Kabunga Amir, Kigongo Eustes, Okalo Ponsiano, Udho Samson, Grace Anna Auma, Tumwesigye Raymond, Akello Anne Ruth, Musinguzi Marvin, Acup Walter, Nabaziwa Jannat, Shikanga Enos Mwirotsi, Namata Haliama
Department of Psychiatry, Faculty of Medicine, Lira University, Lira, Uganda.
Department of Environmental Health and Disease Control, Faculty of Public Health, Lira University, Lira, Uganda.
Front Psychiatry. 2024 Apr 15;15:1373743. doi: 10.3389/fpsyt.2024.1373743. eCollection 2024.
The escalating global prevalence of burnout among healthcare professionals poses a serious health concern. Recent studies focus on prevalence and predictors of burnout among healthcare providers, emphasizing the need for well-being interventions. This study investigates burnout and coping mechanisms among healthcare professionals in central Uganda, addressing the dearth of knowledge about coping strategies specific to the region.
An analytical facility cross-sectional study was conducted in five healthcare facilities in central Uganda between June to July 2023. Participants included physicians, nurses, and technicians actively engaged in direct patient care. Data were collected using socio-demographic surveys, the Professional Quality of Life (ProQOL-5), and the Brief-COPE tools.
The study revealed a high prevalence of burnout, with 39.8% of participants experiencing significant levels. Active coping, positive reframing, and denial were negatively correlated with low burnout levels. Dysfunctional coping, specifically self-distraction and denial, showed positive correlations with average and high burnout levels. Emotion-focused coping mechanisms were not employed across burnout levels.
The results emphasize the demanding nature of healthcare roles in the region and highlight the need for comprehensive, context-specific interventions to address burnout globally. While some healthcare professionals utilized adaptive strategies such as seeking social support, engaging in self-care activities, and utilizing problem-solving skills, others resorted to maladaptive coping mechanisms such as substance use and avoidance behaviors. This dichotomy highlights the need for targeted interventions to promote adaptive coping strategies and mitigate the negative impact of maladaptive behaviors on individual well-being and patient care.
全球医护人员职业倦怠患病率不断上升，这引发了严重的健康问题。近期研究聚焦于医护人员职业倦怠的患病率及预测因素，强调了开展促进身心健康干预措施的必要性。本研究调查了乌干达中部医护人员的职业倦怠及应对机制，以填补该地区特定应对策略相关知识的空白。
2023年6月至7月，在乌干达中部的五家医疗机构开展了一项分析性横断面研究。参与者包括积极参与直接患者护理的医生、护士和技术人员。使用社会人口学调查问卷、职业生活质量量表（ProQOL-5）和简易应对方式问卷工具收集数据。
研究显示职业倦怠患病率很高，39.8%的参与者存在显著的职业倦怠水平。积极应对、积极重新评价和否认与低职业倦怠水平呈负相关。功能失调性应对方式，特别是自我分心和否认，与中等及高职业倦怠水平呈正相关。在不同职业倦怠水平上，均未采用以情绪为中心的应对机制。
研究结果强调了该地区医护工作的艰巨性，并突出了在全球范围内开展全面、因地制宜的干预措施以解决职业倦怠问题的必要性。虽然一些医护人员采用了适应性策略，如寻求社会支持、开展自我护理活动和运用解决问题的技能，但另一些人则采取了适应不良的应对机制，如物质使用和回避行为。这种二分法凸显了开展针对性干预措施的必要性，以促进适应性应对策略，并减轻适应不良行为对个人幸福感和患者护理的负面影响。
