Hussien Rasha Mohammed, Alharbi Talal Ali F, Alasqah Ibrahim, Alqarawi Nada, Ngo Andrew Dumale, Arafat Azza Elsayed Abd Elfatah, Alsohibani Meead Abdulaziz, Zoromba Mohamed Ali
Department of Psychiatric and Mental Health, and Community Health, College of Nursing, Qassim University, Buraydah, Qassim, Saudi Arabia.
Department of Nursing, Medical City, Qassim University, Buraydah, Qassim, Saudi Arabia.
Int J Ment Health Nurs. 2025 Feb;34(1):e13496. doi: 10.1111/inm.13496.
Burnout is a significant issue among healthcare professionals, particularly nurses, due to high workloads and emotional demands. However, limited research has explored burnout among primary healthcare nurses in Saudi Arabia, who play a vital role in healthcare delivery. This study aims to address this gap by investigating burnout levels and their association with anxiety, depression and self-efficacy among primary healthcare nurses. A cross-sectional survey design was employed, with 161 primary healthcare nurses from the Qassim region, Saudi Arabia. Data were collected using the Maslach Burnout Inventory, the Patient Health Questionnaire-4 and the General Self-Efficacy Scale. Pearson correlation and logistic regression were used to analyse the associations between study variables. A high prevalence of burnout risk (78.9%) was observed. Emotional exhaustion was detected in 35.4%, depersonalisation in 44.7% and low personal accomplishment in 57.8%. Anxiety (r = 0.707, p < 0.01) and depression (r = 0.564, p < 0.01) were positively correlated with emotional exhaustion, while self-efficacy was negatively correlated (r = -0.260, p < 0.05). Logistic regression analysis revealed that anxiety (OR = 5.784, 95% CI: 2.056-16.269) and low self-efficacy (OR = 6.625, 95% CI: 2.979-14.737) were significant predictors of burnout. Targeted interventions are essential to mitigate burnout among primary healthcare nurses. Specific measures could include mindfulness-based stress reduction programmes to address emotional exhaustion, peer support sessions to reduce depersonalisation and skill-building workshops to enhance self-efficacy. These interventions can improve nurse well-being and ensure sustainable healthcare delivery in primary care settings.
由于工作量大且情感需求高，职业倦怠是医疗保健专业人员尤其是护士面临的一个重要问题。然而，针对沙特阿拉伯基层医疗保健护士职业倦怠情况的研究有限，而这些护士在医疗服务中发挥着至关重要的作用。本研究旨在通过调查基层医疗保健护士的职业倦怠水平及其与焦虑、抑郁和自我效能感的关联来填补这一空白。采用了横断面调查设计，研究对象为来自沙特阿拉伯卡西姆地区的161名基层医疗保健护士。使用马氏职业倦怠量表、患者健康问卷 - 4和一般自我效能感量表收集数据。采用Pearson相关性分析和逻辑回归分析来研究各变量之间的关联。研究发现职业倦怠风险的患病率很高（78.9%）。情感耗竭的检出率为35.4%，去人格化的检出率为44.7%，个人成就感低落的检出率为57.8%。焦虑（r = 0.707，p < 0.01）和抑郁（r = 0.564，p < 0.01）与情感耗竭呈正相关，而自我效能感与之呈负相关（r = -0.260，p < 0.05）。逻辑回归分析显示，焦虑（OR = 5.784，95% CI：2.056 - 16.269）和自我效能感低（OR = 6.625，95% CI：2.979 - 14.737）是职业倦怠的重要预测因素。有针对性的干预措施对于减轻基层医疗保健护士的职业倦怠至关重要。具体措施可包括开展基于正念减压的项目以解决情感耗竭问题，组织同伴支持活动以减少去人格化现象，以及举办技能提升工作坊以增强自我效能感。这些干预措施可改善护士的幸福感，并确保基层医疗环境中医疗服务的可持续性。
