Prevalence and associated factors of burnout among doctors working in hospitals with COVID-19 treatment units in Anuradhapura district, Sri Lanka during COVID-19 pandemic: a descriptive cross-sectional study

G. U. Rambukwella, D. Ediriweera, A. Isuru
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Abstract

Background: COVID-19 pandemic has caused enormous burden on the already compromised health system, particularly in remote areas of country. Evaluation of the rate of burnout among doctors working in COVID-19 units is important for planning interventions.Aims: To estimate the prevalence and associated factors of burnout among doctors working in hospitals with COVID-19 treatment units in Anuradhapura district.Methods: A cross-sectional descriptive study was conducted among doctors working in hospitals with COVID-19 treatment units in Anuradhapura district of Sri Lanka during third wave of the pandemic. Calculated sample size was 383. Self-administered data collection form designed as an online and printed forms. Burnout was assessed using Professional Fulfilment Index. Prevalence rates and associated factors for burnout were evaluated, and the binary logistic regression method was used to identify the risk factors of burnout.Results: Prevalence of burnout was 41.6% (95%CI: 36.6-46.7). Binary logistic regression analysis showed lack of professional fulfilment (OR=2.79, 95%CI: 1.69-4.65,p=0.0001), excessive workload (OR=3.87, 95%CI: 2.30-6.62, p=0.0000), lack of psychological support from services (OR=1.86, 95%CI:1.07-3.30, p=0.0300), lack of psychological support from family (OR=1.95,95%CI: 1.14-3.37, p=0.0159), being an intern house officer (OR=4.06,95%CI:1.27-13.45,p=0.0193), and less number of years of work experience (OR=3.52, 95%CI :1.54-8.62,p=0.0040) as risk factors for developing burnout in this study population.Conclusions: The prevalence of burnout was high among doctors working in hospitals with COVID-19 units in rural Sri Lanka. Addressing this important issue is vital to improve the quality of life of doctors and the services they rendered during any crisis situations such as COVID-19 pandemic.
在 COVID-19 大流行期间,在斯里兰卡阿努拉德普勒地区设有 COVID-19 治疗单位的医院工作的医生的职业倦怠发生率和相关因素:一项描述性横断面研究
背景:COVID-19 大流行给本已十分脆弱的医疗系统造成了巨大负担,尤其是在该国的偏远地区。评估在 COVID-19 治疗单位工作的医生的职业倦怠率对于规划干预措施非常重要。目的:估计在阿努拉德普勒地区设有 COVID-19 治疗单位的医院工作的医生的职业倦怠发生率和相关因素:方法:在斯里兰卡第三波COVID-19大流行期间,对阿努拉德普勒地区设有COVID-19治疗单位的医院的医生进行了横断面描述性研究。计算样本量为 383 人。自填式数据收集表设计为在线表格和打印表格。职业倦怠采用职业满足指数进行评估。评估了职业倦怠的流行率和相关因素,并采用二元逻辑回归法确定了职业倦怠的风险因素:结果:职业倦怠的发生率为 41.6%(95%CI:36.6-46.7)。二元逻辑回归分析显示,缺乏职业成就感(OR=2.79, 95%CI: 1.69-4.65,p=0.0001)、工作量过大(OR=3.87, 95%CI: 2.30-6.62,p=0.0000)、缺乏来自服务部门的心理支持(OR=1.86, 95%CI:1.07-3.30, p=0.0300)、缺乏来自家庭的心理支持(OR=1.95,95%CI:1.14-3.37,p=0.0159)、实习内勤人员(OR=4.06,95%CI:1.27-13.45,p=0.0193)和工作年限较少(OR=3.52,95%CI:1.54-8.62,p=0.0040)是本研究人群产生职业倦怠的风险因素:在斯里兰卡农村地区设有 COVID-19 单位的医院工作的医生中,职业倦怠的发生率很高。解决这一重要问题对于提高医生的生活质量以及他们在COVID-19大流行等危机情况下提供的服务至关重要。
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