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重症监护病房医护人员的人格特质、职业倦怠与精神病理学——一项调节分析

Personality Traits, Burnout, and Psychopathology in Healthcare Professionals in Intensive Care Units-A Moderated Analysis.

作者信息

Pakou Varvara, Tsartsalis Dimitrios, Papathanakos Georgios, Dragioti Elena, Gouva Mary, Koulouras Vasilios

机构信息

Intensive Care Unit, University Hospital of Ioannina, University of Ioannina, 45500 Ioannina, Greece.

Laboratory of Psychology of Patients, Families & Health Professionals, Department of Nursing, School of Health Sciences, University of Ioannina, 45500 Ioannina, Greece.

出版信息

Healthcare (Basel). 2024 Mar 4;12(5):587. doi: 10.3390/healthcare12050587.

Abstract

This study explored the associations between personality dimensions, burnout, and psychopathology in healthcare professionals in intensive care units (ICUs). This study further aimed to discern the differences in these relationships when considering the variables of critical care experience (less than 5 years, 5-10 years, and more than 10 years), profession (nurses versus intensivists), and the urban size of the city where the ICU is located (metropolitan cities versus smaller urban cities). This cross-sectional investigation's outcomes are based on data from 503 ICU personnel, including 155 intensivists and 348 nurses, in 31 ICU departments in Greece. Participants underwent a comprehensive assessment involving a sociodemographic questionnaire, the Eysenck Personality Questionnaire (EPQ), the Maslach Burnout Inventory (MBI), and the Symptom Checklist-90 (SCL-90). To analyze the interplay among critical care experience, burnout status, and psychopathology, a moderation analysis was conducted with personality dimensions (i.e., psychoticism, extraversion, and neuroticism) serving as the mediator variable. Profession and the urban size of the ICU location were considered as moderators influencing these relationships. Male healthcare professionals showed higher psychoticism levels than females, aligning with prior research. Experienced nurses reported lower personal achievement, hinting at potential motivation challenges for professional growth. Psychoticism predicted high depersonalization and low personal achievement. Neuroticism and psychoticism negatively impacted ICU personnel's mental well-being, reflected in elevated psychopathology scores and burnout status. Psychoticism appears to be the primary factor influencing burnout among the three personality dimensions, particularly affecting intensivists. In contrast, nurses are more influenced by their critical care experience on their mental health status.

摘要

本研究探讨了重症监护病房(ICU)医护人员的人格维度、职业倦怠和精神病理学之间的关联。本研究还旨在考察在考虑重症监护经验(少于5年、5至10年、超过10年)、职业(护士与重症监护医生)以及ICU所在城市的城市规模(大城市与小城市)等变量时,这些关系的差异。这项横断面调查的结果基于希腊31个ICU科室的503名ICU工作人员的数据,其中包括155名重症监护医生和348名护士。参与者接受了全面评估,包括社会人口学问卷、艾森克人格问卷(EPQ)、马氏职业倦怠量表(MBI)和症状自评量表90(SCL - 90)。为了分析重症监护经验、职业倦怠状态和精神病理学之间的相互作用,进行了以人格维度(即精神质、外向性和神经质)作为中介变量的调节分析。职业和ICU所在城市的规模被视为影响这些关系的调节因素。男性医护人员的精神质水平高于女性,这与先前的研究一致。经验丰富的护士报告个人成就感较低,这暗示了职业发展中潜在的动机挑战。精神质预示着高去个性化和低个人成就感。神经质和精神质对ICU工作人员的心理健康产生负面影响,表现为精神病理学得分和职业倦怠状态升高。在这三种人格维度中,精神质似乎是影响职业倦怠的主要因素,尤其对重症监护医生影响较大。相比之下,护士的心理健康状况受其重症监护经验的影响更大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb89/10930981/80ee339d88ab/healthcare-12-00587-g001.jpg

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