Research Group "Salud Pública - Salud Integral", Postgraduate School, Universidad Nacional Federico Villarreal, Lima, Peru.
Professional Academic School of Dentistry, Faculty of Health Sciences, Universidad Privada Norbert Wiener, Lima, Peru.
BMC Public Health. 2024 Jun 3;24(1):1488. doi: 10.1186/s12889-024-18979-9.
During the pandemic, many police dentists had the crucial responsibility of ensuring law and order while providing dental care by taking government-approved health measures to stop the spread of the coronavirus. The aim of this study was to assess the association between the fear of COVID-19 and Burnout syndrome in Peruvian dentists belonging to the Health Department of the National Police of Peru (PNP), taking into account possible confounding variables.
This cross-sectional and analytical study included 182 PNP dentists. The Fear COVID-19 Scale assessed fear of COVID-19 and the Maslach Burnout Inventory Test assessed burnout syndrome. The association between the fear of COVID-19 and Burnout syndrome (self-fulfilment) was analyzed using Spearman's Rho. A multivariable Poisson regression model with a robust variance estimation method was employed to evaluate the impact of fear of COVID-19 on the various dimensions of Burnout syndrome, considering possible confounding variables. The statistical significance level was set at p < 0.05.
Under bivariate analysis, fear of COVID-19 was significantly linked with low direct intensity toward emotional exhaustion (Rho = 0.325, p < 0.001), very low direct intensity toward depersonalization (Rho = 0.180, p = 0.015), and very low inverse intensity toward self-fulfilment (Rho =-0.186, p = 0.012). Under multivariable analysis, it was observed that dentists who exhibited fear of COVID-19 were 3.4 and 3.7 times more likely to experience emotional exhaustion and depersonalization, respectively (APR = 3.40, 95% CI: 1.74-6.63 and APR = 3.68, 95% CI: 1.31-10.37), as compared to those who did not display fear of COVID-19. Moreover, none of the potential confounding factors were found to have a significant impact on emotional exhaustion (p > 0.05), depersonalization (p > 0.05), and self-fulfilment (p > 0.05).
Fear of COVID-19 was significantly associated with emotional exhaustion and depersonalization, and inversely associated with self-fulfilment. PNP dentists who exhibited fear of COVID-19 were at greater risk for emotional exhaustion and depersonalization. In developing Burnout syndrome, no significant impact was observed from factors such as age, gender, marital status, children, hierarchy, years of service, work area, private practice, work over 40 h per week, type of service, work performed, sport practice and daily exercise time.
在疫情期间，许多警察牙医承担着确保法律秩序的重要责任，同时通过采取政府批准的卫生措施来提供牙科护理，以阻止冠状病毒的传播。本研究的目的是评估秘鲁国家警察卫生部门（PNP）的牙医对 COVID-19 的恐惧与倦怠综合征之间的关联，同时考虑到可能的混杂变量。
这是一项横断面和分析性研究，共纳入 182 名 PNP 牙医。使用恐惧 COVID-19 量表评估对 COVID-19 的恐惧，使用马斯拉赫倦怠量表评估倦怠综合征。使用 Spearman's Rho 分析对 COVID-19 的恐惧与倦怠综合征（自我实现）之间的关联。采用稳健方差估计方法的多变量泊松回归模型，考虑可能的混杂变量，评估对 COVID-19 的恐惧对倦怠综合征各维度的影响。统计显著性水平设为 p < 0.05。
在单变量分析中，对 COVID-19 的恐惧与情绪耗竭的直接强度较低（Rho = 0.325，p < 0.001）、去人格化的直接强度非常低（Rho = 0.180，p = 0.015）和自我实现的反向强度非常低（Rho = -0.186，p = 0.012）显著相关。在多变量分析中，发现对 COVID-19 感到恐惧的牙医经历情绪耗竭和去人格化的可能性分别增加了 3.4 倍和 3.7 倍（调整后比值比（APR）= 3.40，95%置信区间：1.74-6.63 和 APR = 3.68，95%置信区间：1.31-10.37），与不感到恐惧 COVID-19 的牙医相比。此外，没有发现任何潜在的混杂因素对情绪耗竭（p > 0.05）、去人格化（p > 0.05）和自我实现（p > 0.05）有显著影响。
对 COVID-19 的恐惧与情绪耗竭和去人格化显著相关，与自我实现呈负相关。表现出对 COVID-19 恐惧的 PNP 牙医更容易出现情绪耗竭和去人格化。在倦怠综合征的发展中，年龄、性别、婚姻状况、子女、层级、服务年限、工作领域、私人执业、每周工作超过 40 小时、服务类型、工作性质、运动锻炼和每天锻炼时间等因素没有显著影响。
