Ocena dobrostanu psychicznego oraz wypalenia zawodowego u pracowników medycznych po roku od wybuchu pandemii COVID-19

• Authors: Joanna Golec , Monika Nowak , Mateusz Malinowski

Title variants

EN

Evaluation of mental well-being and occupational burnout among health care workers one year after the outbreak of the COVID-19 pandemic

Abstracts

EN

Introduction: The prolonged COVID-19 pandemic situation posed a significant risk of burnout and negative effects on the mental health of health care workers (HCWs). Material and methods: The study group consisted of 97 HCWs who were actively employed during the first year of the COVID-19 pandemic. To assess their mental well-being, the following tools were used: the Link Burnout Questionnaire (LBQ), the Stress Perception Questionnaire (SPQ), the Inventory for Measuring Coping with Stress (COPE), and the Insomnia Severity Index (ISI). Results: Significant differences were found in the use of stress coping strategies depending on age, gender, and years of work experience. 39% of HCWs exhibited a high level of Psychophysical exhaustion (LBQ), while 42% showed subthreshold insomnia. Individual dimensions of stress from the Stress Perception Questionnaire (SPQ) significantly and positively correlated with LBQ and ISI. Conclusions: It is recommended that the mental health of HCWs should be continuously monitored and that they should develop the ability to implement appropriate coping strategies in crisis situations, such as the COVID-19 pandemic, which may reduce the effects of stress, the impact of which on burnout and insomnia was demonstrated in this study.

PL

Wprowadzenie: Przedłużająca się sytuacja pandemii COVID-19 stanowiła istotne ryzyko wypalenia zawodowego oraz negatywnych skutków dla zdrowia psychicznego u pracowników medycznych. Materiał i metody: Grupę badaną stanowiło 97 pracowników medycznych czynnych zawodowo w pierwszym roku pandemii COVID-19. Do oceny dobrostanu psychicznego wykorzystano: Kwestionariusz Wypalenia Zawodowego (LBQ), Kwestionariusz Poczucia Stresu (KPS), Wielowymiarowy Inwentarz do Pomiaru Radzenia Sobie ze Stresem (COPE) oraz Skalę Nasilenia Bezsenności (ISI). Wyniki: Wykazano istotne różnice w zakresie stosowanych strategii radzenia sobie ze stresem w zależności od wieku, płci i stażu pracy. 39% przebadanych medyków wykazało wysoki poziom Wyczerpania psychofizycznego (LBQ), a 42% uzyskało wynik świadczący o bezsenności podprogowej. Poszczególne wymiary stresu KPS korelowały istotnie i dodatnio z LBQ oraz ISI. Wnioski: Zaleca się stałe monitorowanie zdrowia psychicznego pracowników medycznych oraz rozwijanie zdolności do uruchomienia odpowiednich strategii radzenia sobie w sytuacji kryzysowej, jaką stanowiła pandemia COVID-19, co może zmniejszyć skutki stresu, którego wpływ na wypalenie zawodowe oraz bezsenność wykazano w niniejszych badaniach.

Keywords

PL

COVID-19; wypalenie zawodowe; pracownicy medyczni; zdrowie psychiczne

EN

burnout syndrome; mental health; health care workers

• Publisher: Uniwersytet Andrzeja Frycza Modrzewskiego w Krakowie
• Journal: Państwo i Społeczeństwo
• Year: 2024
• Volume: XXIV
• Issue: 2
• Pages: 23-37

