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无形的代价:新冠疫情对医护人员职业生活质量的影响

The Unseen Toll: Impact of COVID-19 on Professional Quality of Life of Healthcare Workers.

作者信息

Munjappa Hemlata B, Parekh Meena K, Patil Aditi N, Shinde Smita A, Ingale Sunita S

机构信息

Physiology, Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, IND.

Pharmacology, Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, IND.

出版信息

Cureus. 2025 Jul 23;17(7):e88633. doi: 10.7759/cureus.88633. eCollection 2025 Jul.

DOI:10.7759/cureus.88633
PMID:40861597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12374776/
Abstract

Background During the COVID-19 pandemic, healthcare workers (HCWs) were at risk of getting affected emotionally, physically, and psychologically. Repeated exposure to traumatic situations, concern for patients' well-being, social distancing measures, quarantine, and stigma lead to feelings of loneliness and depression. Stress, anxiety, insomnia, and burnout syndrome were the common psychological consequences noted in HCWs during the COVID-19 pandemic. During this pandemic period, improvements in positive patient outcomes and expressions of gratitude towards healthcare workers provided positive reinforcement for them. This positive feeling buffered the feeling of burnout. The balance between these two explains the professional quality of life (ProQOL). So this study aimed to study the professional quality of life of healthcare workers involved during the COVID-19 pandemic at a tertiary healthcare center. Material and methodology The study was conducted by using a pre-validated and reliable ProQOL questionnaire to assess the professional quality of life in 161 HCWs from a tertiary healthcare center (62 doctors, 89 nurses, and 10 technicians). Results ProQOL has positive (compassion satisfaction) and negative (compassion fatigue and burnout) aspects that individuals feel during their work as a helper. Compassion Satisfaction, Burnout, and Secondary Traumatic Stress were moderate in all three groups. Moderate level of Compassion Satisfaction was seen in 57 (91.93%) of doctors, 78 (87.6%) of nurses and 4 (40%) of technicians. Moderate level of Burnout was seen in 55 (88%) of doctors, 81 (91%) of nurses and 6 (60%) of technicians. Moderate level of Secondary Traumatic Stress was seen in 56 (90%) of doctors, 72 (80%) of nurses and 7 (70%) of technicians. Conclusion Overall, the moderate scores across all dimensions highlight the delicate balance maintained by healthcare workers between professional fulfillment and occupational stress during the pandemic. Institutional support systems, mental health interventions, peer support programs, and adequate staffing will promote a healthier professional quality of life among HCWs in high-stress environments like pandemics.

摘要

背景 在新冠疫情期间,医护人员面临着情感、身体和心理上受到影响的风险。反复接触创伤性情境、对患者福祉的担忧、社交距离措施、隔离以及污名化导致了孤独感和抑郁情绪。压力、焦虑、失眠和职业倦怠综合征是新冠疫情期间医护人员常见的心理后果。在这一疫情期间,患者积极预后的改善以及对医护人员的感激之情为他们提供了积极的强化。这种积极情绪缓冲了职业倦怠感。这两者之间的平衡解释了职业生活质量(ProQOL)。因此,本研究旨在探讨一家三级医疗中心参与新冠疫情应对的医护人员的职业生活质量。

材料与方法 本研究使用经过预验证且可靠的职业生活质量问卷,对一家三级医疗中心的161名医护人员(62名医生、89名护士和10名技术人员)的职业生活质量进行评估。

结果 职业生活质量问卷有积极方面(同情满足感)和消极方面(同情疲劳和职业倦怠),这些是个体在作为帮助者工作期间所感受到的。同情满足感、职业倦怠和继发性创伤压力在所有三组中均处于中等水平。57名(91.93%)医生、78名(87.6%)护士和4名(40%)技术人员的同情满足感处于中等水平。55名(88%)医生、81名(91%)护士和6名(60%)技术人员的职业倦怠处于中等水平。56名(90%)医生、72名(80%)护士和7名(70%)技术人员的继发性创伤压力处于中等水平。

结论 总体而言,所有维度的中等分数突出了疫情期间医护人员在职业成就感和职业压力之间保持的微妙平衡。机构支持系统、心理健康干预、同伴支持项目以及充足的人员配备将促进在疫情等高压力环境下医护人员拥有更健康的职业生活质量。

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