Risk for Depression, Burnout and Low Quality of Life Among Personnel of a University Hospital in Italy is a Consequence of the Impact One Economic Crisis in the Welfare System?
Risk for Depression, Burnout and Low Quality of Life Among Personnel of a University Hospital in Italy is a Consequence of the Impact One Economic Crisis in the Welfare System?
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DOI：
10.2174/1745017901713010156
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Grassi L
中科院分区：
文献类型：
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作者：
Carta MG;Preti A;Portoghese I;Pisanu E;Moro D;Pintus M;Pintus E;Perra A;D'Oca S;Atzeni M;Campagna M;Pascolo EF;Sancassiani F;Finco G;D'Aloja E;Grassi L
研究文献表明，职业倦怠、抑郁和低精神生活质量(QOL)在卫生保健工作者中很常见。经济危机可能增加了医护人员的职业倦怠、抑郁和低生活质量的负担。对意大利一所大学医院的工作人员进行抽样调查，以确定抑郁风险、职业倦怠水平和生活质量。横断面研究与两个社区调查数据库结果的比较(分别为2000和1500)。总体而言，522名工人接受了这项研究，回复率为78%(669人)。在卫生保健工作者中，重度抑郁障碍筛查者的阳性率是标准化社区样本的两倍多(33.3%比14.1%，p<；0.0001)。所有专业人员，除了行政人员和技术人员(即那些与患者没有接触的人)，与对照组相比，在统计上显示出更高的抑郁发作阳性率。医务人员中，外科科室风险最高，实验室风险最低。根据Maslach Burnout Inventory的衡量，外科医生也是那些面临高职业倦怠风险的人。由于职业倦怠与患者的安全和患者护理的质量有关，并导致医疗差错，因此建议采取专门的干预措施，以减少医务人员心理健康不良和生活质量低下的情况。
Research literature suggests that burnout, depression, and a low mental quality of life (QOL) are common among health care workers. Economic crisis might have increased the burden of burnout, depression and low QOL in health care workers. To identify depression risk, burnout levels, and quality of life in a sample of workers of an Italian university hospital. Cross sectional study with comparison with two community surveys database results (n = 2000 and 1500, respectively). Overall, 522 workers accepted to take part in the study, representing a 78% response rate (out of 669 individuals). The frequency of positivity at the screener for Major Depressive Disorder among health care workers was more than double than that in the standardized community sample (33.3% vs 14.1%, p<0.0001). All professionals, except the administrative staff and technicians (i.e. those who do not have contact with patients), showed a statistically higher frequency of positivity for depressive episodes compared to the controls. Among the medical staff, the highest risk was found in the surgeon units, while the lowest one was in the laboratories. Surgeons also were those most exposed to high risk of burnout, as measured by the Maslach Burnout Inventory. Since burnout is linked to patient safety and quality of patient care, and contribute to medical errors, dedicated interventions aimed at reducing poor mental health and low quality of life in medical staff are indicated.