COVID-19第二波ICU护理人员的职业倦怠综合征

Pub Date : 2022-10-01 DOI:10.2478/jccm-2022-0026
Anaëlle Caillet, Marina Fillon, Margaux Plou, Emmanuel Tisson, Charles-Hervé Vacheron, Bernard Allaouchiche
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引用次数: 2

摘要

目的:本文的主要目的是评估重症监护病房(ICU)医护人员倦怠综合征(BOS)的患病率。方法:新冠肺炎影响研究是在法国6个重症监护病房进行的一项研究。五个接收新冠患者的单位和一个不接收新冠患者的单位。该调查于2020年10月20日至11月20日在法国的第二波期间进行。共有208名专业人士回应(90%的回复率)。采用Maslach倦怠量表、医院焦虑抑郁量表和事件重访影响量表研究新冠肺炎对重症监护病房医护人员的心理影响。结果:队列包括208名专业人员,52.4%为护理人员。近20%的受访者患有严重的BOS。受BOS影响特别严重的专业人员是妇女、受雇人员、护士或不愿意来重症监护室的强化人员、自COVID-19以来患有心理障碍的专业人员、害怕被感染的专业人员以及患有焦虑、抑郁或创伤后应激障碍的人。孤立的独立风险因素正在参与并成为一种强化。作为一名志愿者来ICU工作是一种保护。在2019冠状病毒病大流行期间,我们ICU有19.7%的团队出现了严重的BOS。BOS的独立危险因素是:工作(OR = 3.61 (95% CI, 1.44;9.09),非COVID-19大流行时不要在ICU工作(强化)(OR = 37.71 (95% CI, 3.13;454.35),作为志愿者(OR = 0.10 (95% CI, 0.02;0.46)。结论:本研究证明了医疗团队职业倦怠评估的价值。预防可以通过培训人员在发生大流行时形成卫生储备来实现。
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Burnout Syndrome During COVID-19 Second Wave on ICU Caregivers.

Objective: The main objective of this article is to evaluate the prevalence of burnout syndrome (BOS) among the Intensive Care Unit (ICU) healthcare workers.

Methods: The COVID-impact study is a study conducted in 6 French intensive care units. Five units admitting COVID patient and one that doesn't admit COVID patients. The survey was conducted between October 20th and November 20th, 2020, during the second wave in France. A total of 208 professionals responded (90% response rate). The Maslach Burnout Inventory scale, the Hospital Anxiety and Depression Scale and the Impact of Event Revisited Scale were used to study the psychological impact of the COVID-19 Every intensive care unit worker.

Results: The cohort includes 208 professionals, 52.4% are caregivers. Almost 20% of the respondents suffered from severe BOS. The professionals who are particularly affected by BOS are women, engaged people, nurses or reinforcement, not coming willingly to the intensive care unit and professionals with psychological disorders since COVID-19, those who are afraid of being infected, and people with anxiety, depression or post-traumatic stress disorder. Independent risk factors isolated were being engaged and being a reinforcement. Being a volunteer to come to work in ICU is protective. 19.7% of the team suffered from severe BOS during the COVID-19 pandemic in our ICU. The independent risk factors for BOS are: being engaged (OR = 3.61 (95% CI, 1.44; 9.09), don't working in ICU when it's not COVID-19 pandemic (reinforcement) (OR = 37.71 (95% CI, 3.13; 454.35), being a volunteer (OR = 0.10 (95% CI, 0.02; 0.46).

Conclusion: Our study demonstrates the value of assessing burnout in health care teams. Prevention could be achieved by training personnel to form a health reserve in the event of a pandemic.

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