IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.
Azienda Universitaria Gaetano Martino, Messina, Italy.
J Int Med Res. 2023 Jul;51(7):3000605231182664. doi: 10.1177/03000605231182664.
The study aim was to investigate the prevalence of behavioral symptoms and burnout in healthcare workers in an intensive neurological rehabilitation unit in Messina, Italy, during the first COVID-19 lockdown in Italy.
Forty-seven healthcare workers (including neurologists, physiatrists, nurses and rehabilitation therapists) were enrolled in this cross-sectional study from February 2020 to June 2020. Participants were administered the following psychometric tests to investigate burnout and related symptoms: the Maslach Burnout Inventory, which measures emotional exhaustion, depersonalization and reduced personal accomplishment; the Zung Self-Rating Depression Scale (SDS); the Pre-Sleep Arousal Scale (PSAS); the Dyadic Adjustment Scale; and the Buss-Perry Aggression Questionnaire (BPAQ).
We found several correlations between test scores and burnout subdimensions. Emotional exhaustion was correlated with SDS (r = 0.67), PSAS-Cognitive (r = 0.67) and PSAS-Somatic (r = 0.70) scores, and moderately correlated with all BPAQ dimensions (r = 0.42). Depersonalization was moderately correlated with SDS (r = 0.54), PSAS-Cognitive (r = 0.53) and PSAS-Somatic (r = 0.50) scores.
During the first COVID-19 lockdown in Italy, healthcare workers were more exposed to physical and mental exhaustion and burnout. Research evaluating organizational and system-level interventions to promote psychological well-being at work for healthcare workers are needed.
本研究旨在调查意大利墨西拿一家神经重症康复病房的医护人员在意大利首次 COVID-19 封锁期间的行为症状和倦怠发生率。
本横断面研究于 2020 年 2 月至 6 月期间纳入了 47 名医护人员（包括神经科医生、物理治疗师、护士和康复治疗师）。参与者接受了以下心理测试，以调查倦怠和相关症状：马斯拉赫倦怠量表（Maslach Burnout Inventory），用于测量情绪疲惫、去人格化和个人成就感降低；zung 自评抑郁量表（SDS）；预睡眠觉醒量表（PSAS）；夫妻适应量表；Buss-Perry 攻击问卷（BPAQ）。
我们发现测试分数与倦怠亚维度之间存在多种相关性。情绪疲惫与 SDS（r=0.67）、PSAS-认知（r=0.67）和 PSAS-躯体（r=0.70）评分相关，与 BPAQ 的所有维度中度相关（r=0.42）。去人格化与 SDS（r=0.54）、PSAS-认知（r=0.53）和 PSAS-躯体（r=0.50）评分中度相关。
在意大利首次 COVID-19 封锁期间，医护人员更容易出现身体和精神疲惫以及倦怠。需要研究评估组织和系统层面的干预措施，以促进医护人员的心理健康。
