Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Occup Med (Lond). 2024 Jun 11;74(4):297-303. doi: 10.1093/occmed/kqae032.
During the immediate outbreak of the COVID-19 pandemic, burnout symptoms increased among healthcare workers. Knowledge is needed on how early symptoms developed during the persistent crisis that followed the first pandemic wave.
To investigate if high levels of burnout symptoms during the first pandemic wave led to high burnout and depressive symptoms up to a year later, and if participation in psychological support was related to lower levels of symptoms.
A longitudinal case-control study followed 581 healthcare workers from two Swedish hospitals. Survey data were collected with a baseline in May 2020 and three follow-up assessments until September 2021. The case group was participants reporting high burnout symptoms at baseline. Logistic regression analyses were performed separately at three follow-ups with case-control group assignment as the main predictor and burnout and depression symptoms as outcomes, controlling for frontline work, changes in work tasks and psychological support participation.
One out of five healthcare workers reported high burnout symptoms at baseline. The case group was more likely to have high burnout and depressive symptoms at all follow-ups. Participation in psychological support was unrelated to decreased burnout and depressive symptoms at any of the follow-ups.
During a persistent crisis, healthcare organizations should be mindful of psychological reactions among staff and who they place in frontline work early in the crisis. To better prepare for future healthcare crises, preventive measures on burnout are needed, both at workplaces and as part of the curricula in medical and nursing education.
在 COVID-19 大流行初期，医护人员的 burnout 症状增加。需要了解在第一波大流行之后持续的危机中，早期症状是如何发展的。
调查在第一波大流行期间是否高水平的 burnout 症状会导致一年后出现高 burnout 和抑郁症状，以及是否参加心理支持与较低的症状水平有关。
一项纵向病例对照研究随访了来自瑞典两家医院的 581 名医护人员。在 2020 年 5 月进行基线调查，并在 2021 年 9 月之前进行了三次随访。病例组是基线时报告高水平 burnout 症状的参与者。在三次随访中分别进行逻辑回归分析，以病例对照组分配作为主要预测因子，以 burnout 和抑郁症状作为结果，控制一线工作、工作任务变化和心理支持参与。
五分之一的医护人员报告基线时高水平的 burnout 症状。病例组在所有随访中更有可能出现高水平的 burnout 和抑郁症状。参加心理支持与任何一次随访中 burnout 和抑郁症状的减少无关。
在持续的危机中，医疗机构应注意员工的心理反应，以及在危机早期将谁置于一线工作。为了更好地为未来的医疗保健危机做准备，需要在工作场所和医学和护理教育课程中采取预防 burnout 的措施。
