伊朗阿尔伯兹省新冠疫情第四波末期医护人员的自杀意念、职业倦怠及其相关性。
Suicidal ideation, burnout, and their correlation among health care workers at the end of the fourth wave of the COVID-19 pandemic in Alborz Province, Iran.
作者信息
Badrfam Rahim, Zandifar Atefeh, Mohammadian Khonsari Nami, Qorbani Mostafa
机构信息
Department of Psychiatry, Imam Hossein Hospital, Alborz University of Medical Sciences, Karaj, Iran.
Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
出版信息
Front Psychiatry. 2023 Oct 13;14:1261105. doi: 10.3389/fpsyt.2023.1261105. eCollection 2023.
BACKGROUND
During the COVID-19 pandemic, Health Care Workers (HCWs) were more vulnerable than ever to Burnout and Suicidal thoughts due to stressful work conditions. This study, investigated the level of Burnout and Suicidal thoughts among HCWs during the fourth wave of the pandemic in Alborz Province in Iran and compared it with the conditions at the beginning of the pandemic.
METHODS
A total of 305 HCWs from 3 referral hospitals for COVID-19, including 155 men and 150 women, participated in the study. A cross-sectional study was carried out with a sample of HCWs dealing with COVID-19 patients using the available sampling method. The results of this online survey, which was conducted from June 7 to July 5, 2021 (at the end of the Fourth Wave of the COVID-19 Pandemic in Iran), have been compared with the conditions of the First Wave of the Pandemic (from February 24 to April 27, 2020). The participants were evaluated by the Beck Scale for Suicidal Ideations (BSSI) and Maslach Burnout Inventory (MBI).
RESULTS
The mean age of the participants was 36.34 ± 7.37. The means of Suicide Index (SI), Emotional Exhaustion (EE), Depersonalization (DP), and Personal Accomplishment (PA) scores were 0.76 ± 1.74, 19.94 ± 4.69, 4.92 ± 1.51, and 31.30 ± 5.88, respectively. SI and PA were significantly higher in workers other than nurses and physicians and EE was higher among workers with night shifts ( value<0.05 in all indices). Age had a significant and negative correlation with EE ( value<0.01) and DP (p value<0.05) and a significant and positive correlation with PA ( value<0.01).
CONCLUSION
This study showed a high level of SI and Burnout indices among HCWs in the fourth wave of the pandemic in Iran. Paying attention to the factors affecting the development of social capital and creating health policy changes may be effective in reducing Burnout indices and high Suicide index among HCWs.
背景
在新冠疫情期间，由于工作压力大，医护人员比以往任何时候都更容易出现职业倦怠和自杀念头。本研究调查了伊朗阿尔伯兹省疫情第四波期间医护人员的职业倦怠和自杀念头水平，并将其与疫情开始时的情况进行比较。
方法
共有来自3家新冠转诊医院的305名医护人员参与了研究，其中男性155名，女性150名。采用现况抽样方法，对接触新冠患者的医护人员样本进行横断面研究。本次在线调查于2021年6月7日至7月5日进行（伊朗新冠疫情第四波结束时），并与疫情第一波（2020年2月24日至4月27日）的情况进行了比较。参与者通过贝克自杀意念量表（BSSI）和马氏职业倦怠量表（MBI）进行评估。
结果
参与者的平均年龄为36.34±7.37岁。自杀指数（SI）、情感耗竭（EE）、去个性化（DP）和个人成就感（PA）得分的平均值分别为0.76±1.74、19.94±4.69、4.92±1.51和31.30±5.88。护士和医生以外的工作人员的SI和PA显著更高，夜班工作人员的EE更高（所有指标p值<0.05）。年龄与EE（p值<0.01）和DP（p值<0.05）呈显著负相关，与PA呈显著正相关（p值<0.01）。
结论
本研究显示，伊朗疫情第四波期间医护人员的SI和职业倦怠指数较高。关注影响社会资本发展的因素并制定健康政策变革，可能有助于降低医护人员的职业倦怠指数和高自杀指数。
Zotero 插件