An Investigation of The Levels of Occupational Stress, Fatigue, and Quality of Life of Physiotherapists in Different Fields

Öz

Purpose: Physiotherapists can experience occupational stress because of the intense work pace, treating heavy patients, and inadequate health services. Therefore, this study aimed to investigate the levels of occupational stress, fatigue, and quality of life of physiotherapists in different fields. Material and Methods: A total of 80 physiotherapists, 52 female and 28 males, participated. Physiotherapists were divided into four groups: pediatric, neurological, orthopedic, and cardiopulmonary according to the branch. The Occupational Stress Scale was used to assess occupational stress, the Fatigue Severity Scale was used to determine fatigue levels, and the Occupational Quality of Life Scale was used to measure quality of life. Results: When physiotherapists were compared according to their working areas, they were homogeneous in demographic characteristics (p>0.05). There was no significant difference in compassion satisfaction, burnout, and compassion fatigue (p=0.0188; p=0.047; p=0.047; p=0.016; p>0.0125, respectively). There was a statistically significant difference between the groups in the parameters of occupational stress (p=0.001) and fatigue (p=0.016). Physiotherapists working in the cardiopulmonary field had higher levels of work-related tension and fatigue. Conclusion: This study examined occupational stress, fatigue, and quality of life of physiotherapists according to branches, there was a similarity between branches in quality of life, and differences were found in occupational stress and fatigue. Developing occupational coping strategies and improving working conditions is recommended primarily for physiotherapists working in the cardiopulmonary field but also for physiotherapists in other fields.

Anahtar Kelimeler

• Fatigue
• Occupational Stress
• Quality of Life
• Physiotherapists

FARKLI ALANLARDA ÇALIŞAN FİZYOTERAPİSTLERİN İŞE BAĞLI GERGİNLİK, YORGUNLUK ve YAŞAM KALİTESİ DÜZEYLERİNİN ARAŞTIRILMASI: Bir Randomize Çalışma

Öz

Amaç: Fizyoterapistlerde yoğun iş temposu, ağır hastaları tedavi etme, sağlık hizmetlerindeki yetersizlikler gibi sebepler işe bağlı gerginliğe neden olabilmektedir. Bu nedenle bu çalışmada amaç farklı alanlarda çalışan fizyoterapistlerin işe bağlı gerginlik, yorgunluk ve yaşam kalitesi düzeylerini incelemekti. Yöntem: Çalışmaya 52’si kadın 28’i erkek toplam 80 fizyoterapist katıldı. Fizyoterapistler çalıştıkları branşa göre pediatrik, nörolojik, ortopedik ve kardiyopulmoner olmak üzere 4 gruba ayrıldı. Çalışmamıza katılan fizyoterapistlerin işe bağlı gerginliklerini değerlendirmek için İşe Bağlı Gerginlik Ölçeği, yorgunluk düzeylerini belirlemek için Yorgunluk Şiddet Skalası ve Mesleki Yaşam Kalitesi Ölçeği ise yaşam kalitesini ölçmek için kullanıldı. Sonuçlar: Fizyoterapistler çalıştıkları alanlara göre ayrıldığında demografik özellikler açısından gruplar homojendi (p>0,05). Fizyoterapistlerin yaşam kalitesinin alt parametreleri olan merhamet memnuniyeti, tükenmişlik ve merhamet yorgunluğu açısından çalışma alanlarına göre anlamlı farklılık yoktu (sırasıyla p=0,0188; p=0,047; p=0,016; p>0,0125). İşe bağlı gerginlik (p=0,001) ve yorgunluk (p=0,016) parametrelerinde çalışma alanlarına göre gruplar arasında istatistiksel olarak anlamlı farklılık vardı (p<0,0125). Tartışma: Farklı branşlarda çalışan fizyoterapistlerin mesleki gerginlik, yorgunluk ve yaşam kalitesini inceleyen bu çalışmada branşlar arasında yaşam kalitesi yönünden benzerlik görülürken, işe bağlı gerginlik ve yorgunluk parametreleri arasında fark olduğu bulunmuştur. Fizyoterapistler için başa çıkma stratejileri geliştirmesi ve iş koşullarının iyileştirilmesi önerilmektedir.

