哈萨克斯坦精神科服务中医务人员和护理人员情绪倦怠的患病率及社会人口学危险因素

PREVALENCE AND SOCIO-DEMOGRAPHIC RISK FACTORS OF EMOTIONAL BURNOUT AMONG PSYCHIATRISTS AND NURSING STAFF IN PSYCHIATRIC SERVICES IN KAZAKHSTAN.

作者信息

Ibrayeva A, Ospanova D, Saduakasova K, Sklyar S, Grjibovski A, Tanabayeva Sh, Fakhradiyev I

机构信息

1Republican Scientific and Practical centre of mental Health" of the Ministry of Health of the Republic of Kazakhstan, Almaty; 2Kazakhstan's medical university "KSPH", Almaty, Kazakhstan.

3Al-Farabi Kazakh National University, Almaty, Kazakhstan.

出版信息

Georgian Med News. 2025 Feb(359):108-115.

DOI:
Abstract

To date, there are no studies examining the degree of emotional burnout among psychiatrists and nursing staff working in psychiatric hospitals in Kazakhstan. The aim of this study was to assess the prevalence and risk factors of emotional burnout among psychiatrists and nurses working in mental health services in the Republic of Kazakhstan. A cross-sectional survey was conducted using the Maslach Burnout Inventory (MBI) questionnaire among psychiatrists and nurses in psychiatric hospitals across Kazakhstan. According to the MBI questionnaire, metrics such as Emotional Exhaustion (EE), Personal Achievement (PA), and Depersonalization (DP) were measured to assess burnout. Socio-demographic indicators of the participants were recorded. Of the 1015 participants, 29.0% were psychiatrists and 71.0% were nurses. Moderate Emotional Exhaustion (EE) were observed in both groups, with scores of 21.2±8.3 for psychiatrists and 20.5±8.0 for nurses (p=0.345). Depersonalization (DP) scores were 9.0±5.8 for psychiatrists and 9.0±5.4 for nurses (p=0.37). Regression analysis identified various risk factors for EE among psychiatrists including age groups 25-30, 36-40 years (OR1.7 and OR1.8, respectively), work schedule (Flextime OR1.4, Part-Time OR1.5), and job tenure (3-5 years, ≥20 years, OR1.7). Factors associated with the progression of DP in psychiatrists were Part-Time work schedule (OR1.5) and smoking (OR1.5), p<0.05. For nurses, age groups 25-30 and 36-40, job tenure ≥3 years, Part-Time work, and workload were identified as risk factors for EE, p<0.05. Housing conditions were identified as a risk factor for burnout across all measurements in both groups (p<0.05). Smoking was a factor in all three dimensions for psychiatrists, and for EE and DP in nurses, p<0.05. The study reveals a moderate level of emotional burnout among psychiatrists and nurses in Kazakhstan's psychiatric services. Given the unique challenges and vulnerabilities of personnel in psychiatric services, these findings necessitate the implementation of coping strategies and preventative measures to mitigate professional burnout.

摘要

迄今为止,尚无研究调查哈萨克斯坦精神病医院的精神科医生和护理人员的情绪倦怠程度。本研究的目的是评估哈萨克斯坦共和国精神卫生服务机构中精神科医生和护士情绪倦怠的患病率及风险因素。在哈萨克斯坦各地的精神病医院,对精神科医生和护士使用马氏倦怠量表(MBI)问卷进行了横断面调查。根据MBI问卷,测量了情绪耗竭(EE)、个人成就感(PA)和去个性化(DP)等指标以评估倦怠情况。记录了参与者的社会人口统计学指标。在1015名参与者中,29.0%是精神科医生,71.0%是护士。两组均观察到中度情绪耗竭,精神科医生的得分为21.2±8.3,护士的得分为20.5±8.0(p = 0.345)。精神科医生的去个性化(DP)得分是9.0±5.8,护士的得分是9.0±5.4(p = 0.37)。回归分析确定了精神科医生中情绪耗竭的各种风险因素,包括25 - 30岁、36 - 40岁年龄组(分别为OR1.7和OR1.8)、工作时间表(弹性工作时间OR1.4,兼职OR1.5)以及工作年限(3 - 5年、≥20年,OR1.7)。与精神科医生去个性化进展相关的因素是兼职工作时间表(OR1.5)和吸烟(OR1.5),p<0.05。对于护士,25 - 30岁和36 - 40岁年龄组、工作年限≥3年、兼职工作和工作量被确定为情绪耗竭的风险因素,p<0.05。住房条件在两组的所有测量中均被确定为倦怠的风险因素(p<0.05)。吸烟是精神科医生所有三个维度的一个因素,对于护士的情绪耗竭和去个性化也是如此,p<0.05。该研究揭示了哈萨克斯坦精神卫生服务机构中精神科医生和护士的情绪倦怠处于中等水平。鉴于精神卫生服务人员面临的独特挑战和脆弱性,这些发现有必要实施应对策略和预防措施以减轻职业倦怠。

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