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| 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
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| Department of Quality Management, Hangzhou Center for Disease Control and Prevention, Hangzhou, Zhejiang 310021, China |
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Abstract Objective 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.
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Received: 13 February 2023
Revised: 25 April 2023
Published: 13 June 2023
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[1] MASLACH C,LEITER M P.Understanding the burnout experience:recent research and its implications for psychiatry[J].World Psychiatry,2016,15(2):103-111.
[2] ULFA M,AZUMA M,STEINER A.Burnout status of healthcare workers in the world during the peak period of the COVID-19 pandemic[J/OL].Front Psychol,2022,13[2023-04-25].https://doi.org/10.3389/fpsyg.2022.952783.
[3] 王瑾,晏小琼,凌瑞杰,等.湖北省某三甲医院医护人员职业紧张、职业倦怠、应对方式调查[J].预防医学,2021,33(12):1203-1208.
[4] ABDELHAFIZ A S,ALI A,ZIADY H H,et al.Prevalence,associated factors,and consequences of burnout among Egyptian physicians during COVID-19 pandemic[J/OL].Front Public Health,2020,8[2023-04-25].https://doi.org/10.3389/fpubh.2020.590190.
[5] AZOULAY E,DE WAELE J,FERRER R,et al.Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak[J/OL].Ann Intensive Care,2020,10(1)[2023-04-25].https://doi.org/10.1186/s13613-020-00722-3.
[6] 周英凤,顾莺,胡雁,等.JBI循证卫生保健中心对关于不同类型研究的质量评价工具——患病率及分析性横断面研究的质量评价[J].护士进修杂志,2018(3):219-221.
[7] BARELLO S,PALAMENGHI L,GRAFFIGNA G.Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic[J/OL].Psychiatry Res,2020,290[2023-04-25].https://doi.org/10.1016/j.psychres.2020.113129.
[8] ELHADI M,MSHERGHI A,ELGZAIRI M,et al.Burnout syndrome among hospital healthcare workers during the COVID-19 pandemic and civil war:a cross-sectional study[J/OL].Front Psychiatry,2020,11[2023-04-25].https://doi.org/10.3389/fpsyt.2020.579563.
[9] MATSUO T,KOBAYASHI D,TAKI F,et al.Prevalence of health care worker burnout during the coronavirus disease2019(COVID-19)pandemic in Japan[J/OL].JAMA Netw Open,2020,3(8)[2023-04-25].https://jamanetwork.com/journals/jamanetworkopen/article-abstract/2768947.DOI:10.1001/jamanetworkopen.2020.17271.
[10] 彭诗月,邓小凤,杨辉,等.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[J].精神医学杂志,2020,33(3):169-172.
[11] 朱靖,胡丹,李静娴,等.新冠疫情背景下医务人员职业倦怠影响因素分析[J].东南大学学报(医学版),2020,39(6):5-7.
[12] AFULANI P A,GYAMERAH A O,NUTOR J J,et al.Inadequate preparedness for response to COVID-19 is associated with stress and burnout among healthcare workers in Ghana[J/OL].PloS one,2021,16(4)[2023-04-25].https://doi.org/10.1371/journal.pone.0250294.
[13] AJAB S,ADAM B,AL-HAMMADI M,et al.Occupational health of frontline healthcare workers in the United Arab Emirates during the COVID-19 pandemic:a snapshot of summer 2020[J].Int J Environ Res Public Health,2021,18(21):1-15.
[14] ALKHAMEES A A,ASSIRI H,ALHARBI H Y,et al.Burnout and depression among psychiatry residents during COVID-19 pandemic[J/OL].Hum Resour Health,2021,19(1)[2023-04-25].https://doi.org/10.21203/rs.3.rs-41970/v1.
[15] ALWASHMI A H,ALKHAMEES A A.Burnout and the psychological impact among physiatrists in Saudi Arabia during COVID-19[J/OL].Int J Environ Res Public Health,2021,18(18)[2023-04-25].https://doi.org/10.3390/ijerph18189621.
