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COVID-19 大流行期间初级保健工作者的职业压力:混合方法研究。

Occupational stress in primary care workers during the COVID-19 pandemic: mixed methods study.

机构信息

Universidade Regional do Noroeste do Estado do Rio Grande do Sul, Núcleo de Ciências da Saúde, Ijuí, RS, Brasil.

Universidade Federal de Santa Maria, Departamento de Enfermagem, Palmeira das Missões, RS, Brasil.

出版信息

Rev Lat Am Enfermagem. 2023 Nov 3;31:e4040. doi: 10.1590/1518-8345.6797.4040. eCollection 2023.

Abstract

OBJECTIVE

to analyze the risk of exposure to occupational stress among primary healthcare professionals during the COVID-19 pandemic and their perception regarding their experience.

METHOD

mixed-methods sequential explanatory study with 50 primary care professionals. Sociodemographic, clinical, and labor questionnaires, Job Stress Scale, and semi-structured interviews were used. Quantitative data were submitted to descriptive and analytical statistical analysis; qualitative data were submitted to Thematic Content Analysis.

RESULTS

66% of professionals were exposed to occupational stress. Doctors were associated with highly demanding work (p<0.001); nurses, nursing technicians, and dental professionals with active work (p<0.001); and dentists with lower psychological demand (p<0.001). Professionals with more than sixteen years of experience had better conditions to deal with stressful factors, compared to those with less than five years (p<0.03). Data integration showed implications of the pandemic in life, work, and interfaces with psychological symptoms.

CONCLUSION

professionals worked under high psychological demands and a high risk of exposure to stress during the COVID-19 pandemic. Self-control and high social support may contribute to reducing these risks, as well as professional training and experience.

摘要

目的

分析 COVID-19 大流行期间初级保健专业人员暴露于职业压力的风险及其对自身经历的认知。

方法

这是一项混合方法序贯解释性研究,共纳入 50 名初级保健专业人员。使用了社会人口统计学、临床和劳动问卷、工作压力量表和半结构化访谈。对定量数据进行描述性和分析性统计分析;对定性数据进行主题内容分析。

结果

66%的专业人员暴露于职业压力之中。医生与高要求的工作相关(p<0.001);护士、护理技师和牙科专业人员与活跃的工作相关(p<0.001);而牙医的心理需求较低(p<0.001)。与工作经验不足 5 年的专业人员相比,工作经验超过 16 年的专业人员具有更好的条件来应对压力因素(p<0.03)。数据整合表明,大流行对生活、工作和心理症状之间的接口产生了影响。

结论

在 COVID-19 大流行期间,专业人员的工作压力大,面临较高的职业压力风险。自我控制和较高的社会支持可能有助于降低这些风险,以及专业培训和经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57bc/10631305/8eb0684b097f/1518-8345-rlae-31-e4040-en-f1.jpg

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