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新冠疫情期间住院医师的患者护理工作导致职业倦怠:一项随访研究

COVID-19 Patient Care Leading to Occupational Burnout in Resident Doctors: A Follow-up Study.

作者信息

Yüksel Esra, Tahıllıoğlu Akın, Gönenç Samancı Sarp, Ceylan Arı Şeyda, Koray Özgül Kazım, Sabri Ercan Eyüp

机构信息

Department of Anaesthesiology and Reanimation, Ege University Faculty of Medicine, Izmir, Turkey.

Department of Child and Adolescent Psychiatry, Ege University Faculty of Medicine, Izmir, Turkey.

出版信息

Psychiatry Clin Psychopharmacol. 2021 Sep 1;31(3):331-338. doi: 10.5152/pcp.2021.21146. eCollection 2021 Sep.

DOI:10.5152/pcp.2021.21146
PMID:38765945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11079658/
Abstract

OBJECTIVE

Burnout during residency may require reorganization of health services during the COVID-19 pandemic. This study mainly aimed to compare the burnout levels between resident doctors who cared and those who did not care for COVID-19 patients at the …. University Hospital, which has been serving as a pandemic hospital during the COVID-19 outbreak.

METHODS

The study was designed as a cross-sectional study. One hundred resident doctors were recruited to the first phase of the current study between April 1, 2020 and June 30, 2020 (T1).These participants were then followed-up and re-called to participate in the second phase of the study between October 30, 2020 and November 30, 2020 (T2). Eighty-four resident doctors were available and agreed to participate in the second phase of the study. Once the participants accepted to participate in the study, they were asked to complete "the Evaluation Form," "the Patient Health Questionnaire-9 (PHQ-9)," "the Beck Anxiety Inventory (BAI)," and "the Maslach Burnout Inventory (MBI)."

RESULTS

In both T1 and T2 periods, the resident doctors who provided care to COVID-19 patients had significantly higher BAI and PHQ-9 scores compared to the scores of those who did not care for COVID-19 patients ( < .05). Moreover, in the T2 period, the Maslach Burnout Inventory-Emotional Exhaustion (MBI-EE) and Maslach Burnout Inventory-Depersonalization (MBI-DP) scores of the resident doctors who cared for COVID-19 patients were detected as significantly higher than the scores of those who did not care for COVID-19 patients.

CONCLUSIONS

This study demonstrated that resident doctors who cared for COVID-19 patients face increased problems of burnout, anxiety, and depression levels.

摘要

目的

住院医师阶段的职业倦怠可能需要在新冠疫情期间对医疗服务进行重新组织。本研究主要旨在比较在……大学医院(在新冠疫情爆发期间作为一家收治大流行疾病的医院)中,照料新冠患者和未照料新冠患者的住院医师之间的职业倦怠水平。

方法

本研究设计为横断面研究。在2020年4月1日至2020年6月30日(T1)期间,招募了100名住院医师参与本研究的第一阶段。然后对这些参与者进行随访,并再次邀请他们在2020年10月30日至2020年11月30日(T2)期间参与研究的第二阶段。84名住院医师有空并同意参与研究的第二阶段。一旦参与者接受参与研究,就要求他们完成“评估表”、“患者健康问卷-9(PHQ-9)”、“贝克焦虑量表(BAI)”和“马氏职业倦怠量表(MBI)”。

结果

在T1和T2两个时期,与未照料新冠患者的住院医师的得分相比,照料新冠患者的住院医师的BAI和PHQ-9得分显著更高(P<0.05)。此外,在T2时期,照料新冠患者的住院医师的马氏职业倦怠量表-情感耗竭(MBI-EE)和马氏职业倦怠量表-去人格化(MBI-DP)得分被检测出显著高于未照料新冠患者的住院医师的得分。

结论

本研究表明,照料新冠患者的住院医师面临职业倦怠、焦虑和抑郁水平增加的问题。

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