COVID-19 pandemisinin ilk dalgasında sağlık çalışanlarının tükenmişliği: meta analiz

Year 2022, Volume: 47 Issue: 3, 1227 - 1238, 30.09.2022

Sevinç Püren Yücel Karakaya , Gülşah Seydaoğlu , Nazlı Totik Doğan , Aslı Boz , Selçuk Candansayar

https://doi.org/10.17826/cumj.1133107

Abstract

Amaç: COVID-19 pandemisinde artan iş yükü ve çalışma koşulları, sağlık çalışanlarının yaşamlarını, fiziksel iyiliklerini ve mental sağlıklarını (tükenmişlik gibi) tehdit etmektedir. Bu çalışmada, COVID-19 pandemisinin ilk dalgasında sağlık çalışanlarının tükenmişlik oranını inceleyen çalışma bulgularının meta-analiz yöntemi kullanılarak analizi amaçlanmıştır.
Gereç ve Yöntem: PubMed, PsycINFO ve WOS kullanılarak COVID-19 pandemisinin sağlık çalışanları arasındaki tükenmişliğini (Maslach Tükenmişlik Ölçeği ile) 25 Şubat 2021'e kadar inceleyen çalışmalar tarandı ve 145 çalışmadan 10'u meta-analize dahil edildi.
Bulgular: Sağlık çalışanlarında duygusal tükenme oranı %31 (%95 GA: %24-%40), duyarsızlaşma oranı %28 (%95 GA: %23-%38) ve kişisel başarısızlık oranı %22 (%95 GA: %13-%34) olarak elde edilmiştir. Vaka sayısının yüksek, yatak ve doktor sayısının düşük olduğu ülkelerde, duygusal tükenme düzeyinin daha düşük, kişisel başarısızlığın daha yüksek olduğu saptanmıştır. Alt grup analizlerinde ise anlamlı bir farklılık bulunmamıştır.
Sonuç: Erken dönem çalışmalarından elde edilen kanıtlar, COVID-19 pandemisi sırasında sağlık çalışanlarının önemli bir bölümünde tükenmişliğin olduğunu göstermiştir. Sağlık çalışanlarının mental sağlığına dikkat etmenin, olası riskleri azaltmanın yollarını belirlemenin ve salgın sırası ile sonrasında sağlık çalışanları için rehabilitasyon programı hazırlamanın gerekli olduğu sonucuna ulaşılmıştır.

Keywords

Koronavirüs, COVID-19, sağlık çalışanları, tükenmişlik, sistematik derleme ve meta-analiz

Burnout among healthcare workers at the first wave of the COVID-19: meta analysis

Abstract

conditions during the COVID-19 pandemic, threaten the lives and physical well-being of healthcare workers (HCWs), and also their mental health, such as burnout, etc. which is often neglected. The aim of this review is to analyze published studies on the proportion of burnout among HCWs during the first wave of the COVID-19.
Materials and Methods: We conducted a systematic review of studies that reported burnout (measured by Maslach Burnout Inventory) among HCWs during the COVID-19 pandemic and searched PubMed, PsycINFO, and WOS of relevant articles up to Feb 25th, 2021. Out of 145 non-duplicate studies, 10 were included in the meta-analysis.
Results: The overall estimated pooled proportion for emotional exhaustion (EE) was 31% (95% CI: 24%-40%), for depersonalization (DP) was 28% (95% CI: 23%-38%) and 22% (95% CI: 13%-34%) for personal accomplishment (PA). The results show that in countries where the number of cases is high and the number of beds and doctors is low, the level of EE appears to be slightly lower and PA is slightly higher. However, there were no significant differences according to subgroup analyses.
Conclusion: Evidence from early studies highlight the fact that a significant proportion of HCWs suffers from burnout during this pandemic. It will be necessary to pay close attention to HCWs' mental health and identify ways to reduce risks and prepare a rehabilitation program for the HCWs during and after the pandemic.

Keywords

Coronavirus, COVID-19, Healthcare workers, Burnout, Systematic Review-Meta Analysis.

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