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Burnout and Associated Factors among Hospital-Based Nurses in Northern Uganda: A Cross-Sectional Survey.乌干达北部医院护士的职业倦怠及其相关因素:一项横断面调查
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乌干达中部医护人员的倦怠与生活质量。

Burnout and quality of life among healthcare workers in central Uganda.

机构信息

Department of Psychiatry, Lira University, Lira, Uganda.

Department of Environmental Health and Disease Control, Lira University, Lira, Uganda.

出版信息

PLoS One. 2024 Aug 19;19(8):e0305713. doi: 10.1371/journal.pone.0305713. eCollection 2024.

DOI:10.1371/journal.pone.0305713
PMID:39159180
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11332927/
Abstract

BACKGROUND

The widespread problem of burnout among healthcare workers is not only common but also a significant concern that impacts the entire healthcare system in Uganda. It is essential to understand the connection between burnout and quality of life among healthcare workers in the specific context of central Uganda, where healthcare professionals face high patient volumes, limited resources, exposure to infectious diseases, and socioeconomic challenges. This study examined the relationship between burnout and quality of life among healthcare workers in central Uganda.

METHODS

This research utilized a cross-sectional study conducted across various healthcare settings in central Uganda. The data were analyzed at descriptive, bivariate, and multivariate levels. The relationship between dependent and independent variables was evaluated using an independent t-test for binary variables and a one-way analysis of variance (ANOVA) for categorical variables. Significance was determined with a reported p-value, with relationships deemed significant at p < 0.2. For multivariable analysis, multiple linear regression was employed using a forward selection method, with significance set at 5% (p < 0.05).

RESULTS

Our findings indicate that nearly 40% of healthcare workers reported experiencing high levels of burnout. The average score for overall quality of life was 10.71 (±4.89), with variations observed across different domains. The study reveals a significant connection between socio-demographic factors, burnout, and overall quality of life, emphasizing the impact of job category, supervisory support, sleep quality, and burnout on the well-being of healthcare workers. Predictive analysis illustrates how these factors influence both overall quality of life scores and scores in specific domains. Particularly noteworthy is that nurses and technicians tend to have a lower quality of life compared to physicians.

CONCLUSION

The results underscore the relationship between socio-demographic factors, burnout, and particular aspects of quality of life. Notably, job category, supervisory support, sleep quality, and burnout stand out as significant factors shaping the well-being of healthcare workers. Nurses and technicians encounter distinct challenges, suggesting the need for interventions tailored to their needs. Addressing issues such as inadequate supervisory support, burnout, and sleep-related problems is recognized as a potential approach to improving the overall quality of life among healthcare workers.

摘要

背景

医护人员 burnout 现象普遍且严重,不仅是乌干达整个医疗体系面临的重大问题,也对医护人员自身产生了严重影响。了解 burnout 与医护人员生活质量之间的关系,对于理解中部乌干达的情况尤为重要。在当地,医护人员面临着高工作量、有限的资源、传染病暴露和社会经济挑战等问题。本研究旨在探讨中部乌干达医护人员 burnout 与生活质量之间的关系。

方法

本研究采用横断面研究设计,在中部乌干达的多个医疗保健环境中进行。数据分析采用描述性、双变量和多变量方法。使用独立样本 t 检验分析二分类变量,单因素方差分析(ANOVA)分析分类变量与因变量之间的关系。采用双侧检验,以 p 值<0.2 为有统计学意义。多变量分析采用逐步向前选择法的多元线性回归,以 p<0.05 为有统计学意义。

结果

研究结果显示,近 40%的医护人员报告经历了高度 burnout。整体生活质量平均得分为 10.71(±4.89),不同领域存在差异。研究结果表明,社会人口因素、 burnout 与整体生活质量之间存在显著关系,强调了工作类别、监督支持、睡眠质量和 burnout 对医护人员幸福感的影响。预测分析表明这些因素如何影响整体生活质量评分和特定领域的评分。值得注意的是,护士和技术人员的生活质量往往低于医生。

结论

研究结果强调了社会人口因素、 burnout 与生活质量特定方面之间的关系。特别是工作类别、监督支持、睡眠质量和 burnout 是影响医护人员健康的重要因素。护士和技术人员面临着独特的挑战,表明需要针对他们的需求进行干预。解决监督支持不足、 burnout 和睡眠相关问题等问题,被认为是提高医护人员整体生活质量的潜在方法。