[16] APAYDIN E A,ROSE D E,YANO E M,et al.Burnout among primary care healthcare workers during the COVID-19 pandemic[J].J Occup Environ Med,2021,63(8):642-645.
[17] APPIANI F J,RODRIGUEZ CAIROLI F,SAROTTO L,et al.Prevalence of stress,burnout syndrome,anxiety and depression among physicians of a teaching hospital during the COVID-19 pandemic[J].Arch Argent Pediatr,2021,119(5):317-324.
[18] ASGHAR M S,YASMIN F,ALVI H,et al.Assessing the mental impact and burnout among physicians during the COVID-19 pandemic:a developing country single-center experience[J].Am J Trop Med Hyg,2021,104(6):2185-2189.
[19] BELLANTI F,LO BUGLIO A,CAPUANO E,et al.Factors related to nurses' burnout during the first wave of coronavirus disease-19 in a university hospital in Italy[J/OL].Int J Environ Res Public Health,2021,18(10)[2023-04-25].https://doi.org/10.3390/ijerph18105051.
[20] BISESTI A,MALLARDO A,GAMBAZZA S,et al.Facing COVID-19 pandemic in a tertiary hospital in Milan:prevalence of burnout in nursing staff working in sub-intensive care units[J/OL].Int J Environ Res Public Health,2021,18(13)[2023-04-25].https://doi.org/10.3390/ijerph18136684.
[21] BRUYNEEL A,SMITH P,TACK J,et al.Prevalence of burnout risk and factors associated with burnout risk among ICU nurses during the COVID-19 outbreak in French speaking Belgium[J/OL].Intensive Crit Care Nurs,2021,65[2023-04-25].https://doi.org/10.1016/j.iccn.2021.103059.
[22] JALILI M,NIROOMAND M,HADAVAND F,et al.Burnout among healthcare professionals during COVID-19 pandemic:a cross-sectional study[J].Int Arch Occup Environ Health,2021,94(6):1345-1352.
[23] STOCCHETTI N,SEGRE G,ZANIER E R,et al.Burnout in intensive care unit workers during the second wave of the COVID-19 pandemic:a single center cross-sectional Italian study[J/OL].Int J Environ Res Public Health,2021,18(11)[2023-04-25].https://doi.org/10.3390/ijerph18116102.
[24] ZHANG X,WANG J,HAO Y,et al.Prevalence and factors associated with burnout of frontline healthcare workers in fighting against the COVID-19 pandemic:evidence from China[J/OL].Front Psychol,2021,12[2023-04-25].https://doi.org/10.3389/fpsyg.2021.680614.
[25] 查倩倩,孔晓明,葛秀娟,等.新冠疫情常态化防控期精神科医务人员职业倦怠水平调查[J].神经损伤与功能重建,2021,16(1):58-59,62.
[26] 黎轶丽,刘丽香,吴新,等.“后疫情时期”武汉市某三甲医院护理人员创伤后应激障碍、职业倦怠与离职倾向分析[J].职业卫生与应急救援,2021,39(1):34-39.
[27] 李俊,江雁,彭艳英,等.新型冠状病毒肺炎疫情期间家庭医生职业倦怠现状及影响因素分析[J].医学动物防制,2021,37(10):963-966.
[28] 肖潇,汪刘,司俊霄,等.新冠疫情期间医务人员职业倦怠水平及影响因素分析[J].川北医学院学报,2021,36(3):401-404.
[29] 杨瑞,王宇龙,薛承景,等.新冠肺炎疫情期护士职业倦怠现状及相关影响因素的分析[J].卫生职业教育,2021,39(19):152-153,154.
[30] AKOVA I,KILIC E,OZDEMIR M E.Prevalence of burnout,depression,anxiety,stress,and hopelessness among healthcare workers in COVID-19 pandemic in Turkey[J/OL].Inquiry,2022,59[2023-04-25].https://doi.org/10.1177/00469580221079684.
