Abstract
Introduction. During the pandemic of the Coronavirus Disease 2019 (COVID‑19), medical workers became one of the most affected groups of the population, which requires research on their physical and mental health to develop preventive corrective measures. The aim of the study is to assess the degree of emotional burnout of medical personnel in the conditions of the COVID‑19 pandemic for the development of preventive and rehabilitation programs. Materials and methods. The study of emotional burnout of medical workers was carried out according to an anonymous online survey based on a specially developed author’s questionnaire, which included a questionnaire by K. Maslach and S. Jackson, adapted by N. E. Vodopyanova and supplemented with a mathematical model of the V. M. Bekhterev National Medical Research Center for Psychiatry and Neurology. The questionnaire was compiled on the Google Forms. Participation in the online survey was voluntary. The number of respondents was 663 people. Results and discussion. In the course of the study, a high degree of emotional burnout of employees was established. When describing different aspects of emotional burnout, it was noted that awareness of one’s competence and professionalism suffered more, which indicated a significant reduction in professional competencies. There were also signs of emotional exhaustion, manifested in a feeling of fatigue and lack of emotional resources. The groups with the most unconstructive algorithms for responding to stressful factors in the conditions of the COVID‑19 pandemic, and, accordingly, with a high risk of emotional burnout, were employees of non-medical specialties, female, with up to 5 years of work experience. Conclusion. According to the results of the conducted research, up-to-date data on the psycho-emotional state of employees of medical organizations during the COVID‑19 pandemic were obtained, potential risk groups for the formation of emotional burnout syndrome were identified, requiring primarily specialized psychological assistance and support.
For citation
Platonova ТА, Golubkova AA, Sklyar MS, Shahova KV. Emotional burnout of employees of medical organizations during the COVID‑19 pandemic: the state of the problem and solutions. Bulletin of USMU. 2023;(3):22–34. (In Russ.). EDN: https://elibrary.ru/DGGTZB.
References
Сравнение первых трех волн пандемии COVID‑19 в России (2020–2021 гг.) / Л. С. Карпова, К. А. Столяров, Н. М. Поповцева [и др.] // Эпидемиология и Вакцинопрофилактика. 2022. Т. 21, № 2. С. 4–16. DOI: https://doi.org/10.31631/2073-3046-2022-21-2-4-16.
Клинико-эпидемиологические особенности пациентов, госпитализированных с COVID‑19 в различные периоды пандемии в Москве / Н. И. Брико, В. А. Коршунов, С. В. Краснова [и др.] // Журнал микробиологии, эпидемиологии и иммунобиологии. 2022. Т. 99, № 3. С. 287–299. DOI: https://doi.org/10.36233/0372-9311-272.
Особенности проявлений хронических заболеваний после перенесенной коронавирусной инфекции COVID‑19 / Г. Б. Идрисова, А. Ш. Галикеева, М. А. Шарафутдинов [и др.] // Уральский медицинский журнал. 2022. Т. 21, № 3. С. 15–20. DOI: https://doi.org/10.52420/2071-5943-2022-21-3-15-20.
Проект Коронавирус Контроль. URL: https://coronavirus-control.ru/ (дата обращения: 01.09.2023).
Impact of Coronavirus Syndromes on Physical and Mental Health of Health Care Workers: Systematic Review and Meta-analysis / G. Salazar de Pablo, J. Vaquerizo-Serrano, A. Catalan [et al.] // Journal of Affective Disorders. 2020. Vol. 275. P. 48–57. DOI: https://doi.org/10.1016/j.jad.2020.06.022.
Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers: A Living Rapid Review / R. Chou, T. Dana, D. I. Buckley [et al.] // Annals of Internal Medicine. 2020. Vol. 173, Iss. 2. Р. 120–136. DOI: https://doi.org/10.7326/M20-1632.
Burden, Risk Assessment, Surveillance and Management of SARS-CoV‑2 Infection in Health Workers: A Scoping Review / F. Calò, A. Russo, C. Camaioni [et al.] // Infectious Diseases of Poverty. 2020. Vol. 9, Art. No. 139. DOI: https://doi.org/10.1186/s40249-020-00756-6.
Risk of COVID‑19 Among Front-Line Health-Care Workers and the General Community: A Prospective Cohort Study / L. H. Nguyen, D. A. Drew, M. S. Graham [et al.] // Lancet Public Health. 2020. Vol. 5, Iss. 9. Р. e475–e483. DOI: https://doi.org/10.1016/S2468-2667(20)30164‑X.
Seroprevalence of SARS-CoV‑2 Antibodies and Associated Factors in Healthcare Workers: A Systematic Review and Meta-analysis / P. Galanis, I. Vraka, D. Fragkou [et al.] // The Journal of Hospital Infection. 2021. Vol. 108. P. 120–134. DOI: https://doi.org/10.1016/j.jhin.2020.11.008.
Healthcare Workers Experience in Dealing with Coronavirus (COVID‑19) Pandemic / R. H. Almaghrabi, H. A. Alfaraidi, W. A. Al Hebshi, M. M. Albaadani // Saudi Medical Journal. 2020. Vol. 41, Iss. 6. P. 657–660. DOI: https://doi.org/10.15537/smj.2020.6.25101.
Psychological Impact of the 2015 MERS Outbreak on Hospital Workers and Quarantined Hemodialysis Patients / S. M. Lee, W. S. Kang, A. R. Cho [et al.] // Comprehensive Psychiatry. 2018. Vol. 87. P. 123–127. DOI: https://doi.org/10.1016/j.comppsych.2018.10.003.
Depression After Exposure to Stressful Events: Lessons Learned from the Severe Acute Respiratory Syndrome Epidemic / X. Liu, M. Kakade, C. J. Fuller [et al.] // Comprehensive Psychiatry. 2012. Vol. 53, Iss. 1. P. 15–23. DOI: https://doi.org/10.1016/j.comppsych.2011.02.003.
