COVID-19大流行期间医生职业倦怠与头痛和腰痛的关系

Kharisma Ridho Husodo
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摘要

背景:医师职业倦怠是卫生工作者,尤其是医生的常见问题,其特征是情绪耗竭、人格解体和日常工作中个人成就感降低。2019冠状病毒病(COVID-19)大流行导致医生工作量增加,这将影响职业倦怠的发生率。职业倦怠不仅包括心理问题,还包括身体疾病的风险,包括疼痛障碍。目的:探讨日惹伊斯兰医院PDHI医生疲劳程度与头痛和腰痛的关系。方法:本研究采用横断面设计的描述性分析研究。本研究的对象为日惹伊斯兰医院的46名医生。使用Maslach职业倦怠量表(MBI)评估职业倦怠水平。采用头痛影响测试(HIT-6)问卷评估头痛发生率及其对日常活动的影响,采用Oswestry残疾指数(ODI)评估腰痛。结果:在倦怠参数中,去人格化对倦怠的影响最大。COVID-19大流行对职业倦怠水平的影响更大。头痛和腰痛发生率分别为39.1%(18例)和43.4%(20例)。头痛与倦怠各项指标均有显著相关。腰痛与倦怠各参数也有显著相关。结论:医师职业倦怠水平与头痛、腰痛发生率存在相关性。
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ASSOCIATION OF PHYSICIAN BURNOUT WITH HEADACHE AND LOW BACK PAIN DURING PANDEMIC COVID-19
Background: Physician burnout is a common problem seen in health workers, especially doctors and it is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment in daily work. The pandemic of Corona Virus Disease 2019 (COVID-19) causes an increase in the workload among doctors which will affect the incidence of Burnout. Burnout not only includes psychological problems, but also has a risk for physical disorders including pain disorders. Objective: To investigate the association of burnout level with headache and low back pain among physicians at Yogyakarta Islamic Hospital PDHI. Methods: This research design was a descriptive analytic study with a cross-sectional design. The subjects in this study were 46 doctors who worked at the Yogyakarta Islamic Hospital PDHI. Burnout levels were assessed using the Maslach Burnout Inventory (MBI) test. The incidence of headache and its impact on daily activities were assessed using the Headache Impact Test (HIT-6) questionnaire while Low Back Pain was assessed using Oswestry Disability Index (ODI). Results: Among burnout parameters, depersonalization was the most influential parameter which caused burnout. COVID-19 pandemic gave more impact to burnout level. The headache and low back pain incidence were 39,1% (18 subjects) and 43,4% (20 subjects) respectively. There were significant correlations between headache and every burnout parameter. Low back pain also had significant correlations to each burnout parameters. Conclusion: There was association of Burnout level with headache and low back pain incidence among physicians.
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