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尼泊尔 COVID-19 大流行期间卫生专业人员的感知社会支持和专业生活质量:一项横断面研究。

Perceived social support and professional quality of life of health professionals during COVID-19 pandemic in Nepal: a cross-sectional study.

机构信息

Department of Community Program, Dhulikhel Hospital, Dhulikhel, Nepal

Central Department of Public Health, Tribhuvan University Institute of Medicine, Maharajgunj, Kathmandu, Nepal.

出版信息

BMJ Open. 2024 May 23;14(5):e085535. doi: 10.1136/bmjopen-2024-085535.

DOI:10.1136/bmjopen-2024-085535
PMID:38803250
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11328656/
Abstract

OBJECTIVE

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.

DESIGN

A cross-sectional web-based study.

SETTING

Nepal PARTICIPANTS: We carried out a convenience sampling technique to enrol 313 health professionals aged 18-60 years old.

OUTCOME MEASURES

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.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

设计

横断面网络研究。

地点

尼泊尔

参与者

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。

结果测量

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。

结果

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。

结论

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。

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