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2019冠状病毒病疫情对医护人员职业倦怠水平的影响:疫情期间与疫情后时期的比较分析

The impact of the COVID-19 pandemic on burnout levels among healthcare workers: A comparative analysis of the pandemic period and post-pandemic period.

作者信息

Reshetnikov Andrey, Abaeva Olga, Prisyazhnaya Nadezhda, Romanova Tatyana, Romanov Sergey, Sobolev Konstantin, Manukyan Anahit

机构信息

Institute of Social Sciences, Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russian Federation.

Department of Public Health and Health Organization, Federal State Budgetary Educational Institution of Higher Education «Privolzhsky Research Medical University» of the Ministry of Health of the Russian Federation (FSBEI HE PRMU MOH Russia), Nizhny Novgorod, Russian Federation.

出版信息

Heliyon. 2024 Aug 23;10(17):e36769. doi: 10.1016/j.heliyon.2024.e36769. eCollection 2024 Sep 15.

Abstract

Emotional burnout among physicians is a serious problem that can affect their health and the quality of medical care. This condition occurs when physicians experience excessive stress and pressure at work, often due to high demands and expectations imposed on them by patients. This study aims to assess the experience and factors associated with emotional burnout among health workers who deal with COVID-19-positive patients. The study population includes employees at the infectious diseases hospital and the inpatient clinical hospital examined using the Maslach Burnout Inventory. The prevalence of high emotional exhaustion among infectious diseases specialists and inpatient physicians was 51.2 ± 3.4 % and 43.3 ± 8.1 %, respectively. The prevalence of high depersonalization was 39.4 ± 7.9 % and 40.5 ± 8.1 %, respectively. Finally, the prevalence of reduced professional efficacy was 26.3 ± 7.1 % and 41.3 ± 8.3 %, respectively. The main burnout contributors were a heavy workload, a high risk of infection, the lack of protective equipment, insufficient social support, constant interaction with suffering patients, and work-life imbalance. To prevent burnout among health workers who deal with COVID-19-positive patients, it is best to create a working environment that is conducive to good physical and mental health, implement stress management courses, and provide employees with enough time for rest and recovery. These preventive measures will help to improve the quality of health care. The findings of the study can be utilized for the development of support programs for healthcare professionals, improvement of working conditions, and reduction of the risk of emotional burnout.

摘要

医生的职业倦怠是一个严重的问题,会影响他们的健康和医疗服务质量。这种情况发生在医生在工作中经历过度的压力时,这通常是由于患者对他们的高要求和高期望所致。本研究旨在评估与诊治新冠病毒阳性患者的医护人员职业倦怠相关的经历和因素。研究对象包括传染病医院和住院临床医院的员工,使用马氏职业倦怠量表进行测评。传染病专科医生和住院医生中,高情绪耗竭的患病率分别为51.2±3.4%和43.3±8.1%。高去个性化的患病率分别为39.4±7.9%和40.5±8.1%。最后,职业效能降低的患病率分别为26.3±7.1%和41.3±8.3%。职业倦怠的主要促成因素包括工作量大、感染风险高、缺乏防护设备、社会支持不足、与痛苦的患者持续互动以及工作与生活失衡。为防止诊治新冠病毒阳性患者的医护人员出现职业倦怠,最好营造一个有利于身心健康的工作环境,开展压力管理课程,并为员工提供足够的休息和恢复时间。这些预防措施将有助于提高医疗服务质量。该研究结果可用于制定医护人员支持计划、改善工作条件以及降低职业倦怠风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c98/11402927/dcce1c608283/gr1.jpg

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