COVID-19大流行期间医护人员的职业倦怠和心理症状:土耳其一家地区医院不同医疗专业的比较

IF 2.4 3区 工程技术 Q2 ENGINEERING, INDUSTRIAL Cognition Technology & Work Pub Date : 2022-05-27 DOI:10.3233/wor-210517
Eser Sağaltıcı, R. Saydam, Mustafa Çetinkaya, Ş. Şahin, S. Küçük, A. Müslümanoğlu
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引用次数: 2

摘要

背景大量研究揭示了COVID-19疫情对医护人员(HCWs)的心理影响。大流行期间不同医疗专业人员的倦怠和心理后果尚未得到解决。目的了解疫情期间一线医护人员职业倦怠、抑郁、焦虑和心理困扰水平,探讨不同职业医护人员职业倦怠的预测因素。方法对253名医护人员(79名医生、95名护士和79名其他医护人员)进行横断面研究。采用Maslach倦怠量表、Beck抑郁量表、Beck焦虑量表、事件影响量表和社会人口学量表。结果医生和护士的情绪衰竭发生率明显高于其他一线医护人员。虽然医生的人格解体明显高于护士/其他医护人员,但其他医护人员/护士的回避、过度觉醒和侵入水平高于医生。抑郁是职业倦怠最有效的预测变量,其次是年龄、隔离、主管/团队领导态度、过度觉醒和回避。结论根据参与COVID-19治疗的卫生保健工作者的不确定性和生命风险,在治疗过程中作为决策权威的医生比护士和其他卫生保健工作者使用更多的人格解体。护士和其他卫生保健工作者的痛苦症状明显高于医生。未来的研究和社会心理服务都应该将那些有高度抑郁症状的人作为卫生保健工作者中倦怠的潜在脆弱亚群,并调查和开发能够提供精神健康和预防倦怠的循证干预措施。
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Burnout and psychological symptoms in healthcare workers during the COVID-19 pandemic: Comparisons of different medical professions in a regional hospital in Turkey.
BACKGROUND Early studies have revealed the psychological effects of the COVID-19 outbreak on healthcare workers (HCWs). Burnout and psychological outcomes of different medical professions during the pandemic have not yet been addressed. OBJECTIVE The study aimed to investigate the burnout, depression, anxiety, and psychological distress levels of HCWs, and to determine the predictive factors of burnout in different professions of frontline HCWs during the pandemic. METHODS This cross-sectional study included 253 HCWs (79 physicians, 95 nurses, and 79 other-HCWs). The Maslach Burnout Inventory, Beck Depression Inventory, Beck Anxiety Inventory, and Impact of Event Scale-Revised, and Sociodemographic Form were used. RESULTS Emotional exhaustion was significantly higher in physicians and nurses than in other frontline HCWs. While depersonalization was significantly higher in physicians than nurses / other HCWs, levels of avoidance, hyperarousal and intrusion were found to be higher in other HCWs / nurses than physicians. Depression was the most effective predicting variable for burnout, following age, quarantine, supervisor's/team leader's attitude, hyperarousal and avoidance. CONCLUSIONS It has been observed that depending on the uncertainty and life risk of the pandemic in HCWs involved in the treatment of COVID-19, physicians who are the decision-making authorities in the treatment process used more depersonalization than nurses and other HCWs. Nurses and other-HCWs had significantly higher distress symptoms than physicians. Both future research and psychosocial services should address those with high depressive symptoms as a potentially fragile subgroup for burnout among HCWs, and investigate and develop evidence-based interventions that can provide mental well-being, and prevent burnout.
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来源期刊
Cognition Technology & Work
Cognition Technology & Work ENGINEERING, INDUSTRIAL-
CiteScore
6.90
自引率
7.70%
发文量
26
审稿时长
>12 weeks
期刊介绍: Cognition, Technology & Work focuses on the practical issues of human interaction with technology within the context of work and, in particular, how human cognition affects, and is affected by, work and working conditions. The aim is to publish research that normally resides on the borderline between people, technology, and organisations. Including how people use information technology, how experience and expertise develop through work, and how incidents and accidents are due to the interaction between individual, technical and organisational factors. The target is thus the study of people at work from a cognitive systems engineering and socio-technical systems perspective. The most relevant working contexts of interest to CTW are those where the impact of modern technologies on people at work is particularly important for the users involved as well as for the effects on the environment and plants. Modern society has come to depend on the safe and efficient functioning of a multitude of technological systems as diverse as industrial production, transportation, communication, supply of energy, information and materials, health and finance.
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