Abstract

Background

Burnout is a state of emotional, mental, and physical exhaustion affecting a large number of health care workers. In Ethiopia, there is limited evidence about burnout syndrome and work-related determinant factors among health care workers. Therefore, this study aimed to determine the prevalence of burnout syndrome and identify the associated risk factors among public hospitals health care workers in Addis Ababa, Ethiopia, 2019.

Methods

Institution-based cross-sectional study design was employed from March 10 to May 13, 2019. Stratified random sampling with simple random sampling techniques was used to select participants. The standardized Maslach Burnout Inventory-Human service survey questionnaire was used to collect the data. Five-hundred twenty-five workers completed and valid questionnaire were entered into Epi Info version 7 and exported to SPSS version 20 for further analysis. Logistic regression analysis was used to identify factors associated with burnout syndrome. The significant level was obtained at p-value ≤ 0.05.

Result

The overall prevalence of burnout syndrome among health care workers in this study was found to be 31.6% (n = 166) (95%CI: 27.8, 36). Moreover, 42% (n = 218) of respondents were highly emotionally exhausted. In addition, 43% (n = 224) and 45% (n = 234) of respondents experienced depersonalization and low personal achievement, respectively. Age (AOR = 0.4, 95%CI: 0.2, 0.9), long night shift work (AOR = 3.36, 95%CI: 1.83, 6.2), job satisfaction (AOR = 2.08 95%CI: 1.3, 3.3), and educational level (AOR = 6.33, 95%CI: 2.3–17.5) were factors significantly associated with burnout syndrome.

Conclusion

This study shows that a high proportion of health care workers suffer from burnout syndrome. Low education level, long night- and day-shift work, and job dissatisfaction are significant determinant factors of burnout syndrome. Therefore, interventions focusing on shift work management, establishing stress management programs, and improving interpersonal relationships and working conditions to increase job satisfaction among health care workers are essential to reduce the problem.

中文翻译：

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埃塞俄比亚亚的斯亚贝巴公立医院医护人员的倦怠综合征患病率及相关因素：横断面研究结果

摘要

背景

倦怠是一种情绪、精神和身体疲惫的状态，影响着大量的卫生保健工作者。在埃塞俄比亚，关于卫生保健工作者的倦怠综合征和与工作相关的决定因素的证据有限。因此，本研究旨在确定 2019 年埃塞俄比亚亚的斯亚贝巴公立医院医护人员的倦怠综合征患病率并确定相关风险因素。

方法

2019 年 3 月 10 日至 5 月 13 日采用基于机构的横断面研究设计。使用简单随机抽样技术的分层随机抽样来选择参与者。使用标准化的 Maslach 倦怠清单 - 人力服务调查问卷来收集数据。五百二十五名工人完成并有效的问卷被输入到Epi Info第7版并导出到SPSS第20版进行进一步分析。Logistic回归分析用于识别与倦怠综合征相关的因素。在p值 ≤ 0.05时获得显着水平。

结果

在这项研究中，卫生保健工作者中倦怠综合征的总体患病率为 31.6% ( n  = 166) (95%CI: 27.8, 36)。此外，42% ( n  = 218) 的受访者情绪极度疲惫。此外，分别有 43% ( n  = 224) 和 45% ( n  = 234) 的受访者经历了人格解体和个人成就低下。年龄 (AOR = 0.4, 95%CI: 0.2, 0.9)，长时间夜班工作 (AOR = 3.36, 95%CI: 1.83, 6.2)，工作满意度 (AOR = 2.08 95%CI: 1.3, 3.3)，和教育水平 (AOR = 6.33, 95% CI: 2.3–17.5) 是与倦怠综合征显着相关的因素。

结论

这项研究表明，很大一部分医护人员患有倦怠综合症。文化程度低、夜班和白班时间长、工作不满意是职业倦怠综合征的重要决定因素。因此，关注轮班工作管理、建立压力管理计划、改善人际关系和工作条件以提高卫生保健工作者的工作满意度的干预措施对于减少问题至关重要。