背景:在大流行期间,许多警察牙医负有关键责任,即通过采取政府批准的卫生措施来阻止冠状病毒的传播,确保法律和秩序,同时提供牙科护理。这项研究的目的是评估秘鲁国家警察局(PNP)卫生部的秘鲁牙医对COVID-19的恐惧与倦怠综合征之间的关系,考虑到可能的混杂变量。
方法:这项横断面和分析性研究包括182名PNP牙医。恐惧COVID-19量表评估了对COVID-19的恐惧,Maslach倦怠量表测试评估了倦怠综合征。使用Spearman的Rho分析了对COVID-19的恐惧与倦怠综合征(自我实现)之间的关系。采用具有稳健方差估计方法的多变量Poisson回归模型来评估对COVID-19的恐惧对职业倦怠综合征各个维度的影响。考虑可能的混杂变量。统计学显著性水平设定为p<0.05。
结果:在双变量分析下,对COVID-19的恐惧与情绪衰竭的低直接强度显著相关(Rho=0.325,p<0.001),对去个性化的直接强度非常低(Rho=0.180,p=0.015),和非常低的逆强度对自我实现(Rho=-0.186,p=0.012)。在多变量分析下,据观察,对COVID-19表现出恐惧的牙医经历情绪疲惫和人格解体的可能性分别为3.4和3.7倍,分别(APR=3.40,95%CI:1.74-6.63,APR=3.68,95%CI:1.31-10.37),与那些对COVID-19没有表现出恐惧的人相比。此外,没有发现潜在的混杂因素对情绪衰竭有显著影响(p>0.05),去人格化(p>0.05),和自我实现(p>0.05)。
结论:对COVID-19的恐惧与情绪衰竭和人格解体显著相关,与自我实现成反比。对COVID-19表现出恐惧的PNP牙医情绪疲惫和人格解体的风险更大。在发展倦怠综合征中,年龄、性别,婚姻状况,孩子们,层次结构,服务年限,工作区,私人执业,每周工作超过40小时,服务类型,已完成的工作,运动练习和日常锻炼时间。
BACKGROUND: During the pandemic, many
police dentists had the crucial responsibility of ensuring law and order while providing dental care by taking government-approved health measures to stop the spread of the coronavirus. The aim of this
study was to assess the association between the fear of COVID-19 and Burnout syndrome in Peruvian dentists belonging to the Health Department of the National
Police of Peru (PNP), taking into account possible confounding variables.
METHODS: This cross-sectional and analytical
study included 182 PNP dentists. The Fear COVID-19 Scale assessed fear of COVID-19 and the Maslach Burnout Inventory Test assessed burnout syndrome. The association between the fear of COVID-19 and Burnout syndrome (self-fulfilment) was analyzed using Spearman\'s Rho. A multivariable Poisson regression model with a robust variance estimation method was employed to evaluate the impact of fear of COVID-19 on the various dimensions of Burnout syndrome, considering possible confounding variables. The statistical significance level was set at p < 0.05.
RESULTS: Under bivariate analysis, fear of COVID-19 was significantly linked with low direct intensity toward emotional exhaustion (Rho = 0.325, p < 0.001), very low direct intensity toward depersonalization (Rho = 0.180, p = 0.015), and very low inverse intensity toward self-fulfilment (Rho =-0.186, p = 0.012). Under multivariable analysis, it was observed that dentists who exhibited fear of COVID-19 were 3.4 and 3.7 times more likely to experience emotional exhaustion and depersonalization, respectively (APR = 3.40, 95% CI: 1.74-6.63 and APR = 3.68, 95% CI: 1.31-10.37), as compared to those who did not display fear of COVID-19. Moreover, none of the potential confounding factors were found to have a significant impact on emotional exhaustion (p > 0.05), depersonalization (p > 0.05), and self-fulfilment (p > 0.05).
CONCLUSIONS: Fear of COVID-19 was significantly associated with emotional exhaustion and depersonalization, and inversely associated with self-fulfilment. PNP dentists who exhibited fear of COVID-19 were at greater risk for emotional exhaustion and depersonalization. In developing Burnout syndrome, no significant impact was observed from factors such as age, gender, marital status, children, hierarchy, years of service, work area, private practice, work over 40 h per week, type of service, work performed, sport practice and daily exercise time.