工作生活的干扰。同时，工作生活对个人生活的增强和反之亦然低于其干扰。这些情况与初级保健工作者更高的感知压力有关。
