Department of Community Program, Dhulikhel Hospital, Dhulikhel, Nepal
Central Department of Public Health, Tribhuvan University Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
BMJ Open. 2024 May 23;14(5):e085535. doi: 10.1136/bmjopen-2024-085535.
To assess the perceived social support and professional quality of life (ProQOL) among healthcare professionals during COVID-19 pandemic in Nepal, encompassing both positive (compassion satisfaction) and negative (compassion fatigue) dimensions as well as the factors associated with them.
A cross-sectional web-based study.
Nepal PARTICIPANTS: We carried out a convenience sampling technique to enrol 313 health professionals aged 18-60 years old.
We employed the ProQOL V.5 questionnaire (comparing 30 self-report items) and the Multidimensional Scale of Perceived Social Support with 12 items to assess the ProQOL and social support, respectively. A χ test was performed to determine associated factors of different dimensions of ProQOL.
The study included a total of 313 participants, mostly consisting of frontline health workers. More than one-third of the participants worked in places where precautionary measures were insufficient. However, the majority of them (73.8%) had high social support. Concerning the ProQOL, the percentage of health professionals that had moderate compassion satisfaction (CS), moderate Burnout (BO) and moderate secondary traumatic stress (STS) were 57.5%, 58.2% and 75.4%, respectively. Factors like sex, marital status, profession, work-shift, type of health institution and status of precautionary measures at the workplace were associated with the different dimensions of ProQOL at the significance level of 0.05.
This study findings revealed a considerable proportion of BO and STS among health professionals during COVID-19 pandemic in Nepal. Implementation of appropriate interventions and support systems are needed to enhance CS, alleviate BO and mitigate STS among health professionals to combat future health emergencies.
评估尼泊尔 COVID-19 大流行期间医疗保健专业人员的感知社会支持和专业生活质量(ProQOL),包括积极(同情满足)和消极(同情疲劳)维度,以及与之相关的因素。
横断面网络研究。
尼泊尔
我们采用方便抽样技术招募了 313 名年龄在 18-60 岁之间的卫生专业人员。
我们使用了 ProQOL V.5 问卷(比较 30 个自我报告项目)和多维感知社会支持量表,其中包括 12 个项目,分别评估 ProQOL 和社会支持。采用 χ2 检验确定不同维度 ProQOL 的相关因素。
这项研究共包括 313 名参与者,主要由一线卫生工作者组成。超过三分之一的参与者在预防措施不足的地方工作。然而,他们中的大多数(73.8%)拥有较高的社会支持。关于 ProQOL,具有中度同情满足(CS)、中度倦怠(BO)和中度二次创伤应激(STS)的卫生专业人员的比例分别为 57.5%、58.2%和 75.4%。性别、婚姻状况、职业、工作班次、卫生机构类型和工作场所预防措施的状况等因素与 ProQOL 的不同维度相关,在 0.05 的显著性水平上具有统计学意义。
本研究结果表明,尼泊尔 COVID-19 大流行期间卫生专业人员中存在相当比例的 BO 和 STS。需要实施适当的干预措施和支持系统,以提高 CS,减轻 BO 并减轻 STS,从而增强卫生专业人员在未来卫生应急中的应对能力。