COVID-19 期间中国初级卫生保健工作者职业倦怠的发生率及其相关因素:一项全国性调查

IF 3.2 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Jiaoling Huang, Ping Zhu, Yuge Yan, Biao Xi, Shanzhu Zhu, Jiayi Ji, Jie Gu
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引用次数: 0

摘要

在 COVID-19 大流行期间,初级卫生保健工作者(PHWs)的工作量和压力都有所增加。本研究对 COVID-19 大流行结束时初级卫生保健工作者的职业倦怠情况进行了全国性调查,并确定了相关因素。这样做可以弥补在了解全国公共卫生工作人员职业倦怠状况方面的不足,同时考虑到城乡差异。我们于 2022 年 5 月至 10 月对中国 31 个省份的公共卫生工作人员进行了一次全国性横断面调查。我们使用MBI-HSS来测量总体职业倦怠和情绪衰竭(EE)、人格解体(DP)以及个人成就感降低(PA)。我们使用多变量逻辑回归来确定风险因素,并使用亚组分析来确定城乡之间的差异。来自 44 家基层医疗机构的 3769 名公共卫生工作人员完成了调查。总体而言,16.6%的医务工作者报告了总体倦怠,EE、DP和PA减少的发生率分别为29.7%、28.0%和62.9%。总体职业倦怠(17.6% 对 13.7%,P = 0.004)和 EE(31.5% 对 24.8%,P < 0.001)的发生率在城市地区高于农村地区(AOR = 1.285;95%CI,1.021-1.617)。工作满意度是两种情况下职业倦怠的保护因素。总体倦怠、EE 和 DP 的保护因素在城市和农村地区有所不同。心理健康状况问卷-简表(MSQ-SF)得分在农村和城市都是职业倦怠的保护因素,这突出了工作满意度与职业倦怠之间的内在联系。其他影响因素在城市和农村地区有所不同,因此干预措施应因地制宜。农村已婚公共卫生人员的职业倦怠发生率较低,这表明支持结构可能发挥了重要作用。在城市环境中,建议战略性地预先储备个人防护设备等必需品。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and factors associated with burnout among primary health-care workers in China during COVID-19: a national survey
Primary health-care workers (PHWs) managed increased workloads and pressure during the COVID-19 pandemic. This study conducted a national survey examining burnout among PHWs at the end of the COVID-19 pandemic, and identifies related factors. By doing so, it addresses the gap in understanding the burnout situation among PHWs at a national level, taking into account urban-rural disparities. We conducted a nationwide cross-sectional survey of PHWs in China from May to October 2022, covering 31 provinces. The MBI-HSS was used to measure overall burnout and emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA). We used multivariable logistic regression to identify risk factors, and subgroup analyses to identify differences between rural and urban areas. 3769 PHWs from 44 primary health-care institutions completed the survey. Overall, 16.6% reported overall burnout, and the prevalence of EE, DP, and reduced PA was 29.7%, 28.0%, and 62.9%, respectively. The prevalence of overall burnout (17.6% vs. 13.7%, P = 0.004) and EE (31.5% vs. 24.8%, P < 0.001) was higher in urban than rural areas (AOR = 1.285; 95%CI, 1.021–1.617). Job satisfaction was a protective factor against burnout in both settings. The protective factors of overall burnout, EE and DP vary between urban and rural areas. The Mental Health Status Questionnaire-Short Form (MSQ-SF) score functioned as a protective factor against burnout across both rural and urban locales, highlighting the intrinsic link between job satisfaction and burnout. Other influencing factors differed between urban and rural areas, so interventions should be tailored to local conditions. Rural married PHWs experienced the lower prevalence of burnout indicates the support structure may play a significant role. In urban settings, it is recommended to strategically pre-emptively stock essential supplies like PPE.
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来源期刊
BMC Family Practice
BMC Family Practice 医学-医学:内科
CiteScore
3.20
自引率
0.00%
发文量
0
审稿时长
4-8 weeks
期刊介绍: BMC Family Practice is an open access, peer-reviewed journal that considers articles on all aspects of primary health care research. The journal has a special focus on clinical decision making and management, continuing professional education, service utilization, needs and demand, and the organization and delivery of primary care and care in the community.
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