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COVID-19 疫情第二波期间重症监护病房成员中倦怠综合征的患病率及其危险因素:一项单中心研究。

Prevalence and risk factors of Burnout syndrome among intensive care unit members during the second wave of COVID-19: a single-center study.

机构信息

Department of Anesthesiology, Pain and Intensive Care Medicine, Hospital São Paulo, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2024 Sep 2;22:eAO0271. doi: 10.31744/einstein_journal/2024AO0271. eCollection 2024.

Abstract

OBJECTIVE

To evaluate the prevalence of burnout among the intensive care unit team of a university hospital after the second wave of COVID-19 and identify the key factors associated with its development.

METHODS

This single-center study included 395 employees from a multidisciplinary team. The participants completed a questionnaire based on the Maslach Burnout Inventory. Multivariate analysis was used to identify the factors associated with burnout.

RESULTS

Of 395 participants, 220 responded to the questionnaire (response rate: 56%). The prevalence of Burnout syndrome, defined as a severe score in at least one dimension, was 64.5% (142/220). Emotional distress was the most prevalent dimension, with a severe score affecting 50.5% (111/220) of the participants, followed by depersonalization at 39.1% (86/220). Only 5.9% (13/220) had severe scores in all three dimensions. Multivariate analysis revealed that being a physician was significantly associated with severe burnout symptoms in at least one dimension (odds ratio (OR), 1.32; 95% confidence interval (95%CI): 1.57-9.05; p=0.003). Additionally, having two or more jobs was associated with burnout in the three dimensions (OR=1.65; 95%CI=1.39-19.59; p=0.01).

CONCLUSION

This study highlights the alarming prevalence of burnout among intensive care unit teams, particularly among physicians, following the second wave of COVID-19. This emphasizes the need for targeted interventions and support systems to mitigate burnout and reduce its negative impact on healthcare professionals' well-being and patient care.

摘要

目的

评估大学附属医院重症监护病房团队在第二波 COVID-19 后出现倦怠的流行情况,并确定与倦怠发展相关的关键因素。

方法

这项单中心研究纳入了来自多学科团队的 395 名员工。参与者完成了基于 Maslach 倦怠量表的问卷。采用多变量分析来确定与倦怠相关的因素。

结果

在 395 名参与者中,有 220 名(应答率:56%)回答了问卷。定义为至少一个维度严重评分的倦怠综合征的患病率为 64.5%(142/220)。情感困扰是最普遍的维度,有 50.5%(111/220)的参与者出现严重评分,其次是去人性化,占 39.1%(86/220)。只有 5.9%(13/220)的参与者在所有三个维度上均出现严重评分。多变量分析显示,作为医生与至少一个维度的严重倦怠症状显著相关(优势比(OR),1.32;95%置信区间(95%CI):1.57-9.05;p=0.003)。此外,有两份或更多份工作与三个维度的倦怠相关(OR=1.65;95%CI=1.39-19.59;p=0.01)。

结论

本研究强调了 COVID-19 第二波疫情后,重症监护病房团队,特别是医生中出现的令人震惊的倦怠流行情况。这强调了需要采取有针对性的干预措施和支持系统来减轻倦怠,并减少其对医疗保健专业人员福祉和患者护理的负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/821c/11461010/955934ffaa55/2317-6385-eins-22-eAO0271-gf01.jpg

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