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突尼斯肿瘤护士的倦怠感及其相关影响因素的认知。

The perception of burnout and related influencing factors in Tunisian oncology nurses.

机构信息

Department of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

Laboratory of Microorganisms and active Bio-molecules (LR03ES03), Faculty of Sciences of Tunis, University of Tunis El Manar, Tunis, Tunisia.

出版信息

J Eval Clin Pract. 2024 Sep;30(6):1066-1075. doi: 10.1111/jep.14021. Epub 2024 May 26.

Abstract

BACKGROUND

Oncology nurses constantly provide emotional support to patients and are confronted with their suffering, which represents chronic stress leading to the development of burnout syndrome.

AIM

This study aimed to evaluate the prevalence of burnout and identify associated factors in a sample of oncology nurses.

METHODS

We conducted a descriptive cross-sectional study with 70 oncology nurses at the Salah Azaiez Institute of Oncology in Tunisia. Burnout was assessed using the Maslach Burnout Inventory Human Service Survey. This study follows the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) Guidelines.

RESULTS

Burnout affected 60 nurses (85.7%), with a high level in 20% of cases. High scores of emotional exhaustion, depersonalisation, and low personal accomplishment were recorded in 65.7%, 50% and 25.7% respectively. Emotional exhaustion was associated with higher age, marital status, having 2 or 3 or more dependent children, number of patients under care exceeding 15, professional experience and history of psychiatric problems. Depersonalisation was correlated with age, marital status, professional grade and history of psychiatric problems. Low levels of personal accomplishment increased with the number of patients under care, history of psychiatric problems and the regret of professional choice.

CONCLUSION

Burn-out is a reality in oncology hospital with an alarming rate. Interventions including rationalisation of workload, support groups, training in emotion and stress management would improve the mental health of these nurses and increase their performance. The screening for burnout should be included as a regular practice in health promotion programmes for oncology health professionals, particularly for a vulnerable subgroup that possesses the risk mentioned above factors.

摘要

背景

肿瘤护士经常为患者提供情感支持,并面对他们的痛苦,这代表着慢性压力,导致 burnout 综合征的发展。

目的

本研究旨在评估肿瘤科护士样本中 burnout 的患病率,并确定相关因素。

方法

我们在突尼斯 Salah Azaiez 肿瘤研究所进行了一项描述性的横断面研究,共有 70 名肿瘤科护士参与。使用 Maslach 倦怠量表人类服务调查评估 burnout。本研究遵循 Strengthening the Reporting of OBservational studies in Epidemiology (STROBE) 指南。

结果

burnout 影响了 60 名护士(85.7%),其中 20%的情况为高度影响。情绪耗竭、去人性化和个人成就感低的高分分别为 65.7%、50%和 25.7%。情绪耗竭与年龄较大、婚姻状况、有 2 个或 3 个或更多依赖子女、照顾的患者数量超过 15 人、专业经验和精神病史有关。去人性化与年龄、婚姻状况、专业职称和精神病史有关。个人成就感低与照顾的患者数量、精神病史和对职业选择的遗憾增加有关。

结论

肿瘤科医院 burnout 是一个现实问题,其发生率令人担忧。干预措施包括工作量合理化、支持小组、情绪和压力管理培训,将改善这些护士的心理健康状况,并提高他们的工作表现。应该将 burnout 筛查作为肿瘤健康专业人员健康促进计划的常规实践,特别是针对存在上述危险因素的脆弱亚组。

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