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新型冠状病毒肺炎大流行期间麻醉师和重症监护病房护士的焦虑和倦怠:一项横断面研究。

Anxiety and burnout in anesthetists and intensive care unit nurses during the COVID-19 pandemic: a cross-sectional study.

机构信息

Sisli Hamidiye Etfal Education and Training Hospital, Anaesthesiology and Reanimation Department, Istanbul, Turkey.

Sisli Hamidiye Etfal Education and Training Hospital, Anaesthesiology and Reanimation Department, Istanbul, Turkey.

出版信息

Braz J Anesthesiol. 2022 Mar-Apr;72(2):169-175. doi: 10.1016/j.bjane.2021.07.011. Epub 2021 Jul 26.

Abstract

BACKGROUND

This study aimed to measure the levels of anxiety and burnout among healthcare workers, including attending physicians, residents, and nurses in intensive care units during the coronavirus disease 2019 (COVID-19) pandemic.

METHODS

This is a cross-sectional survey analysis of healthcare workers in our institution. Data were collected on demographic variables, COVID-19 symptoms and test, disease status, anxiety level (assessed by the Beck Anxiety Inventory), and burnout level (measured by the Maslach Burnout Inventory). Subscales of the burnout inventory were evaluated separately.

RESULTS

A total of 104 participants completed the survey. Attending physicians, residents, and nurses constituted 25%, 33.7%, and 41.3% of the cohort, respectively. In comparison to untested participants, those tested for COVID-19 had a lower mean age (p = 0.02), higher emotional exhaustion and depersonalization scores (p = 0.001, 0.004, respectively), and lower personal accomplishment scores (p = 0.004). Furthermore, moderate to severe anxiety was observed more frequently in tested participants than untested ones (p = 0.022). Moderate or severe anxiety was seen in 23.1% of the attending physicians, 54.3% of the residents, and 48.8% of the nurses (p = 0.038). Emotional exhaustion, personal accomplishment, and depersonalization scores differed depending on the position of the healthcare workers (p = 0.034, 0.001, 0.004, respectively).

CONCLUSION

This study revealed higher levels of anxiety and burnout in younger healthcare workers and those tested for COVID-19, which mainly included residents and nurses. The reasons for these observations should be further investigated to protect their mental health.

摘要

背景

本研究旨在测量在 2019 年冠状病毒病(COVID-19)大流行期间,包括重症监护病房的主治医生、住院医师和护士在内的医护人员的焦虑和倦怠水平。

方法

这是对我们机构医护人员的横断面调查分析。收集人口统计学变量、COVID-19 症状和检测、疾病状况、焦虑水平(贝克焦虑量表评估)和倦怠水平(Maslach 倦怠量表测量)的数据。分别评估倦怠量表的子量表。

结果

共有 104 名参与者完成了调查。主治医生、住院医师和护士分别占队列的 25%、33.7%和 41.3%。与未接受检测的参与者相比,接受 COVID-19 检测的参与者平均年龄较低(p=0.02),情绪耗竭和去人格化评分较高(p=0.001,0.004),个人成就感评分较低(p=0.004)。此外,与未接受检测的参与者相比,接受检测的参与者更频繁地出现中度至重度焦虑(p=0.022)。23.1%的主治医生、54.3%的住院医师和 48.8%的护士出现中度或重度焦虑(p=0.038)。情绪耗竭、个人成就感和去人格化评分因医护人员的职位而异(p=0.034,0.001,0.004)。

结论

本研究表明,在接受 COVID-19 检测的年轻医护人员中,焦虑和倦怠水平较高,主要包括住院医师和护士。应进一步调查这些观察结果的原因,以保护他们的心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e741/9373107/6a6e9ddb2197/gr1.jpg

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