Prevalence of burnout, depression, anxiety and stress in Australian midwives: a cross-sectional survey.
Prevalence of burnout, depression, anxiety and stress in Australian midwives: a cross-sectional survey.
复制标题
澳大利亚助产士的倦怠，抑郁，焦虑和压力的患病率：横断面调查。
DOI：
10.1186/s12884-016-1212-5
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发表时间：
2017-01-09
影响因子：
3.1
通讯作者：
Fenwick J
中科院分区：
文献类型：
--
作者：
Creedy DK;Sidebotham M;Gamble J;Pallant J;Fenwick J
助产士的健康和福祉是留住劳动力和优质护理的重要考虑因素。职业倦怠和抑郁等心理健康问题的发生及其相互关系尚未引起足够的重视。我们调查了澳大利亚助产士的倦怠，抑郁，焦虑和压力的患病率。2014年9月进行了一次在线调查。参与者是通过澳大利亚助产士学院和专业网络招募的。调查要求提供个人和专业细节。标准测量包括哥本哈根倦怠量表（CBI）（个人，工作和客户分量表），抑郁，焦虑和压力量表（DASS）。根据DASS临床临界值（正常/轻度vs中度/重度/极重度），将样本分为两组。根据Cohen的指南计算和判断效应量统计。共收到1 037份调查。受访者主要是女性（98%），平均年龄为46.43岁，从业时间为16.51年。使用CBI子量表的截止值为50分及以上（中度及以上），64.9%（n = 643）报告个人倦怠; 43.8%（n = 428）报告工作相关倦怠; 10.4%（n = 102）报告客户相关倦怠。所有的倦怠分量表都与抑郁、焦虑和压力显著相关，特别是个人和工作相关的倦怠，斯皮尔曼的rho相关系数从0.51到0.63不等（p <0.001）。大约20%的助产士报告了中度/重度/极度抑郁（17.3%）;焦虑（20.4%）和压力（22.1%）症状。Mann-Whitney U检验显示，抑郁（r = 0.43）、焦虑（r = 0.41）和压力（r = 48）组之间存在显著差异，对倦怠有中等程度的影响。澳大利亚助产士的个人和工作相关的倦怠的患病率很高。与不同类型的倦怠相关的身心疲惫表现为抑郁、焦虑和应激症状。需要进一步的研究，以支持助产士的个人福祉，并通过制定短期和长期战略，最大限度地减少工作场所的倦怠。本文的在线版本（doi：10.1186/s12884-016-1212-5）包含补充材料，可供授权用户使用。
The health and wellbeing of midwives are important considerations for workforce retention and quality care. The occurrence and relationships among mental health conditions such as burnout and depression have received little attention. We investigated the prevalence of burnout, depression, anxiety and stress in Australian midwives. An online survey was conducted in September 2014. Participants were recruited through the Australian College of Midwives and professional networks. The survey sought personal and professional details. Standard measures included the Copenhagen Burnout Inventory (CBI) (Personal, Work and Client subscales), and Depression, Anxiety, and Stress Scale (DASS). The sample was collapsed into two groups according to DASS clinical cut-offs (normal/mild versus moderate/severe/extreme). Effect size statistics were calculated and judged according to Cohen’s guidelines. One thousand thirty-seven surveys were received. Respondents were predominantly female (98%), with an average age of 46.43 years, and 16.51 years of practice. Using a CBI subscale cut-off score of 50 and above (moderate and higher), 64.9% (n = 643) reported personal burnout; 43.8% (n = 428) reported work-related burnout; and 10.4% (n = 102) reported client-related burnout. All burnout subscales were significantly correlated with depression, anxiety and stress, particularly personal and work-related burnout with Spearman’s rho correlations ranging from .51 to .63 (p < .001). Around 20% of midwives reported moderate/ severe/ extreme levels of depression (17.3%); anxiety (20.4%), and stress (22.1%) symptoms. Mann-Whitney U tests revealed significant differences between groups with depression (r = .43), anxiety (r = .41) and stress (r = 48) having a medium size effect on burnout. Prevalence of personal and work-related burnout in Australian midwives was high. The physical and psychological exhaustion associated with the different types of burnout were reflected in symptoms of depression, anxiety and stress symptoms. Further research is needed to support the personal well-being of midwives and minimize workplace burnout by developing short and long term strategies. The online version of this article (doi:10.1186/s12884-016-1212-5) contains supplementary material, which is available to authorized users.