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医院墨西哥籍护士的职业倦怠、认知功能与脑源性神经营养因子表达。

Job burnout, cognitive functioning, and Brain-derived neurotrophic factor expression among hospital Mexican nurses.

机构信息

Department of Nursing and Midwifery, Division of Natural and Exact Sciences, University of Guanajuato, Guanajuato, Mexico.

Faculty of Biotechnology, Laboratory of Medical & Pharmaceutical Biotechnology, Universidad Popular Autónoma del Estado de Puebla (UPAEP), Puebla, Mexico.

出版信息

PLoS One. 2024 May 24;19(5):e0304092. doi: 10.1371/journal.pone.0304092. eCollection 2024.

Abstract

AIM

To analyze the relationship between burnout syndrome, cognitive functions, and sBDNF (Serum Brain-derived Neurotrophic Factor) in Mexican nurses.

METHOD

A descriptive cross-sectional design was used. This study target staff nurses working in hospitals in Guanajuato, México. Demographic and working condition data were collected via questionnaire. The Maslach Burnout Inventory (MBI) was used to evaluate burnout. A blood sample were collected and processed by ELISA technique to measure sBDNF. Finally, the General Cognitive Assessment (CAB) of the Cognifit© neuropsychological battery was used to evaluated cognitive functions.

RESULTS

Findings showed that there are sociodemographic characteristics and working conditions associated with burnout syndrome among nurses. Furthermore, the data demonstrated a significant decrease in sBDNF levels in burnout nurses and a negative correlation between BDNF levels and burnout syndrome. Additionally, these burnout nurse also revealed significant cognitive impairment in reasoning, memory, and attention as well as total scores of CAB. Interestingly, we found a positive correlation between sBDNF levels and the cognitive deficits in burnout nurse.

CONCLUSION

Reduced BDNF levels could be a biological indicator or part of the pathological process of burnout, which could affect cognitive abilities. Reduced cognitive function in nurses has relevant implications and emphasizes the need for specialized preventive strategies because nurses make clinical decisions concerning their patients, whose situations are constantly changing.

摘要

目的

分析墨西哥护士的倦怠综合征、认知功能与 sBDNF(血清脑源性神经营养因子)之间的关系。

方法

采用描述性的横断面设计。本研究的对象是在墨西哥瓜纳华托州医院工作的在职护士。通过问卷调查收集人口统计学和工作条件数据。使用 Maslach 倦怠量表(MBI)评估倦怠。采集血样并通过 ELISA 技术处理以测量 sBDNF。最后,使用 Cognifit©神经心理学电池的一般认知评估(CAB)评估认知功能。

结果

研究结果表明,护士的社会人口统计学特征和工作条件与倦怠综合征有关。此外,数据显示,倦怠护士的 sBDNF 水平显著降低,BDNF 水平与倦怠综合征呈负相关。此外,这些倦怠护士的推理、记忆和注意力以及 CAB 的总分方面也存在显著的认知障碍。有趣的是,我们发现 sBDNF 水平与倦怠护士的认知缺陷之间存在正相关。

结论

BDNF 水平降低可能是倦怠的生物指标或病理过程的一部分,这可能会影响认知能力。护士认知功能下降具有重要意义,并强调需要制定专门的预防策略,因为护士要根据患者不断变化的情况做出临床决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f7c/11125546/fb0e14ec82e8/pone.0304092.g001.jpg

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