The Relationship between COVID-19 Exposure Risk and Burnout in Prehospital Emergency Medical Technicians.

Karim Javanmardi, Neda Gilani, Mansour Ghafourifard, Abbas Dadashzadeh, Javad Dehghannejad, Hossein Feyzollahzade
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Abstract

Introduction: Exposure to coronavirus disease 2019 (COVID-19) has caused many physical and psychological effects on front-line healthcare workers (HCWs). This study aimed to assess the relationship between the exposure risk to COVID-19 disease and burnout in prehospital emergency medical technicians (EMTs).

Methods: In this correlational study, 335 prehospital EMTs were selected by random sampling method from the 49 stations of emergency medical services in the northwest of Iran. Data were collected using a questionnaire developed by the world health organization for the risk assessment and management of exposure of health care workers to COVID-19. Moreover, Pines burnout measure was used for the assessment of participants' burnout. Data were analyzed using SPSS version 13.

Results: Results showed that 30.7 % of prehospital EMTs had a high burnout score against COVID-19 disease. The prehospital EMTs who had a high occupational exposure risk experienced a high risk of burnout (P=0.03). The results of the linear regression analysis showed that prehospital EMTs who had a low exposure risk of COVID-19 had a low burnout score (β=-9.30; P<0.001), and those who had less than 10 years of work experience showed less burnout (β=-10.54; P<0.001).

Conclusion: According to the results, the exposure risk to COVID-19 increases the prehospital EMT's burnout. As a result, reducing the exposure risk to COVID-19 by providing adequate access to personal protective equipment (PPE), development of training and following standards and protocols can be effective in controlling burnout in HCWs.

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院前急救医务人员COVID-19暴露风险与职业倦怠的关系
2019冠状病毒病(COVID-19)对一线医护人员造成了许多生理和心理影响。本研究旨在评估院前急救医务人员(EMTs) COVID-19疾病暴露风险与职业倦怠的关系。方法:采用随机抽样的方法,从伊朗西北部49个急救服务站抽取335名院前急救医生进行相关研究。使用世界卫生组织为卫生保健工作者接触COVID-19的风险评估和管理而制定的问卷收集数据。此外,本研究还采用Pines倦怠量表来评估被试的倦怠程度。数据采用SPSS version 13进行分析。结果:30.7%的院前急救人员对COVID-19疾病的倦怠评分较高。院前急救人员职业暴露风险高,职业倦怠风险高(P=0.03)。线性回归分析结果显示,低暴露风险的院前急救人员的倦怠评分较低(β=-9.30;结论:新冠肺炎暴露风险增加院前急救人员的职业倦怠。因此,通过提供充足的个人防护装备(PPE)、开展培训以及遵循标准和规程来降低COVID-19暴露风险,可有效控制卫生保健工作者的职业倦怠。
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