Subjective COVID-19-related work factors predict stress, burnout, and depression among healthcare workers during the COVID-19 pandemic but not objective factors.

Subjective COVID-19-related work factors predict stress, burnout, and depression among healthcare workers during the COVID-19 pandemic but not objective factors.
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DOI:
10.1371/journal.pone.0270156
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发表时间:
2022
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
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卫生保健工作者(HCWs)的工作压力明显高于一般人群。职业压力升高与倦怠综合症和抑郁症有关。此外,在传染病爆发期间工作的医疗专业人员面临这些问题的风险特别高。本研究的目的是利用一个复杂的综合模型来检查医护人员的心理健康状况以及与COVID-19爆发相关的心理健康状况的可能预测因素。在一项全国范围内的HCWs横断面调查中(N = 2087),评估了匈牙利第二波和第三波COVID-19大流行期间与工作相关的工作压力、与COVID-19相关的客观工作因素(流离失所、一线工作)和主观工作因素(不安全感、不可预测性、工作量)、感知压力、工作压力、倦怠和抑郁。与COVID-19相关的客观因素不能直接预测压力、倦怠和抑郁,而与COVID-19情况相关的不安全感和不可预测性对工作倦怠和抑郁有显著的中等总影响(也考虑到压力的间接影响)。为了防止在COVID-19大流行等危机情况下出现后续的心理健康问题,医疗保健管理部门应为医护人员创造更可预测的工作环境和更安全的工作体验,并提供心理健康支持。
Work-related stress is significantly higher among healthcare workers (HCWs) than in the general population. Elevated occupational stress has been linked to burnout syndrome and depression. Moreover, medical professionals working during infectious disease outbreaks are at especially high risk for these problems. The aim of the present study was to examine the mental health status of HCWs and possible predictors of mental health status related to the COVID-19 outbreak utilizing a complex comprehensive model. In a countrywide cross-sectional survey among HCWs (N = 2087), work-related stress, COVID-19 -related objective work factors (displacement, frontline working) and subjective work factors (insecurity, unpredictability, workload), perceived stress, work-related stress, burnout and depression were assessed between the second and third wave of COVID-19 pandemic in Hungary. COVID-19-related objective factors did not predict directly stress, burnout, and depression, whereas feelings of insecurity and unpredictability in relation to the COVID-19 situation at work had a significant medium-sized total effect (also considering the indirect effect via stress) on burnout and depression. In order to prevent subsequent mental health problems during crisis situations, such as the COVID-19 pandemic, healthcare management should create a more predictable work environment and a safer work experience for healthcare workers and provide mental health support.
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