Lim L E C, Heng G M Y T, Chan Y H, Wong H C, Loh L K M, Eng L Y T, Chan C, Fam J
Department of Psychiatry, Singapore General Hospital, Singapore.
Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
East Asian Arch Psychiatry. 2024 Sep;34(3):58-64. doi: 10.12809/eaap2428.
This study aimed to investigate factors associated with burnout among healthcare workers (HCWs) in a tertiary hospital in Singapore.
All HCWs from the Singapore General Hospital were invited to participate in a survey using a secure online platform. Participant demographic data were collected. Instruments used included the Oldenburg Burnout Inventory (OLBI), the Connor-Davidson Resilience Scale, the Patient Health Questionnaire-4, a brief form of the Perceived Social Support Questionnaire, the Demand-Control-Support Questionnaire, and the Leisure Time Satisfaction Scale.
Of 9888 staff, 742 (7.5%) responded. The mean OLBI score was 43.7, whereas the mean exhaustion subscale score was 22.5 and the mean disengagement subscale score was 21.2. Of the participants, 53.6% and 50.0% met the cut-off values for disengagement and exhaustion, respectively. In the linear regression analysis, those aged 20 to 29 years had higher OLBI scores than those aged ≥40 years (ß = 1.88, p = 0.001). Higher OLBI scores were associated with higher Patient Health Questionnaire-4 scores (ß = 0.52, p < 0.001), including the subscales of anxiety (ß = 0.30, p = 0.038) and depression (ß = 0.70, p < 0.001), lower scores for resilience (ß = -0.20, p < 0.001), particularly in the subscales of self-efficacy (ß = -0.37, p = 0.018) and cognitive focus (ß = -1.02, p < 0.001), higher psychological demand subscale scores (ß = 0.62, p < 0.001) and lower decision latitude subscale scores (ß = -0.33, p < 0.001) and lower social support subscale scores (ß = -0.47, p < 0.001), and lower Leisure Time Satisfaction Scale score (ß = -0.55, p < 0.001).
Among HCWs in a Singaporean hospital, burnout was associated with age <40 years, the presence of anxiety and depressive symptoms, low resilience, high psychological demands and low decision latitude and social support, and low leisure time satisfaction.
本研究旨在调查新加坡一家三级医院医护人员职业倦怠的相关因素。
邀请新加坡总医院的所有医护人员通过安全的在线平台参与一项调查。收集参与者的人口统计学数据。使用的工具包括奥尔登堡倦怠量表（OLBI）、康纳-戴维森韧性量表、患者健康问卷-4、感知社会支持问卷简表、工作需求-控制-支持问卷以及休闲时间满意度量表。
9888名员工中，742人（7.5%）做出了回应。OLBI平均得分为43.7，而疲惫分量表平均得分为22.5，脱离分量表平均得分为21.2。参与者中，分别有53.6%和50.0%达到了脱离和疲惫的临界值。在线性回归分析中，20至29岁的参与者OLBI得分高于40岁及以上者（β = 1.88，p = 0.001）。较高的OLBI得分与较高的患者健康问卷-4得分相关（β = 0.52，p < 0.001），包括焦虑（β = 0.30，p = 0.038）和抑郁（β = 0.70，p < 0.001）分量表得分，较低的韧性得分（β = -0.20，p < 0.001），尤其是自我效能（β = -0.37，p = 0.018）和认知专注（β = -1.02，p < 0.001）分量表得分，较高的心理需求分量表得分（β = 0.62，p < 0.001）、较低的决策自由度分量表得分（β = -0.33，p < 0.001）和较低的社会支持分量表得分（β = -0.47，p < 0.001），以及较低的休闲时间满意度量表得分（β = -0.55，p < 0.001）。
在新加坡一家医院的医护人员中，职业倦怠与年龄小于40岁、存在焦虑和抑郁症状、韧性低、心理需求高、决策自由度和社会支持低以及休闲时间满意度低有关。