Dates

published

2024

Contributors

author

Joanna Golec

• Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie

• https://orcid.org/0000000186872536

author

Monika Nowak

• Uniwersytet Andrzeja Frycza Modrzewskiego w Krakowie

• https://orcid.org/0000000272923248

author

Mateusz Malinowski

• Uniwersytet Andrzeja Frycza Modrzewskiego w Krakowie

• https://orcid.org/0000000154063312

References

• Chor WPD, Ng WM, Cheng L, Situ W, Chong JW, Ng LYA, Mok PL, Yau YW, Lin Z. Burnout amongst emergency healthcare workers during the COVID-19 pandemic: A multi-center study. Am J Emerg Med. 2021; 46: 700–702, https://doi.org/10.1016/j.ajem.2020.10.040.
• Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, Wan SW, Liu Z, Shen Q, Yang J, He H-G, Zhu J. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: a large-scale cross-sectional study. EClinicalMedicine. 2020; 24: 100424, https://doi.org/10.1016/j.eclinm.2020.100424.
• Al Maqbali M, Al Sinani M, Al-Lenjawi B. Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic: A systematic review and meta-analysis. J Psychosom Res. 2021; 141: 110343, https://doi.org/10.1016/j.jpsychores.2020.110343.
• Søvold LE, Naslund JA, Kousoulis AA, Saxena S, Qoronfleh MW, Grobler C, Münter L. Prioritizing the mental health and well-being of healthcare workers: An urgent global public health priority. Front Public Health. 2021; 9: 679397, https://doi.org/10.3389/fpubh.2021.679397.
• OECD. Health at a Glance 2019: OECD Indicators. OECD Publishing, Paris, 2019.
• Gawrych M. Zdrowie psychiczne pracowników medycznych w czasie pandemii COVID-19 – przegląd literatury. Psychiatr Pol. 2022; 56(2): 289–296, https://doi.org/10.12740/PP/OnlineFirst/127217.
• Ornell F, Halpern SC, Kessler FHP, Narvaez JCM. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cad Saude Publica. 2020; 36(4): e00063520, https://doi.org/10.1590/0102-311X00063520.
• Chapman R, Styles I, Perry L, Combs S. Examining the characteristics of workplace violence in one non-tertiary hospital. J Clin Nurs. 2010; 19(3–4): 479–488, https://doi.org/10.1111/j.1365-2702.2009.02952.x.
• Jończyk J. Wypalenie zawodowe personelu medycznego – krótki przegląd przykładów z okresu pandemii SARS-CoV-2. NSZ. 2022; 17(2): 69–78.
• Owoc J, Mańczak M, Tombarkiewicz M, Olszewski R. Burnout, well‑being, and self‑reported medical errors among physicians. Pol Arch Intern Med. 2021; 131(7–8): 626–632, https://doi.org/10.20452/pamw.16033.
• Mohindra R, Ravaki R, Suri V, Bhalla A, Singh SM. Issues relevant to mental health promotion in frontline health care providers managing quarantined/isolatedCOVID19 patients. Asian J Psychiatr. 2020; 51: 102084, https://doi.org/10.1016/j.ajp.2020.102084.
• Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol. 1989; 56(2): 267–283, https://doi.org/10.1037/0022-3514.56.2.267.
• Plopa M, Makarowski R. Kwestionariusz poczucia stresu: podręcznik. Vizja Press & IT, Warszawa 2010.
• Jaworska A. LBQ Kwestionariusz wypalenia zawodowego Massimo Santinello: polska normalizacja. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego, Warszawa 2014.
• Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001; 2(4): 297–307, https://doi.org/10.1016/s1389-9457(00)00065-4.
• Macaron MM, Segun-Omosehin OA, Matar RH, Beran A, Nakanishi H, Than CA, Abulseoud OA. A systematic review and meta analysis on burnout in physicians during the COVID-19 pandemic: A hidden healthcare crisis. Front Psychiatry. 2023; 13: 1071397, https://doi.org/10.3389/fpsyt.2022.1071397.
• Akerstrom M, Sengpiel V, Hadžibajramović E, Carlsson Y, Graner S, Andersson O, Jonsson M, Naurin E, Veje M, Wessberg A, Linden K. The COPE staff study: Study description and initial report regarding job satisfaction, work-life conflicts, stress, and burnout among Swedish maternal and neonatal healthcare workers during the COVID-19 pandemic. Int J Gynaecol Obstet. 2023; 162(3): 989–997, https://doi.org/10.1002/ijgo.14772.
• Epifanio MS, La Grutta S, Piombo MA, Riolo M, Spicuzza V, Franco M, Mancini G, De Pascalis L, Trombini E, Andrei F. Hopelessness and burnout in Italian healthcare workers during COVID-19 pandemic: The mediating role of trait emotional intelligence. Front Psychol. 2023; 14: 1146408, https://doi.org/10.3389/fpsyg.2023.1146408.
