Ahmead Muna, El Sharif Nuha, Alwawi Abdallah, Hemeid Asma, Ziqan Motasem
Faculty of Public Health, Al Quds University, Jerusalem, Palestine.
Faculty of Health Professions, Al Quds University, Jerusalem, Palestine.
Front Public Health. 2024 Dec 18;12:1477812. doi: 10.3389/fpubh.2024.1477812. eCollection 2024.
During times of conflict, healthcare personnel face a heightened vulnerability to experiencing psychological problems such as burnout. The impact of conflict or wars on mental health professionals in Palestine and their strategies for managing these problems are currently not recognized. This study sought to assess the prevalence of burnout symptoms and coping strategies among healthcare workers in Palestine, in the context of the ongoing conflict and political violence.
The study utilized a cross-sectional research design. Self-reported questionnaires, including the shortened version (9 items) of The Maslach Burnout Questionnaire and Brief COPE scales, were used to gather data. The relationship between the research variables and burn symptoms was investigated using Chi-squared test, Student's -test, Mann-Whitney, and Analysis of variance and multi-regression.
A total of 713 participants were recruited. The prevalence rates were as follows: burnout-(72.9%), emotional exhaustion (44.2%), depersonalization (9.8%), and low personal accomplishment (72.2%). The multivariate analysis found that those who worked more than 16 h per day and those who had 1-15 years of job experience were more likely to had emotional exhaustion. Active coping, substance use, informational support, and emotional support all reduced the likelihood of burnout while behavioral disengagement and self-blame increased the possibility of experiencing burnout. Finally, substance use decreased emotional exhaustion, increased depersonalization and enhanced personal accomplishment.
The findings revealed a high prevalence of burnout among health professionals during wartime and political violence. As a result, health professionals are vulnerable to mental problems during political violence and they need immediate assistance in enhancing their mental wellbeing through psychological support, and comprehensive training in stress management.
在冲突时期,医护人员面临心理问题(如职业倦怠)的风险更高。目前,冲突或战争对巴勒斯坦心理健康专业人员的影响及其应对这些问题的策略尚未得到认可。本研究旨在评估在持续冲突和政治暴力背景下,巴勒斯坦医护人员职业倦怠症状的患病率及应对策略。
本研究采用横断面研究设计。使用自我报告问卷,包括《马氏职业倦怠问卷》简版(9项)和简易应对方式量表,收集数据。使用卡方检验、学生t检验、曼-惠特尼检验、方差分析和多元回归分析研究变量与职业倦怠症状之间的关系。
共招募了713名参与者。患病率如下:职业倦怠-(72.9%)、情感耗竭(44.2%)、去个性化(9.8%)和个人成就感低落(72.2%)。多变量分析发现,每天工作超过16小时以及有1至15年工作经验的人更容易出现情感耗竭。积极应对、物质使用、信息支持和情感支持均降低了职业倦怠的可能性,而行为脱离和自我责备则增加了出现职业倦怠的可能性。最后,物质使用减少了情感耗竭,增加了去个性化,并提高了个人成就感。
研究结果显示,在战时和政治暴力期间,卫生专业人员中职业倦怠的患病率很高。因此,卫生专业人员在政治暴力期间易患心理问题,他们需要通过心理支持和压力管理综合培训来立即获得帮助,以增强心理健康。