[31] AMRO T M,ARCOS GONZALEZ P,MONTERO VINUALES E,et al.Impact of COVID-19 pandemic on stress and burnout levels amongst emergency medical technicians:a cross-sectional study in Spain[J].Ann Med,2022,54(1):3007-3016.
[32] ANTAO H S,SACADURA-LEITE E,CORREIA A I,et al.Burnout in hospital healthcare workers after the second COVID-19 wave:job tenure as a potential protective factor[J/OL].Front Psychol,2022,13[2023-04-25].https://doi.org/10.3389/fpsyg.2022.942727.
[33] BABAMIRI M,BASHIRIAN S,KHAZAEI S,et al.Burnout and mental health of COVID-19 frontline healthcare workers:results from an online survey[J].Iran J Psychiatry,2022,17(2):136-143.
[34] BELJI K M,FATEMI F,PAKNAZAR F,et al.Occupational burnout symptoms and its relationship with workload and fear of the SARS-CoV-2 pandemic among hospital nurses[J/OL].Front Public Health,2022,10[2023-04-25].https://doi.org/10.3389/fpubh.2022.852629.
[35] BOTTI S,CANNICI C,LIPTROTT S J,et al.Nurses' physical and psychological symptoms during the first COVID-19 lockdown in Italy:a nationwide cross-sectional study in stem cell transplantation setting[J/OL].Mediterr J Hematol Infect Dis,2022,14(1)[2023-04-25].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8747087.DOI:10.4084/MJHID.2022.010.
[36] BRUYNEEL A,BOUCKAERT N,MAERTENS-DE-NOORDHOUT C,et al.Association of burnout and intention-to-leave the profession with work environment:a nationwide cross-sectional study among Belgian intensive care nurses after two years of pandemic[J/OL].Int J Nurs Stud,2023,137[2023-04-25].https://doi.org/10.1016/j.ijnurstu.2022.104385.
[37] HOUDMONT J,DALIYA P,THEOPHILIDOU E,et al.Burnout among surgeons in the UK during the COVID-19 pandemic:a cohort study[J].World J Surg,2022,46(1):1-9.
[38] KAMALI M,AZIZI M,MOOSAZADEH M,et al.Occupational burnout in Iranian health care workers during the COVID-19 pandemic[J/OL].BMC Psychiatry,2022,22(1)[2023-04-25].https://doi.org/10.1186/s12888-022-04014-x.
[39] SZWAMEL K,KACZOROWSKA A,LEPSY E,et al.Predictors of the occupational burnout of healthcare workers in Poland during the COVID-19 pandemic:a cross-sectional study[J/OL].Int J Environ Res Public Health,2022,19(6)[2023-04-25].https://doi.org/10.3390/ijerph19063634.
[40] ULBRICHTOVA R,SVIHROVA V,TATARKOVA M,et al.Prevalence of burnout syndrome in COVID-19 and non-COVID-19 units in university hospital:a cross-sectional study[J].Int J Environ Res Public Health,2022,19:1-9.
[41] 李为翊,张博,马立人,等.疫情防控期间上海市中心城区社区医务人员职业倦怠状况及影响因素分析[J].职业卫生与应急救援,2022,40(5):548-553.
[42] 马欣荣,江洪,郭雨墨,等.新冠肺炎疫情期间医疗机构工作人员心理健康状况及与职业倦怠的关系[J].临床精神医学杂志,2022,32(1):33-38.
[43] AL-OTAIBI T,ABBAS A,ASHRY GHEITH O,et al.Determinants,predictors and negative impacts of burnout among health care workers during COVID-19 pandemic[J/OL].J King Saud Univ Sci,2023,35(1)[2023-04-25].https://doi.org/10.1016/j.jksus.2022.102441.
[44] 周嘉昱,施剑飞.新型冠状病毒感染疫情期间医护人员心理问题及干预研究进展[J].预防医学,2023,35(4):307-310.
[45] 沈强,张月琴,江圣洁,等.新冠肺炎疫情期间医务人员焦虑状况的Meta分析[J].预防医学,2022,34(7):720-726. |
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