The correlation between professional quality of life and mental health outcomes among hospital personnel during the Covid-19 pandemic in Taiwan.

The correlation between professional quality of life and mental health outcomes among hospital personnel during the Covid-19 pandemic in Taiwan.
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DOI:
10.2147/jmdh.s330533
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发表时间:
2021
影响因子:
3.3
通讯作者:
Cheng KI
Cheng KI
中科院分区:
医学4区
文献类型:
--
作者:
Su PA;Lo MC;Wang CL;Yang PC;Chang CI;Huang MC;Huang MK;Cheng KI

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本研究调查了在全球COVID-19病例激增期间,台湾医院人员的职业生活质量,工作环境和心理健康结果之间的关系。我们招募了503名医院工作人员,我们对他们进行了在线问卷调查,其中包含专业生活质量(ProQoL)量表的项目,包括同情满意度(CS),倦怠(BO)和同情疲劳(CF),抑郁,焦虑和压力量表(DASS-21)以及与工作相关的变量。数据于二零二零年七月十三日至八月十九日收集。参与者通常报告中度CS和BO以及低CF。轻度至极重度压力、焦虑和抑郁的总体患病率分别为24.5%、39.6%和31.2%。多元逻辑回归分析显示,中度至高度BO和CF与轻度至极重度压力的风险增加相关(OR分别为4.17和2.23)、焦虑(OR分别为4.86和2.81)与抑郁症(OR分别为5.83和3.01),而中度至高度CS仅与压力(OR = 0.53)和抑郁(OR = 0.45)风险降低相关。按婚姻状况和职业分类的组中存在CS和BO差异。焦虑随着工龄<10岁、10-19岁和≥20岁而线性增加(趋势p <0.05)。总之,ProQOL、BO和CF分量表似乎与COVID-19疫情期间医院人员的压力、焦虑和抑郁风险增加相关。可能需要一个长期的应急计划来调整工作环境变量,并支持这些工人的情绪健康。
This study investigated the association between professional quality of life, working context, and mental health outcomes among hospital personnel in Taiwan during the worldwide upsurge in COVID-19 cases. We recruited 503 hospital personnel to whom we administered online questionnaires containing items from the Professional Quality of Life (ProQoL) scale, which covers compassion satisfaction (CS), burnout (BO) and compassion fatigue (CF), the Depression, Anxiety and Stress Scale (DASS-21) and questions on work-related variables. Data were collected from 13 July to 19 August 2020. The participants generally reported moderate CS and BO and low CF. Overall prevalence of mild-to-extremely-severe stress, anxiety and depression was 24.5%, 39.6% and 31.2%, respectively. Multiple logistic regression revealed that moderate-to-high BO and CF correlated with increased risks of mild-to-extremely-severe stress (OR = 4.17 and 2.23, respectively), anxiety (OR = 4.86 and 2.81, respectively) and depression (OR = 5.83 and 3.01, respectively), while moderate-to-high CS correlated with reduced risks of stress (OR = 0.53) and depression (OR = 0.45) only. There were CS and BO differences in groups categorized by marital status and profession. Anxiety increased linearly by seniority <10, 10–19 and ≥20 years (p for trend <0.05). In conclusion, the subscales of ProQOL, BO and CF appeared to be associated with increased risks of stress, anxiety and depression among hospital personnel during the COVID-19 epidemic. A long-term contingency program may be needed to adjust work context variables and support emotional well-being of these workers.