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新冠疫情暴露风险与院前急救医护人员职业倦怠之间的关系

The Relationship between COVID-19 Exposure Risk and Burnout in Prehospital Emergency Medical Technicians.

作者信息

Javanmardi Karim, Gilani Neda, Ghafourifard Mansour, Dadashzadeh Abbas, Dehghannejad Javad, Feyzollahzade Hossein

机构信息

Department of Medical Surgical Nursing, School of Nursing & Midwifery, Tabriz University of Medical Sciences Tabriz, Iran.

Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Caring Sci. 2023 Mar 13;12(2):123-128. doi: 10.34172/jcs.2023.31742. eCollection 2023 Jun.

Abstract

INTRODUCTION

Exposure to coronavirus disease 2019 (COVID-19) has caused many physical and psychological effects on front-line healthcare workers (HCWs). This study aimed to assess the relationship between the exposure risk to COVID-19 disease and burnout in prehospital emergency medical technicians (EMTs).

METHODS

In this correlational study, 335 prehospital EMTs were selected by random sampling method from the 49 stations of emergency medical services in the northwest of Iran. Data were collected using a questionnaire developed by the world health organization for the risk assessment and management of exposure of health care workers to COVID-19. Moreover, Pines burnout measure was used for the assessment of participants' burnout. Data were analyzed using SPSS version 13.

RESULTS

Results showed that 30.7 % of prehospital EMTs had a high burnout score against COVID-19 disease. The prehospital EMTs who had a high occupational exposure risk experienced a high risk of burnout (=0.03). The results of the linear regression analysis showed that prehospital EMTs who had a low exposure risk of COVID-19 had a low burnout score (β=-9.30; <0.001), and those who had less than 10 years of work experience showed less burnout (β=-10.54; <0.001).

CONCLUSION

According to the results, the exposure risk to COVID-19 increases the prehospital EMT's burnout. As a result, reducing the exposure risk to COVID-19 by providing adequate access to personal protective equipment (PPE), development of training and following standards and protocols can be effective in controlling burnout in HCWs.

摘要

引言

接触2019冠状病毒病(COVID-19)对一线医护人员造成了许多身体和心理影响。本研究旨在评估院前急救医疗技术人员(EMT)接触COVID-19疾病的风险与职业倦怠之间的关系。

方法

在这项相关性研究中,通过随机抽样的方法从伊朗西北部49个急救医疗服务站中选取了335名院前急救医疗技术人员。使用世界卫生组织开发的用于医护人员接触COVID-19风险评估和管理的问卷收集数据。此外,使用派恩斯职业倦怠量表评估参与者的职业倦怠情况。数据使用SPSS 13版进行分析。

结果

结果显示,30.7%的院前急救医疗技术人员在应对COVID-19疾病时职业倦怠得分较高。职业暴露风险高的院前急救医疗技术人员经历职业倦怠的风险也高(=0.03)。线性回归分析结果显示,COVID-19暴露风险低的院前急救医疗技术人员职业倦怠得分低(β=-9.30;<0.001),工作经验少于10年的人员职业倦怠程度较低(β=-10.54;<0.001)。

结论

根据研究结果,接触COVID-19的风险会增加院前急救医疗技术人员的职业倦怠。因此,通过提供充足的个人防护装备(PPE)、开展培训并遵循标准和规程来降低接触COVID-19的风险,可能有助于控制医护人员的职业倦怠。

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