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超越疫情:医护人员社会支持、睡眠质量和倦怠的纵向经验教训。

Beyond the Pandemic: Longitudinal Lessons on Social Support, Sleep Quality, and Burnout Among Healthcare Workers.

机构信息

From the Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil (C.M.M., B.T.-S., P.B.L., S.H.); Psychodynamic Psychiatry Lab, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil (C.M.M., B.T.-S., P.B.L., S.H.); and Münchner Lehr- und Forschungsinstitut der Deutschen Akademie für Psychoanalyse, München, Germany (P.B.L.).

出版信息

J Occup Environ Med. 2024 Nov 1;66(11):874-879. doi: 10.1097/JOM.0000000000003194. Epub 2024 Jul 17.

Abstract

OBJECTIVES

To assess occupational burnout (OB) changes among Brazilian healthcare workers (HCWs) from COVID-19 onset to 6 months later (T1) and identify risk and protective factors.

METHODS

Using the Copenhagen Burnout Inventory and hierarchical multivariate linear regression in a two-stage online survey (initial n = 1054; T1 n = 316), this study examined the impact of various factors on OB.

RESULTS

Significant increases in personal and work-related OB were observed by T1. Psychiatric diagnosis and workload emerged as risk factors ( P < 0.01), while having a partner, good family relations, workplace well-being, and adequate sleep were protective ( P < 0.001).

CONCLUSIONS

OB levels among Brazilian HCWs increased during the COVID-19 pandemic. Interventions should target personal and organizational wellness to alleviate burnout, emphasizing the importance of strong relationships, workplace health, and good sleep practices.

摘要

目的

评估 COVID-19 发病至 6 个月后(T1)巴西医护人员(HCWs)职业倦怠(OB)的变化,并确定风险和保护因素。

方法

本研究采用哥本哈根倦怠量表和两阶段在线调查中的分层多元线性回归(初始 n = 1054;T1 n = 316),考察了各种因素对 OB 的影响。

结果

T1 时个人和与工作相关的 OB 显著增加。精神科诊断和工作量是风险因素(P<0.01),而有伴侣、良好的家庭关系、工作场所幸福感和充足的睡眠是保护因素(P<0.001)。

结论

巴西 HCWs 的 OB 水平在 COVID-19 大流行期间有所上升。干预措施应针对个人和组织的健康,以减轻倦怠,强调良好关系、工作场所健康和良好睡眠习惯的重要性。

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