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乌干达中部医护人员的倦怠程度及其相关因素:一项基于机构的横断面研究。

Level of burnout and associated factors among healthcare workers in central Uganda: A facility-based cross-sectional study.

机构信息

Faculty of Medicine, Lira University, Lira, Uganda.

Faculty of Public Health, Lira University, Lira, Uganda.

出版信息

PLoS One. 2024 Oct 29;19(10):e0309701. doi: 10.1371/journal.pone.0309701. eCollection 2024.

DOI:10.1371/journal.pone.0309701
PMID:39471135
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11521283/
Abstract

BACKGROUND

Burnout among healthcare workers is a global concern with significant implications for both the well-being of the workforce and the quality of patient care. This facility-based cross-sectional study aimed to identify factors associated with burnout among healthcare workers in central Uganda.

METHODS

The study, conducted between June and July 2023, utilized a cross-sectional design involving physicians, nurses, and technicians. The study covered both public and private hospitals in central Uganda, incorporating urban and rural settings. A sample size of 550 healthcare workers was selected using a simple random sampling. Data collection involved a socio-demographic survey, the Professional Quality of Life (ProQOL-5). Descriptive statistics, Pearson Chi-square test, and ordinal regression models were employed to analyze demographic factors associated with burnout.

RESULTS

Of 548 participants, 218(39.8%) experienced high burnout levels. Factors significantly associated with high burnout levels included having over 10 years of work experience (OR: 2.04, 95% CI: 1.12-3.73), working more than 40 hours per week (AOR: 4.46, 95% CI: 1.20-16.62), lack of management support (AOR: 14.45, 95% CI: 3.83-54.56), not experiencing workplace violence (AOR: 2.22, 95% CI: 1.31-3.76), and reporting inadequate sleep (AOR: 6.96, 95% CI: 3.86-12.57).

CONCLUSION

Addressing burnout among healthcare workers in central Uganda requires targeted interventions tailored to the specific challenges faced in the region, including workload distribution, managerial support enhancement, violence prevention strategies, and promotion of adequate sleep. Urgent attention to these factors is essential for enhancing the well-being of healthcare professionals and maintaining quality patient care.

摘要

背景

医护人员的职业倦怠是一个全球性问题,对员工的福祉和患者护理质量都有重大影响。本基于机构的横断面研究旨在确定乌干达中部医护人员职业倦怠的相关因素。

方法

该研究于 2023 年 6 月至 7 月进行,采用横断面设计,涉及医生、护士和技术员。研究覆盖乌干达中部的公立和私立医院,包括城市和农村地区。使用简单随机抽样选择了 550 名医护人员的样本量。数据收集包括社会人口学调查和职业生活质量(ProQOL-5)。采用描述性统计、Pearson Chi-square 检验和有序回归模型分析与倦怠相关的人口统计学因素。

结果

在 548 名参与者中,有 218 人(39.8%)经历了高度倦怠。与高度倦怠水平显著相关的因素包括工作经验超过 10 年(OR:2.04,95%CI:1.12-3.73)、每周工作超过 40 小时(AOR:4.46,95%CI:1.20-16.62)、缺乏管理层支持(AOR:14.45,95%CI:3.83-54.56)、未经历工作场所暴力(AOR:2.22,95%CI:1.31-3.76)和报告睡眠不足(AOR:6.96,95%CI:3.86-12.57)。

结论

解决乌干达中部医护人员的职业倦怠问题需要针对该地区面临的具体挑战采取有针对性的干预措施,包括工作量分配、管理支持加强、预防暴力策略和促进充足睡眠。迫切需要关注这些因素,以提高医护人员的福祉并维持高质量的患者护理。