武汉市新冠肺炎抗疫一线医护人员职业倦怠状况及影响因素研究

Study on occupational burnout status and its influencing factors in front-line medical staff of anti-COVID-19 in Wuhan

目的评估武汉市新型冠状病毒肺炎抗疫一线医护人员的职业倦怠状况并分析其影响因素。方法收集249名抗疫一线医护人员电子问卷,根据职业倦怠量表(MBI-GS)评估结果分为有职业倦怠组和无职业倦怠组,收集一般资料,评估广泛焦虑量表(GAD-7)、健康问卷抑郁量表(PHQ-9)、匹茨堡睡眠质量指数量表(PSQI)、创伤后应激障碍量表(PCL)。结果有职业倦怠的62名,无职业倦怠的187名。有职业倦怠组年龄、GAD-7、PHQ-9、PSQI、PCL总分均高于无职业倦怠组(P<0.05)。相关分析结果显示,MBI-GS与年龄、GAD-7、PHQ-9、PSQI、PCL总分均呈正相关(P<0.05)。多元线性回归分析结果显示,年龄、PHQ-9、PCL总分进入回归方程(P<0.05)。结论武汉市新型冠状病毒肺炎抗疫一线医护人员抗疫期间存在职业倦怠情况,其职业倦怠程度与年龄、焦虑抑郁程度、睡眠质量及创伤后应激障碍程度相关。此外,年龄、抑郁程度、创伤后应激障碍程度确定为高危因素。

Objective To evaluate the occupational burnout status and to analyze its influencing factors in front-line medical staff of anti-COVID-19 in Wuhan.Methods A total of 249 front-line medical staff of anti-COVID-19 were selected and divided into occupational burnout group and non-burnout group according to the results of Maslach Burnout Inventory-General Survey(MBI-GS).They were assessed with general information questionnaire,Generalized Anxiety Disorder(GAD-7),Patient Health Questionnaire(PHQ-9),Pittsburgh Sleep Quality Index(PSQI)and PTSD Checklist-Civilian Version(PCL).Results There were 62 medical staff with occupational burnout,and 187 medical staff without occupational burnout.The age and total scores of GAD-7,PHQ-9,PSQI and PCL in occupational burnout group were all significantly higher than those in non-burnout group(P<0.05).The correlation analysis showed that the total score of MBI-GS was positively correlated with age and total scores of GAD-7,PHQ-9,PSQI and PCL(P<0.05).Multi-factors linear regression analysis showed that age and total scores of PHQ-9,PCL entered the regression equation(P<0.05).Conclusion The front-line medical staff of anti-COVID-19 have occupational burnout during the anti-epidemic period,which is related to age,anxiety and depression,sleep quality and post-traumatic stress disorder.In addition,age,depression degree and degree of post-traumatic stress disorder are identified as high-risk factors.