• Budzyńska N, Moryś J. Stress, burnout and general mental health among healthcare workers in Poland during the long-lasting COVID-19 pandemic. Healthcare. 2023; 11(19): 2617, https://doi.org/10.3390/healthcare11192617.
• Davis MT, Holmes SE, Pietrzak RH, Esterlis I. Neurobiology of chronic stress-related psychiatric disorders: evidence from molecular imaging studies. Chronic Stress. 2017; 1: 2470547017710916, https://doi.org/10.1177/2470547017710916.
• Gupta S, Sahoo S. Pandemic and mental health of the front-line healthcare workers: a review and implications in the Indian context amidst COVID-19. Gen Psychiatr. 2020; 33(5): e100284, https://doi.org/10.1136/gpsych-2020-100284.
• Zangeneh Soroush M, Tahvilian P, Koohestani S, Maghooli K, Jafarnia Dabanloo N, Sarhangi Kadijani M, Jahantigh S, Zangeneh Soroush M, Saliani A. Effects of COVID-19-related psychological distress and anxiety on quality of sleep and life in healthcare workers in Iran and three European countries. Front Public Health.2022; 10: 997626, https://doi.org/10.3389/fpubh.2022.997626.
• Marciano H, Eshel Y, Kimhi S, Adini B. Hope and fear of threats as predictors of coping with two major adversities, the COVID-19 pandemic and an armed conflict. Int J Environ Res Public Health. 2022; 19(3): 1123, https://doi.org/10.3390/ijerph19031123.
• Carver CS. You want to measure coping but your protocol’s too long: consider the brief COPE. Int J Behav Med. 1997; 4(1): 92–100, https://doi.org/10.1207/s15327558ijbm0401_6.
• Marcolongo F, Ottaviani M, Romano P, Bonassi S, Garramone A, Infarinato F, Russo P, Tamburrano A, Tomino C, Prinzi G. The role of resilience and coping among Italian healthcare workers during the COVID-19 pandemic. Med Lav. 2021; 112(6):496–505, https://doi.org/10.23749/mdl.v112i6.12285.
• Afshar H, Roohafza HR, Keshteli AH, Mazaheri M, Feizi A, Adibi P. The association of personality traits and coping styles according to stress level. J Res Med Sci.2015; 20(4): 353–358.
• Park CL, Adler NE. Coping style as a predictor of health and well-being across the first year of medical school. Health Psychol. 2003; 22(6): 627–631, https://doi.org/10.1037/0278-6133.22.6.627.
• Mellins CA, Mayer LES, Glasofer DR, Devlin MJ, Albano AM, Nash SS, Engle E, Cullen C, Ng WYK, Allmann AE, Fitelson EM, Vieira A, Remien RH, Malone P, Wainberg ML, Baptista-Neto L, Supporting the well-being of health care providers during the COVID-19 pandemic: The CopeColumbia response. Gen Hosp Psychiatry. 2020; 67: 62–69, https://doi.org/10.1016/j.genhosppsych.2020.08.013.
• Pillai V, Roth T, Mullins HM, Drake CL. Moderators and mediators of the relationship between stress and insomnia: Stressor chronicity, cognitive intrusion, and coping. Sleep. 2014; 37(7): 1199–1208A, https://doi.org/10.5665/sleep.3838.
• Kalmbach DA, Cuamatzi-Castelan AS, Tonnu CV, Tran KM, Anderson JR, Roth T, Drake CL. Hyperarousal and sleep reactivity in insomnia: current insights. Nat Sci Sleep. 2018; 10: 193–201, https://doi.org/10.2147/NSS.S138823.
• Wang S, Xie L, Xu Y, Yu S, Yao B, Xiang D. Sleep disturbances among medical workers during the outbreak of COVID-2019. Occup Med. 2020; 70(5): 364–369, https://doi.org/10.1093/occmed/kqaa074.
• Cleper R, Hertz-Palmor N, Mosheva M, Hasson-Ohayon I, Kaplan R, Kreiss Y, Afek A, Pessach IM, Gothelf D, Gross R. Sleep difficulties among COVID-19 frontline healthcare workers. Front Psychiatry. 2022; 13: 838825, https://doi.org/10.3389/fpsyt.2022.838825.
• Amra B, Ghadiry F, Vaezi A, Nematollahy A, Radfar N, Haghjoo S, Penzel T, Morin CM. Effect of one-shot cognitive behavioral therapy on insomnia and heart rate variability of health care workers at the time of COVID-19 pandemic: a randomized controlled trial. Sleep Breath. 2023; 27(4): 1411–1418, https://doi.org/10.1007/s11325-022-02746-4.
• Cheng P, Casement MD, Kalmbach DA, Castelan AC, Drake CL. Digital cognitive behavioral therapy for insomnia promotes later health resilience during the coronavirus disease 19 (COVID-19) pandemic. Sleep. 2021; 44(4): zsaa258, https://doi.org/10.1093/sleep/zsaa258.

Identifiers

DOI

10.48269/2451-0858-pis-2024-2-002

Biblioteka Nauki

59590087