Hospital General de México, Servicio de Neumología, Ciudad de México, México.
Becario del Sistema Nacional de Investigadores, CONACYT, México.
Rev Lat Am Enfermagem. 2023 Nov 3;31:e4046. doi: 10.1590/1518-8345.6820.4046. eCollection 2023.
this study evaluated burnout symptoms among physicians and nurses before, during and after COVID-19 care.
a cross-sectional comparative study in the Pulmonary Care unit of a tertiary-level public hospital. The Maslach Burnout Inventory was used.
280 surveys were distributed across three periods: before (n=80), during (n=105) and after (n=95) COVID-19 care; 172 surveys were returned. The response rates were 57.5%, 64.8% and 61.1%, respectively. The prevalence of severe burnout was 30.4%, 63.2% and 34.5% before, during and after COVID-19 care (p<0.001). Emotional exhaustion (p<0.001) and depersonalization (p=0.002) symptoms were more prevalent among nurses than among physicians. Severe burnout was more prevalent in women, nurses and night shift staff.
the high prevalence of burnout doubled in the first peak of hospital admissions and returned to pre-pandemic levels one month after COVID-19 care ended. Burnout varied by gender, shift and occupation, with nurses among the most vulnerable groups. Focus on early assessment and mitigation strategies are required to support nurses not only during crisis but permanently.
本研究评估了 COVID-19 护理前后医生和护士的倦怠症状。
在一家三级公立医院的肺部护理病房进行横断面对照研究。使用 Maslach 倦怠量表。
在 COVID-19 护理前（n=80）、期间（n=105）和之后（n=95）三个阶段共发放了 280 份调查，回收了 172 份。回复率分别为 57.5%、64.8%和 61.1%。COVID-19 护理前、期间和之后重度倦怠的患病率分别为 30.4%、63.2%和 34.5%（p<0.001）。与医生相比，护士的情绪衰竭（p<0.001）和去人性化（p=0.002）症状更为普遍。女性、护士和夜班员工重度倦怠更为普遍。
在医院收治高峰期，倦怠的高患病率增加了一倍，在 COVID-19 护理结束一个月后恢复到疫情前水平。倦怠因性别、班次和职业而异，护士是最脆弱的群体之一。需要关注早期评估和缓解策略，不仅在危机期间，而且在永久性地为护士提供支持。