Immediate and Sustained Psychological Impact of an Emerging Infectious Disease Outbreak on Health Care Workers / G. M. McAlonan, A. M. Lee, V. Cheung [et al.] // The Canadian Journal of Psychiatry. 2007. Vol. 52, Iss. 4. P. 241–247. DOI: https://doi.org/10.1177/070674370705200406.
COVID‑19 Pandemic Effects on Health Worker’s Mental Health: Systematic Review and Meta-analysis / C. Aymerich, B. Pedruzo, J. L. Pérez [et al.] // European Psychiatry. 2022. Vol. 65, Iss. 1. P. e10. DOI: https://doi.org/10.1192/j.eurpsy.2022.1.
The Impact of SARS-CoV‑2 on the Mental Health of Healthcare Workers in a Hospital Setting — A Systematic Review / J. Sanghera, N. Pattani, Y. Hashmi [et al.] // Journal of Occupational Health. 2020. Vol. 62, Iss.1. P. e12175. DOI: https://doi.org/10.1002/1348-9585.12175.
Prevalence of Depression, Anxiety, and Insomnia Among Healthcare Workers During the COVID‑19 Pandemic: A Systematic Review and Meta-analysis / S. Pappa, V. Ntella, T. Giannakas [et al.] // Brain, Behavior, and Immunity. 2020. Vol. 88. P. 901–907. DOI: https://doi.org/10.1016/j.bbi.2020.05.026.
Профессиональное выгорание, симптомы эмоционального неблагополучия и дистресса у медицинских работников во время эпидемии COVID‑19 / С. С. Петриков, А. Б. Холмогорова, А. Ю. Суроегина [и др.] // Консультативная психология и психотерапия. 2020. Т. 28, № 2. С. 8–45. DOI: https://doi.org/10.17759/cpp.2020280202.
Профессиональное выгорание и его факторы у медицинских работников, участвующих в оказании помощи больным COVID‑19 на разных этапах пандемии / А. Б. Холмогорова, С. С. Петриков, А. Ю. Суроегина [и др.] // Неотложная медицинская помощь. Журнал имени Н. В. Склифосовского. 2020. Т. 9, № 3. С. 321–337. DOI: https://doi.org/10.23934/2223-9022-2020-9-3-321-337.
Лексиконы психиатрии Всемирной Организации Здравоохранения / пер. с англ. под общ. ред. В. Б. Позняка. К. : Сфера, 2001. 398 с.
Maslach С., Jackson S. E. The Measurement of Experienced Burnout // Journal of Organizational Behavior. 1981. Vol. 2, Iss. 2. P. 99–113. DOI: https://doi.org/10.1002/job.4030020205.
Водопьянова Н. Е., Старченкова Е. С. Синдром выгорания. 2‑е изд. М. : Питер, 2008. 338 с.
Лозинская Е. И., Лутова Н. Б., Вид В. Д. Системный индекс синдрома перегорания (на основе теста MBI) : методические рекомендации. СПб. : НИПНИ имени Бехтерева, 2007. 19 с.
Physician’s Burnout During the COVID‑19 Pandemic: A Systematic Review and Meta-Analysis / A. A. Alkhamees, M. S. Aljohani, S. Kalani [et al.] // International Journal of Environmental Research and Public Health. 2023. Vol. 20, Iss. 5. P. 4598. DOI: https://doi.org/10.3390/ijerph20054598.
Burnout Syndrome in Healthcare Workers During the COVID‑19 Pandemic: A Systematic Review / V. S. T. Meira-Silva, A. C. T. N. Freire, D. P. Zinezzi [et al.] // Revista Brasileira de Medicina do Trabalho. 2022. Vol. 20, Iss. 1. Р. 122–131. DOI: https://doi.org/10.47626/1679-4435-2022-849.
A Systematic Review and Meta Analysis on Burnout in Physicians During the COVID‑19 Pandemic: A Hidden Healthcare Crisis / M. M. Macaron, O. A. Segun-Omosehin, R. H. Matar [et al.] // Frontiers in Psychiatry. 2023. Vol. 13. P. 1071397. DOI: https://doi.org/10.3389/fpsyt.2022.1071397.
A Systematic Review and Meta-Analysis of Burnout Among Healthcare Workers During COVID‑19 / S. Ghahramani, K. B. Lankarani, M. Yousefi [et al.] // Frontiers in Psychiatry. 2021. Vol. 12. P. 758849. DOI: https://doi.org/10.3389/fpsyt.2021.758849.
Mitigating the Psychological Impact of COVID‑19 on Healthcare Workers: A Digital Learning Package / H. Blake, F. Bermingham, G. Johnson, A. Tabner // International Journal Environmental Research Public Health. 2020. Vol. 9, Iss. 17. P. 2997. DOI: https://doi.org/10.3390/ijerph17092997.
Ho C. S. H., Chee C. Y. I., Ho R. C. M. Mental Health Strategies to Combat the Psychological Impact of Coronavirus Disease 2019 (COVID‑19) Beyond Paranoia and Panic // Annals of the Academy of Medicine, Singapore. 2020. Vol. 49, Iss. 3. P. 155–160. DOI: https://doi.org/10.47102/annals-acadmedsg.202043.
Progression of Mental Health Services During the COVID‑19 Outbreak in China / W. Li, Y. Yuan, Z.-H. Liu [et al.] // International Journal of Biological Sciences. 2020. Vol. 16, Iss. 10. P. 1732–1738. DOI: https://doi.org/10.7150/ijbs.45120.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright © 2023 Platonova Т. А., Golubkova A. A., Sklyar M. S., Shahova K. V.