Anahtar Kelimeler

• yaşam kalitesi
• yorgunluk
• Fizyoterapistler
• Mesleki Stres

Kaynakça

1. Aiken, L. H., Clarke, S.P., Sloane, D.M., Sochalski, J. & Silber, J.H. (2002). Hospital nurse stafing and patient mortality, nurse burnout, and job dissatisfaction. The Journal of the American Medical Association, 288(16), 1987–1993 https://doi: 10.1001/jama.288.16.1987
2. Al-Imam, D.M. & Al-Sobayel, H.I. (2014). The prevalence and severity of burnout among physiotherapists in an Arabian setting and the influence of organizational factors: an observational study. Journal of Physical Therapy Science, 26, 1193–1198. 23. https://doi: 10.1589/jpts.26.1193
3. Anyfantis, I. D., Psychouli, P., Varianou-Mikelidou, C., & Boustras, G. (2020). Cross-sectional survey on burnout and musculoskeletal disorders in Greek and Cypriot occupational therapists Occupational Therapy in Mental Health, 36(3), 291-302. https://doi:10.1080/0164212X.2020.1779630
4. Aslan, S. H., Gürkan, S. B., Girginer, H. U. & Ünal, M. (1996). İşe bağlı gerginlik ölçeğinin bir hemşire örnekleminde geçerlik ve güvenilirliği. Psikiyatri Psikoloji Psikofarmakoloji Dergisi, 4, 276-283.
5. Barrientos-Carmeno, I., Gala-León, F. J., Lupiani-Giménez, M., Cruz-Barrientos, A., Lucena-Anton, D., & Moral-Munoz, J. A. (2020). Occupational stress and burnout among physiotherapists: a cross-sectional survey in Cadiz (Spain). Human Resources for Health, 18, 1-10. https://doi:10.1186/s12960-020-00537-0
6. Bhende, P., Mekoth, N., Ingalhalli, V., & Reddy, Y. V. (2020). Quality of work life and work–life balance. Journal of Human Values, 26(3), 256-265.
7. Bruschini, M., Carli, A. & Burla, F. (2018) Burnout and work-related stress in Italian rehabilitation professionals: a comparison of physiotherapists, speech therapists, and occupational therapists. Work, 59, 121–129. https://doi:10.3233/WOR-172657
8. Buckley, L., Berta, W., Cleverley, K., Medeiros, C.& Widger K. (2020). What is known about paediatric nurse burnout: a scoping review. Human Resources for Health, 18(9), 9. https://doi:10.1186/s12960-020-0451-8

