评估在印度covid-19指定医院工作的卫生保健工作者感知的社会耻辱和倦怠:一项横断面研究

B. Patel, Bhumi G. Khanpara, Prakash I. Mehta, Kishan Patel, Nidhi Marvania
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引用次数: 35

摘要

简介:2019冠状病毒病(新冠肺炎)大流行显著改变了医护人员(HCW)的工作和社区环境,导致他们精疲力竭,并因工作而感到被社区污名化。本研究旨在评估倦怠的患病率、感知的社会污名及其人口统计学和工作相关预测因素。方法:在2020年9月疫情爆发约6个月后,对艾哈迈达巴德新冠肺炎指定医院的348名HCW进行了一项使用Oldenburg燃尽量表和感知耻辱量表的横断面研究。倦怠的发生率从两个维度进行评估:脱离和疲惫。每种疾病的严重程度分别在低、中、高水平上进行测量。结果:共有348名HCW参加了研究,平均年龄为28.05±6.75岁。265名(76.15%)HCW经历了倦怠和200名(57.47%)高水平的耻辱感。职业倦怠的程度是通过三种严重程度来衡量的。预测高倦怠的因素是女性、受教育程度低、未婚、生活在核心家庭和高耻辱感。工作特征,如工作时间、工作天数、月收入和工作经历,并不能预测倦怠。实习医生有较高的倦怠感(87.25%,χ2=28.067,P<0.001),护士有较高的耻辱感(70.97%,χ2=14.307,P<0.05)。耻辱感与倦怠感呈正相关(r=0.26,P<0.01),包括倦怠感、脱离感(r=0.19,P<001)和疲惫感(r<0.30,P>0.001)。在疫情期间,需要心理干预来减轻他们的负担并提高护理质量。
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Evaluation of perceived social stigma and burnout, among health-care workers working in covid-19 designated hospital of India: A cross-sectional study
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has notably changed the working and community environment for health-care workers (HCWs) leading to burnout and feeling of being stigmatized by the community due to their work. This study aims at assessing the prevalence of burnout, perceived social stigma, and their demographic and work-related predictors. Methods: A cross-sectional study using Oldenburg Burnout Inventory and perceived stigma scale was carried out among 348 HCWs in COVID-19 designated hospital at Ahmedabad about 6 months after the onset of the outbreak in September 2020. The prevalence of burnout was assessed in two dimensions: disengagement and exhaustion. Severity of each was measured on low, moderate, and high levels. Results: Total 348 HCWs participated in study with a mean age of 28.05 ± 6.75 years. Two hundred and sixty-five (76.15%) HCWs experienced burnout and 200 (57.47%) high levels of perceived stigma. The level of burnout was measured on three severities. Factors which predict high burnout are female gender, lower education, unmarried status, living in a nuclear family, and high perceived stigma. Work characteristics such as duty hours, days of working, monthly income, and work experience does not predict burnout. Intern doctors had high burnout (87.25%, χ2 = 28.067, P < 0.001) while nurses had high perceived stigma (70.97%, χ2 = 14.307, P < 0.05). Perceived stigma is positively correlated with burnout (r = 0.26, P < 0.001) with its both components, disengagement (r = 0.19, P < 0.001) and exhaustion (r = 0.30, P < 0.001). Conclusion: Burnout and stigmatization are prevalent among HCWs. Psychological interventions needed to reduce their burden and improve quality care during pandemic.
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来源期刊
Asian Journal of Social Health and Behavior
Asian Journal of Social Health and Behavior Social Sciences-Health (social science)
CiteScore
8.50
自引率
0.00%
发文量
18
审稿时长
17 weeks
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