COVID-19长期爆发期间重症监护病房团队的倦怠程度及其影响因素

Y. Bi̇li̇r, F. Çiyiltepe, Gamze TANIRGAN ÇABAKLI, A. Saraçoğlu, K. Saraçoğlu
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摘要

前言:本研究旨在确定重症监护人员受疫情期的影响以及影响倦怠的因素。方法:对一所拥有70张床位的三级重症监护室(ICU)的45名助理、76名护士和40名专科医生进行研究。问卷是通过网站(www.surveymonkey.com)收集的。结果:被调查者的平均年龄为34.4±8.6岁,平均工作经验为9.4±8.2岁。ICU工作人员一般情绪耗竭(EE)、人格解体(DP)、个人成就降低(RPA)得分分别为20.7、8.4和20.1分,倦怠总分算术平均值为49.1分。研究发现,助理医生(AD)组在EE和DP量表上的风险有统计学意义上的增加。(p = 0016 p < 0001)。无子女的AD组发生情感表达的风险较高。从量表满意度的相关性来看,重症监护护士(ICN)组的不满意率显著高于AD组和专科医生(SD)组(p< 0.001)。考虑到影响倦怠的因素,在SD组中,情感表达与“流行病期间的工作欣赏”和“身体状况充足性”之间存在统计学上显著的负相关(p= 0.005 p= 0.044)。AD组RPA与结婚呈显著负相关(p= 0.023)。在ICN组中,DP与生育孩子之间存在统计学上显著的负相关(p=0,032)。结论:揭示疫情期间职业倦怠的原因,做好相关安排至关重要。关键词:COVID-19,重症监护病房,助理医生,专科医生,职业倦怠
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Burnout levels of the intensive care unit team during extended COVID-19 outbreak and affecting factors
Introduction: This study aimed to determine how intensive care workers are affected by the pandemic period and the factors affecting burnout. Methods: 45assistants, 76nurses and 40specialists working in a tertiary intensive care unit(ICU) with 70 covid-beds participated in the study. Responses were collected through a website(www.surveymonkey.com). Results: The mean age of the respondents was 34.4±8.6 years, and the mean years of experience were 9.4±8.2. The general Emotional Exhaustion(EE), Depersonalization(DP), Reduced Personal Achievement(RPA) scores of the ICU workers were calculated as 20.7, 8.4 and 20.1 and the general arithmetic mean of the burnout scores was 49.1. It was found that the assistant doctors(AD) group had a statistically significantly higher risk in the EE and DP scales. (p=0,016 p<0,001). It was found that the risk of EE was higher in AD Group without child. Considering the satisfaction correlation of the scales, The rate of dissatisfaction was found statistically significantly higher in the intensive care nurses(ICN) group than AD and specialist doctors(SD) groups (p<0,001). Considering the factors affecting burnout, a statistically significant negative correlation was found between EE and ‘Appreciation at work during the pandemic period’ and ‘Adequacy of physical conditions’ in the SD group (p=0,005 p=0,044). There was a statistically significant negative correlation between RPA and being married in the AD group (p=0,023). A statistically significant negative correlation was found between DP and having a child in the ICN group (p=0,032). Conclusion: It is of importance to reveal the causes of burnout during the pandemic, and to make arrangements Keywords: COVID-19, Intensive Care Unit, Assistant Doctor, Specialist Doctor, Burnout Burnout
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