埃塞俄比亚应对COVID-19期间卫生工作者职业倦怠的流行情况

SA Beasha, Y. Nigussie, N. Yohannes, A. Chala
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摘要

2019冠状病毒病大流行是一场全球性突发公共卫生事件,严重影响了世界各地的卫生系统和人们的生活。COVID-19的感染率和死亡率相对较高,可能会加剧医护人员的焦虑和压力感。本调查的目的是评估埃塞俄比亚在应对COVID-19期间卫生人力倦怠的普遍程度。本研究采用了一项基于卫生机构的定性横断面调查,采用结构化设计,基于经过验证的工具MBI-HSS (Maslach职业倦怠量表人类服务调查)。在这项研究中,我们有目的地从调查时的1120名卫生保健工作者中选择了824名(74%)卫生保健工作者,回复率为767名(93%)。英语问卷被翻译成两种当地语言(阿姆哈拉语和奥罗姆法语),从每个地区和城市中挑选数据收集者,然后进行5天的培训。该研究显示,在参与该研究的COVID-19应对工作的医护人员中,倦怠程度为70%。在人格解体、个人成就感和情绪耗竭方面,中高倦怠的患病率分别为58%、68%和64%。在所有调查地区,卫生保健工作者中职业倦怠的流行率有所增加,特别是那些服务时间较长的卫生保健工作者。研究结果表明,需要识别和消除卫生保健工作者的职业倦怠,以激活心理弹性,指导他们使用最有效的长期应对策略来保护他们的心理健康,并使所有COVID-19应对领域的干预设计保持一致。
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Prevalence of Health Workforce Burnout during COVID-19 Response in Ethiopia.
COVID-19 pandemic is a global public health emergency that has greatly impacted the health systems and people‟s lives worldwide. With its relatively high rate of infection and mortality, COVID-19 can worsen the feelings of anxiety and stress among Healthcare Workers (HCWs). The aim of this survey was to assess the prevalence of health workforce burnout during the COVID-19 response in Ethiopia. The study employed a health institution-based qualitative, cross-sectional survey with a structured design based on the validated tool MBI-HSS (Maslach Burnout Inventory Human Services Survey). In this study, we purposively selected 824 (74%) numbers of health care workers at the accessed health facilities from 1120 at the time of the survey and a response rate of 767 (93%). The English questionnaire was translated into two local languages (Amharic and Oromffa) and the data collector were selected from each region and city and then trained for 5 days. The study revealed that the magnitude of burnout was 70 % among HCWs working in COVID-19 response that participated in the study. The prevalence of burnout among the HCWs was 58%, 68%, and 64% for moderate to high burnout on Depersonalization, Personal Accomplishment, and on Emotional Exhaustion respectively. The prevalence of burnout among HCWs increased, particularly for those who were serving longer in all survey areas. The result of the study indicated the need to identify and eliminate burnout among HCWs in order to activate psychological resilience and guide workers in the use of the most effective long-term coping strategies to protect their mental health and align the design of intervention in all COVID-19 response areas.
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