摘要
目的:调查新冠肺炎疫情期间精神卫生工作者职业倦怠及心理健康状况,进一步探索职业倦怠与心理健康状况的关系,以期为促进精神卫生工作者的心理健康水平提供数据支持和理论依据。方法:本横断面研究采用方便抽样法于2020年4月10日至26日对内蒙古自治区精神卫生工作者进行线上调查,分别应用职业倦怠问卷、广泛性焦虑障碍量表、患者健康问卷和失眠严重程度指数量表评估调查对象的职业倦怠、焦虑、抑郁和失眠状况。采用Pearson相关分析探究职业倦怠与焦虑、抑郁及失眠的相关性,并进一步应用多元线性回归探索职业倦怠对心理健康的影响。统计分析采用SPSS 26.0软件。结果:本研究共纳入2328名精神卫生工作者,问卷收集有效率为94.44%。研究结果显示,在新冠肺炎疫情期间,内蒙古自治区精神卫生工作者职业倦怠、焦虑、抑郁和失眠症状的检出率分别为38.3%、36.1%、34.1%和32.9%,职业倦怠总分及情绪耗竭、去人格化和个人成就感低三个维度得分均与焦虑、抑郁和失眠得分呈正相关(P<0.05)。情绪耗竭、去人格化对焦虑、抑郁及失眠症状均有显著影响,而个人成就感低仅对失眠症状有显著影响(P<0.05)。结论:在新冠肺炎疫情期间,精神卫生工作者出现心理健康问题和职业倦怠情况较为普遍,职业倦怠与心理健康密切相关,建议加强对精神卫生工作者职业倦怠和心理健康的关注。
Objective:To investigate the prevalence of burnout and mental health problems of mental healthcare workers during COVID-19 pandemic, as well as explore the correlation between burnout and mental health problems, and to provide data support and theoretical basis for developing intervention strategies to prevent burnout and improve mental health of mental healthcare workers. Methods:A cross-sectional survey was conducted between April 10 to April 26, 2020. Convenience sampling was used to collect data of burnout and mental health status among mental healthcare workers in Inner Mongolia. Maslach Burnout Inventory-General Survey(MBI-GS), Generalized Anxiety Disorder(GAD-7), Patient Health Questionnaire(PHQ-9), and Insomnia Severity Index(ISI) were used to assess the symptoms of burnout, anxiety, depression and insomnia, respectively. Pearson correlation analysis was used to explore the relationship between burnout and mental health status, and multiple linear regression analysis was used to explore the impact of burnout on mental health. With α=0.05 as the significance level, P<0.05 was considered statistically significant. IBM SPSS 26.0 software was used for all data analyses. Results:A total of 2328 participants were included in final analysis(effective rate was 94.44%). During the COVID-19 pandemic, the prevalence of symptoms of burnout, anxiety depression and insomnia were 38.3%, 36.1%, 34.1%, and 32.9%, respectively. There was a positive relationship between the severity of burnout and the severity of mental problems. Moreover, emotional exhaustion and depersonalization showed negative effects on anxiety, depression, and insomnia, while personal accomplishment only had negative effects on insomnia. Conclusion:During the COVID-19 pandemic, the prevalence of burnout and mental problem are increased among mental healthcare workers. Burnout is positively associated with mental problems, and more studies should focus on burnout and mental health of mental healthcare workers.
作者
张利
阙建宇
王一杰
孟适秋
鲍彦平
师乐
陈丽霞
陆林
ZHANG Li;QUE Jianyu;WANG Yijie;MENG Shiqiu;BAO Yanping;SHI Le;CHEN Lixia;LU Lin(Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing,100191,China;Inner Mongolia Third Hospital,Inner Mongolia Institute of Mental Health,Hohhot,010010,China;National Institute on Drug Dependence,Beijing Key Laboratory of Drug Dependence,Peking University,Beijing,100191,China)
出处
《中国药物依赖性杂志》
CAS
CSCD
2021年第6期428-434,共7页
Chinese Journal of Drug Dependence
