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预防医学  2023, Vol. 35 Issue (6): 526-532    DOI: 10.19485/j.cnki.issn2096-5087.2023.06.015
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
新型冠状病毒感染流行期间医护人员职业倦怠的Meta分析
段恬筱, 黄希汇, 刘诗川, 胡薇薇, 刘涛, 李亚, 岑斌
杭州市疾病预防控制中心质量管理科,浙江 杭州 310021
Prevalence of job burnout among healthcare workers during the COVID-19 pandemic: a meta-analysis
DUAN Tianxiao, HUANG Xihui, LIU Shichuan, HU Weiwei, LIU Tao, LI Ya, CEN Bin
Department of Quality Management, Hangzhou Center for Disease Control and Prevention, Hangzhou, Zhejiang 310021, China
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摘要 目的 系统评价新型冠状病毒感染(COVID-19)流行期间医护人员职业倦怠情况,为及时干预医护人员职业倦怠提供循证依据。方法 检索PubMed、Embase、中国知网、万方数据知识服务平台、维普中文科技期刊数据库等数据库,收集2020年1月1日—2022年12月16日发表的关于COVID-19流行期间医护人员职业倦怠的研究文献;采用RevMan 5.3软件进行Meta分析;采用逐一剔除单个研究的方法进行敏感性分析;采用漏斗图和Egger检验评价发表偏倚。结果 共检索文献1 196篇,最终纳入39篇,其中英文文献30篇,中文文献9篇,样本量从87人到7 626人不等。Meta分析结果显示,医护人员总职业倦怠检出率为54%(95%CI:44%~64%),其中高情绪衰竭、高去人格化和低个人成就感3个维度的检出率分别为45%(95%CI:39%~50%)、39%(95%CI:31%~46%)和42%(95%CI:37%~47%)。敏感性分析显示Meta分析结果稳定。漏斗图和Egger检验提示存在发表偏倚(t=3.230,P=0.004)。结论 COVID-19流行期间医护人员职业倦怠检出率为44%~64%,应重视职业倦怠对医护人员的影响。
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段恬筱
黄希汇
刘诗川
胡薇薇
刘涛
李亚
岑斌
关键词 新型冠状病毒感染医护人员职业倦怠Meta分析    
AbstractObjective To systematically evaluate the prevalence of job burnout among healthcare workers during the COVID-19 pandemic, so as to provide evidence-based evidence for timely interventions against job burnout among healthcare workers. Methods Publications pertaining to job burnout among healthcare workers during the COVID-19 pandemic were retrieved international and national databases from January 1, 2020 to December 16, 2022, including PubMed, Embase, CNKI, Wanfang Data and VIP. Meta-analysis was performed using the software RevMan 5.3, and sensitivity analysis was performed using the leave-one-out method. In addition, the publication bias was evaluated using Funnel plot and Egger's test. Results A total of 1 196 publications were screened, and 39 publications that met the inclusion and exclusion criteria were included in the final analysis, including 30 English articles and 9 Chinese articles, covering 87 to 7 626 participants. Meta-analysis showed that the pooled prevalence of job burnout was 54% (95%CI: 44%-64%) among healthcare workers, and detection rates of high emotional exhaustion, high depersonalization and low personal fulfillment were 45% (95%CI: 39%-50%), 39% (95%CI: 31%-46%), and 42% (95%CI: 37%-47%), respectively. Sensitivity analyses showed stable meta-analysis results, and funnel plots and Egger's test indicated publication bias (t=3.230, P=0.004). Conclusions The prevalence of job burnout was 44% to 64% among healthcare workers during the COVID-19 pandemic. Much attention should be paid to the impact of job burnout among healthcare workers.
Key wordsCOVID-19    healthcare worker    job burnout    meta-analysis
收稿日期: 2023-02-13      修回日期: 2023-04-25      出版日期: 2023-06-10
中图分类号:  R192  
作者简介: 段恬筱,硕士,医师,主要从事公共卫生和传染病控制工作
通信作者: 岑斌,E-mail:27916471@qq.com   
引用本文:   
段恬筱, 黄希汇, 刘诗川, 胡薇薇, 刘涛, 李亚, 岑斌. 新型冠状病毒感染流行期间医护人员职业倦怠的Meta分析[J]. 预防医学, 2023, 35(6): 526-532.
DUAN Tianxiao, HUANG Xihui, LIU Shichuan, HU Weiwei, LIU Tao, LI Ya, CEN Bin. Prevalence of job burnout among healthcare workers during the COVID-19 pandemic: a meta-analysis. Preventive Medicine, 2023, 35(6): 526-532.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.06.015      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I6/526
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