与南非医护人员心理弹性相关的社会人口学和工作相关因素：一项横断面研究。
Sociodemographic and work-related factors associated with psychological resilience in South African healthcare workers: a cross-sectional study.
机构信息
Division of Actuarial Science, School of Management Studies, University of Cape Town, Cape Town, South Africa.
Division of Occupational Medicine and Centre for Environmental and Occupational Health Research, School of Public Health, University of Cape Town, Cape Town, South Africa.
出版信息
BMC Health Serv Res. 2024 Aug 24;24(1):979. doi: 10.1186/s12913-024-11430-0.
BACKGROUND
Psychological resilience facilitates adaptation in stressful environments and is an important personal characteristic that enables workers to navigate occupational challenges. Few studies have evaluated the factors associated with psychological resilience in healthcare workers.
OBJECTIVES
To determine the prevalence and factors associated with psychological resilience in a group of South African medical doctors and ambulance personnel.
MATERIALS AND METHODS
This analytical cross-sectional study used secondary data obtained from two studies conducted among healthcare workers in 2019 and 2022. Self-reported factors associated with resilience, as measured by the Connor-Davidson Resilience Scale-10 (CD-RISC-10), were evaluated. R statistical software was used for analysing the data and performing statistical tests.
RESULTS
A total of 647 healthcare workers were included in the study, of which 259 were doctors and 388 were ambulance personnel. Resilience scores were low overall (27.6 ± 6.6) but higher for ambulance personnel (28.0 ± 6.9) than for doctors (27.1 ± 6.0) (p = 0.006). Female gender (OR 1.94, 95%CI 1.03-3.72, p = 0.043), job category (OR 6.94 95%CI 1.22-60.50, p = 0.044) and overtime work (OR 13.88, 95%CI 1.61-368.00, p = 0.044) significantly increased the odds of low resilience for doctors. Conversely, salary (OR 0.13, 95%CI 0.02-0.64, p = 0.024) and current smoking status (OR 0.16, 95%CI 0.02-0.66, p = 0.027) significantly reduced the odds of low resilience amongst doctors. In addition, only previous alcohol use significantly reduced the odds of low resilience for ambulance personnel (OR 0.44, 95%CI 0.20-0.94, p = 0.038) and overall sample (OR 0.52, 95%CI 0.29-0.91, p = 0.024).
CONCLUSIONS
Resilience was relatively low in this group of South African healthcare workers. The strong association between low resilience and individual and workplace factors provides avenues for early intervention and building resilience among healthcare workers.
背景
心理弹性有助于在压力环境中适应，是一种重要的个人特质，使工作人员能够应对职业挑战。很少有研究评估与医疗保健工作者心理弹性相关的因素。
目的
确定南非一组医生和救护人员的心理弹性的流行率和相关因素。
材料和方法
本分析性横断面研究使用了 2019 年和 2022 年在医疗保健工作者中进行的两项研究中获得的二级数据。使用Connor-Davidson 弹性量表-10（CD-RISC-10）测量与弹性相关的自我报告因素进行评估。使用 R 统计软件分析数据并进行统计检验。
结果
共有 647 名医疗保健工作者纳入研究，其中 259 名为医生，388 名为救护人员。总体而言，弹性评分较低（27.6±6.6），但救护人员（28.0±6.9）高于医生（27.1±6.0）（p=0.006）。女性（OR 1.94，95%CI 1.03-3.72，p=0.043）、职业类别（OR 6.94，95%CI 1.22-60.50，p=0.044）和加班工作（OR 13.88，95%CI 1.61-368.00，p=0.044）显著增加了医生低弹性的几率。相反，工资（OR 0.13，95%CI 0.02-0.64，p=0.024）和当前吸烟状况（OR 0.16，95%CI 0.02-0.66，p=0.027）显著降低了医生低弹性的几率。此外，只有以前的饮酒行为显著降低了救护人员（OR 0.44，95%CI 0.20-0.94，p=0.038）和整个样本（OR 0.52，95%CI 0.29-0.91，p=0.024）低弹性的几率。
结论
该组南非医疗保健工作者的弹性相对较低。低弹性与个人和工作场所因素之间的密切关系为早期干预和建立医疗保健工作者的弹性提供了途径。
Zotero 插件