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新冠疫情期间残疾护理人员职业倦怠率高得不成比例。

Disproportionately High Rates of Burnout Among Disabled Caregivers During the COVID-19 Pandemic.

作者信息

Streuli Samantha, Beckett Imani, Flores Marlene, Omaleki Vinton, Hassani Ashkan, Le Tina, Garfein Richard, Fielding-Miller Rebecca

机构信息

National Environmental Health Association.

University of California San Diego.

出版信息

Res Sq. 2024 May 22:rs.3.rs-4391256. doi: 10.21203/rs.3.rs-4391256/v1.

Abstract

BACKGROUND

Burnout is exhaustion caused by exposure to chronic stress. Prior to the COVID-19 pandemic, people with disabilities experienced high levels of burnout due to discrimination, barriers to accessing resources, and lack of accommodations. Caregivers have also experienced high levels of burnout during the COVID-19 pandemic.

BACKGROUND

While researchers have examined burnout among caregivers of disabled children, less research has focused on the experiences of disabled caregivers. We examined the association between caregiver disability and burnout during the pandemic.

METHODS

We distributed an online survey to caregivers of children enrolled in socially vulnerable elementary and middle schools in San Diego County, California between September and December, 2022. Our survey included demographic questions, questions about pandemic experiences, and a continuous burnout measure. We analyzed survey data to test our hypothesis that caregivers with a disability experienced higher levels of burnout than their non-disabled counterparts during the height of the COVID-19 pandemic. We used multivariable linear regression analysis adjusting for household income and caregiver education level.

RESULTS

Disabled caregivers self-reported higher levels of burnout than non-disabled caregivers ( = 0.72; p < 0.001) during the COVID-19 pandemic in bivariate and multivariable analyses. Caregivers with a higher household income ( = 0.04; p = 0.017) and more education ( = 0.13; p = 0.005) also reported higher levels of burnout.

CONCLUSION

The COVID-19 pandemic exacerbated existing difficulties faced by disabled caregivers who often struggle to balance the demands of caregiving with their available resources. Targeted programs and policies are needed to support disabled caregivers during health emergencies that exacerbate existing inequities in access to resources.

摘要

背景

职业倦怠是由长期暴露于慢性压力导致的疲惫状态。在新冠疫情大流行之前,残疾人因歧视、获取资源的障碍以及缺乏便利设施而经历了高水平的职业倦怠。在新冠疫情大流行期间,照顾者也经历了高水平的职业倦怠。

背景

虽然研究人员已经研究了残疾儿童照顾者的职业倦怠情况,但较少有研究关注残疾照顾者的经历。我们研究了疫情期间照顾者残疾状况与职业倦怠之间的关联。

方法

2022年9月至12月期间,我们向加利福尼亚州圣地亚哥县社会弱势群体就读的中小学儿童的照顾者发放了一份在线调查问卷。我们的调查包括人口统计学问题、关于疫情经历的问题以及一项连续的职业倦怠测量指标。我们分析了调查数据,以检验我们的假设,即在新冠疫情高峰期,残疾照顾者比非残疾照顾者经历更高水平的职业倦怠。我们使用多变量线性回归分析,并对家庭收入和照顾者教育水平进行了调整。

结果

在双变量和多变量分析中,残疾照顾者在新冠疫情期间自我报告的职业倦怠水平高于非残疾照顾者(β = 0.72;p < 0.001)。家庭收入较高(β = 0.04;p = 0.017)和教育程度较高(β = 0.13;p = 0.005)的照顾者也报告了更高水平的职业倦怠。

结论

新冠疫情加剧了残疾照顾者面临的现有困难,他们常常难以在照顾需求与可用资源之间取得平衡。在加剧现有资源获取不平等的健康紧急情况下,需要有针对性的项目和政策来支持残疾照顾者。

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