药剂师的职业倦怠与慢性病患者药物治疗的动力--保加利亚东北部地区的试点研究

Anna Todorova, Mariya Ivanova, V. Petkova
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摘要

医务人员最容易产生职业倦怠。我们对药剂师进行了匿名调查,利用 MBI-HSS-MP 工具评估职业倦怠,并分析了在社区药房工作所面临的挑战。在接受调查的 127 名药剂师中,53% 的人受到职业倦怠的影响。影响职业倦怠情绪衰竭(EE)、人格解体(DP)和个人成就感(PA)量表的因素有:为慢性病患者开处方时遇到的行政困难:影响了 57% 的受访者,并对 EE 产生了影响(p = 0.036);工作中缺乏准确的指示(38% 的受访者,对 DP 产生了影响,p = 0.007)和(EE,p = 0.000);事先缺乏有关创新的信息(38% 的受访者,对 EE 产生了影响,p = 0.002)。缺乏开展药物护理(PhC)的时间影响了 EE(p = 0.019)和 DP(p = 0.006),DP 与对病人的同情心降低有关,缺乏感知到的专业满意度(PA;p = 0.042)增加。行政职责的增加转移了药剂师对 PhC 的关注,降低了药剂师的积极性。
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Pharmacists’ burnout and motivation for pharmaceutical care in chronically ill patients – a pilot study for the north-eastern region of Bulgaria
Medical professionals are the most susceptible to professional burnout. An anonymous survey of master pharmacists was conducted to assess burnout with the MBI-HSS-MP tool and analyse the challenges of working in community pharmacies. Burnout affected 53% of the 127 pharmacists surveyed. Factors influencing the scales forming burnout emotional exhaustion (EE) depersonalisation (DP), and personal accomplishment (PA) were: administrative difficulties in servicing the prescriptions of chronically ill patients: affected 57% of respondents and influenced EE (p = 0.036); lack of precise instructions at work (38% of respondents, influenced DP, p = 0.007) and (EE, p = 0.000); lack of prior information about innovations 38% (EE p = 0.002). Lack of time to carry out pharmaceutical care (PhC) influenced EE (p = 0.019) and DP (p = 0.006) and DP was associated with lower empathy for patients, Lack of perceived professional satisfaction (PA; p = 0.042) was increased. The increased administrative duties shifted the focus away from PhC and decreased pharmacists’ motivation.
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