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巴勒斯坦医院麻醉师、麻醉技师和重症监护室护士中 burnout 综合征的患病率:一项横断面研究。

Prevalence of burnout syndrome among anesthesiologists, anesthesia technicians, and intensive care unit nurses in Palestinian hospitals: a cross-sectional study.

机构信息

Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

An-Najah National University Hospital, Nablus, Palestine.

出版信息

BMC Psychiatry. 2024 Oct 28;24(1):740. doi: 10.1186/s12888-024-06196-y.

DOI:10.1186/s12888-024-06196-y
PMID:39468477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11520787/
Abstract

BACKGROUND

Burnout syndrome is marked by three primary domains: emotional exhaustion, depersonalization, and low personal accomplishment. This study assessed the prevalence of burnout syndrome among anesthesiologists, anesthesia technicians, and intensive care unit (ICU) nurses in Palestinian hospitals. In addition, this study also sought to assess associations and identify the factors that can predict higher burnout among anesthesiologists, anesthesia technicians, and ICU nurses.

METHODS

This study was conducted in a cross-sectional design using a questionnaire between October 2023 and December 2023. The questionnaire collected the demographic variables of the healthcare providers, their living conditions, lifestyle, working conditions, job satisfaction, and intention to change the profession. The healthcare providers were included from 12 different hospitals. Burnout syndrome was assessed using the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS-MP).

RESULTS

A total of 250 healthcare providers were invited to participate in this study, of those, 212 completed the questionnaire, giving a response rate of 84.8%. Of the healthcare providers, 72 (34.0%) were anesthesiologists, 41 (19.3%) were anesthesia technicians, and 99 (46.7%) were ICU nurses. Of all healthcare providers, 151 (71.2%) reported emotional exhaustion, 125 (59%) reported depersonalization and 145 (68.4%) reported a lack of personal achievement based on the MBI-HSS-MP criteria for burnout. Multiple linear regression showed that higher emotional exhaustion scores could be predicted by the number of working hours per day (p-value = 0.039) and higher depersonalization scores could be predicted by having children (p-value = 0.001). On the other hand, lower personal achievement scores could be predicted by having children (p-value = 0.006), not owning a car (p-value = 0.036), and having more night shifts (p-value = 0.049).

CONCLUSIONS

The findings of this study indicated that burnout syndrome was prevalent among anesthesiologists, anesthesia technicians, and ICU nurses in Palestinian hospitals. Healthcare authorities and professional bodies should consider designing interventions to reduce burnout and improve the psychological well-being of anesthesiologists, anesthesia technicians, and ICU nurses. Further studies are required to identify the most effective interventions for reducing burnout among anesthesiologists, anesthesia technicians, and ICU nurses in Palestine.

摘要

背景

burnout 综合征的三个主要领域是:情绪衰竭、去人格化和个人成就感低。本研究评估了巴勒斯坦医院麻醉师、麻醉技师和重症监护病房(ICU)护士 burnout 综合征的患病率。此外,本研究还旨在评估相关性并确定可预测麻醉师、麻醉技师和 ICU 护士更高 burnout 水平的因素。

方法

本研究采用横断面设计,于 2023 年 10 月至 12 月期间使用问卷进行。问卷收集了医疗保健提供者的人口统计学变量、他们的生活条件、生活方式、工作条件、工作满意度和改变职业的意愿。从 12 家不同的医院招募了 burnout 综合征患者。使用 Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS-MP) 评估 burnout 综合征。

结果

共邀请 250 名医疗保健提供者参加本研究,其中 212 名完成了问卷,应答率为 84.8%。在医疗保健提供者中,72 人(34.0%)为麻醉师,41 人(19.3%)为麻醉技师,99 人(46.7%)为 ICU 护士。根据 MBI-HSS-MP 对 burnout 的标准,所有医疗保健提供者中,151 人(71.2%)报告存在情绪衰竭,125 人(59%)报告存在去人格化,145 人(68.4%)报告个人成就感不足。多元线性回归显示,较高的情绪衰竭评分可由每天工作小时数预测(p 值=0.039),较高的去人格化评分可由子女情况预测(p 值=0.001)。另一方面,较低的个人成就评分可由子女情况预测(p 值=0.006),无车(p 值=0.036)和夜班较多(p 值=0.049)预测。

结论

本研究结果表明,巴勒斯坦医院的麻醉师、麻醉技师和 ICU 护士 burnout 综合征普遍存在。卫生保健当局和专业机构应考虑设计干预措施,以减少 burnout 并改善麻醉师、麻醉技师和 ICU 护士的心理健康。需要进一步研究以确定减少巴勒斯坦麻醉师、麻醉技师和 ICU 护士 burnout 最有效的干预措施。

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