Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: A multinational cross-sectional study.
Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: A multinational cross-sectional study.
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DOI：
10.1371/journal.pone.0238666
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Kinross J
中科院分区：
文献类型：
--
作者：
Denning M;Goh ET;Tan B;Kanneganti A;Almonte M;Scott A;Martin G;Clarke J;Sounderajah V;Markar S;Przybylowicz J;Chan YH;Sia CH;Chua YX;Sim K;Lim L;Tan L;Tan M;Sharma V;Ooi S;Winter Beatty J;Flott K;Mason S;Chidambaram S;Yalamanchili S;Zbikowska G;Fedorowski J;Dykowska G;Wells M;Purkayastha S;Kinross J
新冠肺炎疫情给世界各地的医疗体系和工作人员带来了前所未有的压力。这种压力可能会影响工作条件、心理健康和安全感。尽管如此，还没有研究评估安全态度和心理结果之间的关系。此外，只有有限的研究探讨了个人特征和新冠肺炎期间心理结果之间的关系。从2020年3月22日至2020年6月18日，来自英国、波兰和新加坡的医护人员被邀请使用包括安全态度问卷(SAQ)、Oldenburg工作倦怠量表(OLBI)和医院焦虑和抑郁量表(HADS)在内的自填式问卷来评估安全文化、工作倦怠和焦虑/抑郁。多因素Logistic回归用于确定职业倦怠、焦虑和抑郁的预测因素。在参与这项研究的3537名医护人员中，2364人(67%)的工作倦怠筛查呈阳性，701人(20%)的焦虑筛查呈阳性，389人(11%)的抑郁筛查呈阳性。职业倦怠的显著预测因素包括：医生(OR 2.10；95%CI 1.49-2.95)、护士(OR 1.38；95%CI 1.04-1.84)和“其他临床”(OR 2.02；95%CI 1.45-2.82)；被重新部署(OR 1.27；95%CI 1.02-1.58)、SAQ得分(OR 2.43；95%CI 1.98-2.99)、焦虑(OR 4.87；95%可信区间3.92~6.06)和抑郁(OR 4.06；95%可信区间3.04~5.42)。与职业倦怠负相关的显著因素包括接受SARS-CoV-2检测(OR 0.64；95%CI 0.51-0.82)和SAQ得分最高四分位数(OR 0.30；95%CI 0.22-0.40)。与焦虑和抑郁相关的重要因素包括职业倦怠、性别、安全态度和工作角色。我们的发现表明，医护人员存在严重的职业倦怠、焦虑和抑郁负担。SARS-CoV-2检测、安全态度、性别、工作角色、重新部署和心理状态之间有很强的相关性。这些发现突显了为高危群体提供有针对性的支持服务和对医护人员进行主动的SARS-CoV-2检测的重要性。
The Covid-19 pandemic has placed unprecedented pressure on healthcare systems and workers around the world. Such pressures may impact on working conditions, psychological wellbeing and perception of safety. In spite of this, no study has assessed the relationship between safety attitudes and psychological outcomes. Moreover, only limited studies have examined the relationship between personal characteristics and psychological outcomes during Covid-19. From 22nd March 2020 to 18th June 2020, healthcare workers from the United Kingdom, Poland, and Singapore were invited to participate using a self-administered questionnaire comprising the Safety Attitudes Questionnaire (SAQ), Oldenburg Burnout Inventory (OLBI) and Hospital Anxiety and Depression Scale (HADS) to evaluate safety culture, burnout and anxiety/depression. Multivariate logistic regression was used to determine predictors of burnout, anxiety and depression. Of 3,537 healthcare workers who participated in the study, 2,364 (67%) screened positive for burnout, 701 (20%) for anxiety, and 389 (11%) for depression. Significant predictors of burnout included patient-facing roles: doctor (OR 2.10; 95% CI 1.49–2.95), nurse (OR 1.38; 95% CI 1.04–1.84), and ‘other clinical’ (OR 2.02; 95% CI 1.45–2.82); being redeployed (OR 1.27; 95% CI 1.02–1.58), bottom quartile SAQ score (OR 2.43; 95% CI 1.98–2.99), anxiety (OR 4.87; 95% CI 3.92–6.06) and depression (OR 4.06; 95% CI 3.04–5.42). Significant factors inversely correlated with burnout included being tested for SARS-CoV-2 (OR 0.64; 95% CI 0.51–0.82) and top quartile SAQ score (OR 0.30; 95% CI 0.22–0.40). Significant factors associated with anxiety and depression, included burnout, gender, safety attitudes and job role. Our findings demonstrate a significant burden of burnout, anxiety, and depression amongst healthcare workers. A strong association was seen between SARS-CoV-2 testing, safety attitudes, gender, job role, redeployment and psychological state. These findings highlight the importance of targeted support services for at risk groups and proactive SARS-CoV-2 testing of healthcare workers.
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影响因子：
3.7
作者：
Hall LH;Johnson J;Watt I;Tsipa A;O'Connor DB
通讯作者：
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Molodynski, Andrew
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作者：
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