9. Buselli, R., Corsi, M., Baldanzi, S., Chiumiento, M., Del Lupo, E., Dell’Oste, V., Bertelloni, C.A., Massimetti, G., Dell’Osso, L., Cristaudo, A., & Carmassi, C. (2020). Professional quality of life and mental health outcomes among health care workers exposed to Sars-Cov-2 (Covid-19). International Journal of Environmental Research and Public Health, 17(17), 6180. https://doi:10.3390/ijerph17176180
10. Carmona-Barrientos, I., Gala-León, F. J., Lupiani-Giménez, M., Cruz-Barrientos, A., Lucena-Anton, D., & Moral-Munoz, J. A. (2020). Occupational stress and burnout among physiotherapists: a cross-sectional survey in Cadiz (Spain). Human Resource for Health, 18, 1-10. https://doi:10.1186/s12960-020-00537-0
11. Cho, H. & Steege, L. M. (2021). Nurse fatigue and nurse, patient safety, and organizational outcomes: a systematic review. Journal of East-west Nursing Research, 43(12), 1157-1168. https://doi:10.1177/0193945921990892
12. Denk, T. & Köçkar, Ç. (2018). Compassion fatigue in nurses working in surgical clinics. Yaşam Becerileri Psikoloji Dergisi, 2 (4), 237-245.
13. Faiz, S., Safdar, S., & Mubarak, N. (2022). Impact of thriving at work on eustress and distress: career growth as mediator. European Journal of Training and Development, 46(1/2). https://doi: 178-193.10.1108/EJTD-08-2020-0130
14. Gencay-Can, A. & Can, S. S. (2012). Validation of the Turkish version of the fatigue severity scale in patients with fibromyalgia. Rheumatology International, 32(1), 27-31. https://doi:10.1007/s00296-010-1558-3
15. Güriş, S., Akyurt, N., Astar, M. (2017). Factors Affecting Burnout, Stress Management, And Job Satisfaction of Health Professionals: a comparison of occupation groups from Istanbul. International Journal of Medical Sciences,12 (4), 22-36. https://doi: 10.12739/NWSA.2017.12.4.1B0044
16. Kancherla, B. S., Upender, R., Collen, J. F., Rishi, M. A., Sullivan, S. S., Ahmed, O., Binal S.; Ahmed, O., Berneking, M., Flynn-Evans, E.E., Peters, B.P., Abbasi-Feinberg F., Aurora R. N., Carden K.A., Douglas B. Kirsch D. B., Kristo, D.A., Malhotra, K.M., Martin J.L., Olson E. J., Ramar K., Rosen C. L., Rowley,J. A., Anita V. Shelgikar, A.A. & Gurubhagavatula I.(2020). Sleep, fatigue, and burnout among physicians: an American Academy of Sleep Medicine position statement. Journal of Clinical Sleep Medicine, 16(5), 803-805. https://doi:10.5664/jcsm.8408
17. Lock, M. & Bonetti, D. (2018) The psychological and physiological health effects of fatigue. Occupational Medicine (Lond). 8(8), 502-511. https://doi:10.1093/occmed/kqy109
18. Jun, J., Ojemeni, M. M., Kalamani, R., Tong, J. & Crecelius, M. L. (2021). Relationship between nurse burnout, patient and organizational outcomes: Systematic review. International Journal of Nursing Studies, 119, 103933. https://doi:10.1016/j.ijnurstu.2021.103933
19. Krupp, L. B., LaRocca, N. G., Muir-Nash, J. & Steinberg, A. D. (1989). The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology, 46(10), 1121-1123. https://doi:10.1001/archneur.1989.00520460115022
20. Ladino, M. D. M., Bolaños, C., Ramírez, V. A. C., Giraldo, E. J. S., Álzate, J. P., Cubides, A. & Carvajal, A. B. (2023). Effects of internet-based, psychosocial, and early medical interventions on professional burnout in health care workers: systematic literature review and meta-analysis. Internet Interventions, 100682. https://doi: 10.1016/j.invent.2023.100682
21. Mikołajewska E. (2014). Work-related stress and burnout in physiotherapists—a literature review. Medycyna Pracy, 65, 693–701. PMID: 25812398
22. Niemi, R., Roos, M., Harmoinen, M., Partanen, K. & Suominen, T. (2018). Appreciative management assessed by physiotherapists working in public or private sector: a cross-sectional study. Physiotherapy Research International, e1724, 1–7. https://doi:10.1002/pri.1724
23. Okhiria, M., Truszczyńska-Baszak, A. & Tarnowski, A. (2020). Assessment of work-related fatigue in Polish physiotherapists and of its effect on their diagnostic accuracy and physiotherapy planning. International Journal of Occupational Safety and Ergonomics, 26(2), 406-412. https://doi:10.1080/10803548.2019.1690215
24. Qiu, T., Yang, Y., Liu, C., Tian, F., Gu, Z., Yang, S. Wu, W. & Wu, H. (2020). The association between resilience, perceived organizational support and fatigue among Chinese doctors: a cross-sectional study. Journal of Affective Disorders, 265, 85-90. https://doi: 10.1016/j.jad.2020.01.056
25. Patel, R. M., & Bartholomew, J. (2021). Impact of job resources and job demands on burnout among physical therapy providers. International Journal of Environmental Research and Public Health, 18(23), 12521. https://doi: 10.3390/ijerph182312521
26. Pigati, P. A. D. S., Righetti, R. F., Dourado, V. Z., Nisiaymamoto, B. T. C., Saraiva-Romanholo, B. M. & Tibério, I. F. (2022). Resilience Improves the Quality of Life and Subjective Happiness of Physiotherapists during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 19(14), 8720. https://doi:10.3390/ijerph19148720.
27. Revicki, D. A., May, H. J.& Whitley T.W. (1991) Reliability and validity of the Work-Related Strain Inventory among health professionals. Behavioral Medicine, 17, 111-120. https://doi:10.1080/08964289.1991.9937554
28. Salles, F. L. P. & D’Angelo, M. J. (2020). Assessment of psychological capital at work by physiotherapists. Physiotherapy Research International, 25(3), e1828. https://doi:10.1002/pri.1828
29. Stamm, B. H. (2005). Professional quality of life scale. Psychological Trauma: Theory, Research, Practice, and Policy, https://doi:10.1037/tra0000263
30. Tuna, T. & Özdin, S. (2021). Levels and predictors of anxiety, depression, and burnout syndrome in physicians during the COVID-19 pandemic. International Journal of Mental Health and Addiction, 19(6), 2470-2483. https://doi:10.1007/s11469-021-00505-2
31. Venturini, E., Ugolini, A., Bianchi, L., Di Bari, M., & Paci, M. (2024). Prevalence of burnout among physiotherapists: a systematic review and meta-analysis. Physiotherapy. https://doi: 10.1016/j.physio.2024.01.007
32. Wilski, M., Chmielewski, B. & Tomczak, M. (2015). Work locus of control and burnout in Polish physiotherapists: the mediating effect of coping styles. International Journal of Occupational Medicine and Environmental Health, 28(5), 875–889. https://doi:10.13075/ijomeh.1896.00287 Yesil, A., Ergun, U., Amasyali, C., Er, F., Olgun, N. N. & Aker, A. T. (2010). Validity and reliability of the Turkish version of the professional quality of life scale. Archives of Neuropsychiatry, 47(2), 111-118. https://doi:10.4274/npa.5210
33. Yurt, S. & Karakurt, N. (2024). Yoğun bakım ünitelerinde çalışan hemşirelerin işe bağlı gerginliklerinin ve yaşam kalitesinin bazı değişkenler açısından incelenmesi. Yaşam Boyu Hemşirelik Dergisi, 5(2), 92-106.