Stress and Occupational Burnout of Nurses Working with COVID-19 Patients.

Stress and Occupational Burnout of Nurses Working with COVID-19 Patients.
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DOI:
10.3390/ijerph191912688
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发表时间:
2022-10-04
影响因子:
--
通讯作者:
Telega, Donata
Telega, Donata
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Tomaszewska, Katarzyna;Majchrowicz, Bozena;Snarska, Katarzyna;Telega, Donata

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新冠疫情给护士的日常工作带来诸多挑战。在为感染新冠病毒的患者执行专业任务时,护士因在高风险环境中的工作量而承受巨大心理压力。这导致严重的压力,并引发职业倦怠。本研究旨在评估接受调查的新冠患者护理护士的压力水平和职业倦怠情况。共有118名护理新冠病毒感染患者的护士参与了研究。在受访者中,女性占94.9%,男性占5.1%。受访者的平均年龄为38.1±2.1岁。调查于2022年4月至5月间进行。研究工具是一份调查问卷,由三部分组成:社会人口学数据以及包含有关新冠患者护理工作细节问题的自填式调查问卷。第三部分是一个标准化工具:克里斯蒂娜·马斯拉克的职业倦怠量表(MBI)。参与研究是匿名且自愿的。变量独立性的统计分析采用卡方检验。另一方面,基于Phi检验和克莱默V检验的系数,以及非参数的曼 - 惠特尼U检验(用于两组样本)和克鲁斯卡尔 - 沃利斯检验(用于两组以上样本)被用于确定关系的强度。在这些分析过程中,除了标准的统计显著性外,还使用蒙特卡洛方法计算了相应的“p”值。所获得的结果使我们能够得出结论:接受调查的新冠患者护理护士面临各种导致职业倦怠的压力源。绝大多数受访者(即90.7%)认为压力是护理职业不可或缺的一部分,受访者的职业倦怠量表平均得分为55.67±9.77分,情感衰竭得分为24.74±6.11分,人格解体得分为12.42±2.99分,个人成就感得分为18.52±4.50分,这意味着只有略多于一半的受访护士自身察觉到职业倦怠症状。研究表明,护理新冠阳性患者是压力的一个成因,并且与受访护士群体出现倦怠症状有关。
COVID-19 pandemic brings many challenges to the daily work of nurses. While carrying out professional tasks for patients infected with the SARS-CoV-2 virus, nurses experience tremendous psychological pressure due to their workload in a high-risk environment. This causes severe stress and leads to occupational burnout. The purpose of this study was to assess the level of stress and occupational burnout among surveyed nurses working with patients with COVID-19. A total of 118 nurses working with patients infected with SARS-CoV-2 virus participated in the study. Among the respondents, there were 94.9% women and 5.1% men. The average age of the respondents was 38.1 +/− 2.1. The survey was conducted between April and May 2022. The research tool was a survey questionnaire, consisting of three parts: sociodemographic data and self-administered survey questionnaire containing questions about the specifics of working with COVID-19 patients. The third part was a standardized tool: the MBI Burnout Questionnaire by Christina Maslach. Participation in the study was anonymous and voluntary. Statistical analysis for independence of variables used the Chi-square test. On the other hand, coefficients based on the Phi test and Kramer’s V test, as well as non-parametric Mann–Whitney U-test (for 2 samples) and Kruskal–Wallis test (for more than 2 samples) were used to determine the strength of the relationship. During these analyses, in addition to standard statistical significance, the corresponding “p” values were calculated using the Monte Carlo method. The results obtained allow us to conclude that surveyed nurses working with COVID-19 patients are exposed to various stressors leading to occupational burnout. The vast majority of respondents, i.e., 90.7%, believe that stress is an integral part of the nursing profession and the average of MBI burnout among respondents was 55.67 +/− 9.77 pts., emotional exhaustion 24.74 +/− 6.11, depersonalization 12.42 +/− 2.99 and a sense of personal achievement 18.52 +/− 4.50 which means that only slightly more than half of the nurses surveyed noticed symptoms of occupational burnout themselves. The research has revealed that working with a patient who is positive for COVID-19 is a cause of stress and is related to experiencing symptoms of burnout in the group of surveyed nurses.
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