在医疗专业人员中燃烧的模型
Jeffrey L Jackson1, Akira Kuriyama2, Kumiko Muramatsu3
1GIM Section, Clement J Zablocki VAMC, Milwaukee, WI, USA.
Journal of general internal medicine
|November 9, 2023
概括
燃烧在ICU专业人员中很常见,弹性,团队合作和安全性降低了其发生率. 心理健康症状和COVID恐惧加剧了倦怠,通常是通过降低性.
科学领域:
- 医学研究 医学研究
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 医疗保健工作者的倦怠是普遍存在的,并对患者的治疗结果产生负面影响.
- 了解导致和减轻倦怠的因素对于医疗保健系统至关重要.
研究的目的:
- 调查保护或加剧重症监护室 (ICU) 专业人员的倦怠因素之间的结构关系.
- 确定在COVID-19大流行期间在日本ICU环境中燃烧的关键预测因素和调解因素.
主要方法:
- 在COVID-19流行病的第三波期间,对15个日本ICU的936名ICU专业人员进行了横截面调查.
- 经过验证的仪器测量了燃烧 (Mini Z 2.0),弹性 (简要弹性量表),抑郁 (PHQ-9) 和焦虑 (GAD-7) 症状,工作环境特征和COVID-19经历.
- 使用结构方程建模来分析这些变量之间的关系.
主要成果:
- 在接受调查的ICU专业人员中,24.3%的人报告说,他们感到倦怠.
- 更高的弹性 (β = -0.26),更强的团队合作 (β = -0.23) 和安全感 (β = -0.11) 与减少倦怠相关.
- 抑郁症 (β = -0.32),焦虑 (β = -0.20) 和COVID恐惧 (β = 0.08) 与恢复力下降有关,焦虑也间接增加了COVID恐惧,进一步降低了恢复力.
结论:
- 倦怠是日本ICU专业人员的一个重要问题.
- 弹性,团队合作和安全感是防止倦怠的保护因素.
- 抑郁症,焦虑和COVID恐惧都会导致倦怠,主要是通过减少性,突出这些作为潜在的干预目标.
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