Koronavirüs salgınında fizyoterapistlerin mesleki tükenmişlik düzeyi ve pandemiyle ilişkili karşılaşılan stres faktörleri

Yıl 2023, , 48 - 56, 30.04.2023

Emre Şenocak , Seda Karaca , Abdurrahman Tanhan , Şahin Demir , Aysel Yildiz Ozer

https://doi.org/10.15437/jetr.1088287

Cited By: 1

Öz

Amaç: Bu çalışma pandemi kaynaklı strese bağlı risk faktörlerini, fizyoterapistin tükenmişlik düzeylerini, bu parametreler arasındaki ilişkiyi belirlemeyi amaçlamaktadır.
Yöntem: Sosyodemografik bilgileri alınan 102 fizyoterapist hastalık maruziyetine göre (CoV ve CoV olmayan grup) iki gruba ayrıldı. Katılımcıların Pandemi İlişkili Stres Faktörleri analiz edildi ve tükenmişliği ölçmek için Maslach Tükenmişlik Envanteri (MTE) kullanıldı. Gruplar arasındaki farkı tespit etmek için bağımsız gruplarda t testi kullanıldı. Parametrelerdeki ilişkileri bulmak için Pearson korelasyon analizi kullanıldı.
Bulgular: Ankete katılanların %96’sı enfekte olmaktan ve %98’i ailelerine bulaştırmaktan endişe duyuyordu. Katılımcıların çoğu fiziksel ve zihinsel olarak yorgundu (%74,5, %58,8). CoV grubu COVID-19 öyküsü olan, hasta teması olan veya koronavirüs hastalarıyla çalışan 45 (%44,11) fizyoterapistten oluşuyordu. MTE alt parametrelerinde iki grup arasında anlamlı fark yoktu (p<0,05). COVID-19'a yüksek maruziyeti olan fizyoterapistlerin, düşük maruziyeti olanlara göre işe gitmek zorunda hissetme konusunda 3,2 kat daha yüksek stres düzeyine sahip oldukları bulundu (p=0,02).
Sonuç: Hasta olma ve bulaşıcı olma kaygısı, zihinsel yorgunluk ve uyku bozukluğu gibi psikolojik belirtileri tetikleyebilir. Çalışmamızda katılımcıların iş yükleri artmasa da çoğu fiziksel olarak bitkin hissettiklerini belirtmişlerdir. Pandemi döneminde rehabilitasyon hizmetlerinin önemli bir parçası olan fizyoterapistlerde psikolojik hastalıklar ve tükenmişliğin büyük oranda arttığı görülmektedir.

Anahtar Kelimeler

Koronavirüs, Fizyoterapist, Tükenmişlik.

Burnout of the physiotherapists and encountered stress factors related to coronavirus epidemic in Turkey

Öz

Purpose: The study aims to determine risk factors related to stress due to pandemic, the burnout levels of the physiotherapist, the relationship between these parameters.
Methods: One hundred two physiotherapists, whose sociodemographic information was obtained, were divided into two groups according to disease exposure (CoV and non-CoV group). Pandemic-Associated Stress Factors of the participants were analyzed and Maslach Burnout Inventory (MBI) was used to measure burnout. The independent sample t test was used to detect the difference between the groups. Pearson's correlation analysis was used to find relations in parameters.
Results: 96% of respondents were concerned about getting infected and 98% concerned about infecting their families. Most of the participants were physically and mentally tired (74.5%, 58.8%). The CoV group consisted of 45 (44.11%) physiotherapists who had a history of COVID-19, had patient contact, or worked with coronavirus patients. There was no significant difference in MBI subparameters between the two groups (p<0.05). Physiotherapists with high exposure to COVID-19 were found to have a 3.2 times higher level of stress about feeling compelled to go to work than those with low exposure to it (p=0.02).
Conclusion: Anxiety about being sick and contagious can trigger psychological symptoms such as mental fatigue and sleep disturbance. Although the workload of the participants in our study did not increase, most of them stated that they felt physically exhausted. During the pandemic period, psychological diseases, and burnout in healthcare workers increased tremendously.

Anahtar Kelimeler

Coronavirus, Physiotherapist, Burnout.

Kaynakça

• 1. Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Heal. 2020;25:278–280.
• 2. C Coşkun H, Yıldırım N, Gündüz S. The spread of COVID-19 virus through population density and wind in Turkey cities. Sci Total Environ. 2021;751:141663.
• 3. Corrado B, Ciardi G, Fortunato L, et al. Burnout syndrome among Italian physiotherapists: a cross-sectional study. Eur J Physiother. 2019;21:240–245.
• 4. Gisbert MFS, Garcés De Los Fayos Ruiz EJ, Montesinos MDH. Burnout in Spanish physiotherapists. Psicothema. 2008;20:361–368.
• 5. Nowakowska-Domagala K, Jablkowska-Górecka K, Kostrzanowska-Jarmakowska L, et al. The interrelationships of coping styles and professional burnout among physiotherapists: a cross-sectional study. Medicine (Baltimore). 2015;94:e906.
• 6. Carmona-Barrientos I, Gala-León FJ, Lupiani-Giménez M, et al. Occupational stress and burnout among physiotherapists: a crosssectional survey in Cadiz (Spain). Hum Resour Health. 2020;18:91.
• 7. Śliwiński Z, Starczyńska M, Kotela I, et al. Life satisfaction and risk of burnout among men and women working as physiotherapists. Int J Occup Med Env Heal. 2014;27:400–412.
• 8. Klaber Moffett JA, Richardson PH. The influence of the physiotherapist-patient relationship on pain and disability. Physiother Theory Pr. 1997;13:89–96.
• 9. Chukhraev N, Vladimirov A, Zukow W, et al. Combined physiotherapy of anxiety and depression disorders in Dorsopathy patients. J Phys Educ Sport. 2017;17:414–417.
• 10. Engbers L, Bloo H, Kleissen R, et al. Development of a teleconsultation system for communication between physiotherapists concerning children with complex movement and postural disorders. J Telemed Telecare. 2003;9:339–343.
• 11. Ergin C. Maslach Tükenmişlik Ölçeğinin Türkiye sağlık personeli normları. 3P Derg. 1996;4:28–33.
• 12. Topak ZO, Karan CB, Toktaş SN, et al. The comparison of burnout levels in a group of medical students in the learnings process: does the process of medical education change the burnout levels. Klin Psikiyatr. 2015;18:90–96.
• 13. Imai H, Matsuishi K, Ito A, et al. Factors associated with motivation and hesitation to work among health professionals during a public crisis: a cross sectional study of hospital workers in Japan during the pandemic. BMC Public Health. 2010;10:1–8.
• 14. Dorman-Ilan S, Hertz-Palmor N, Brand-Gothelf A, et al. Anxiety and depression symptoms in COVID-19 isolated patients and in their relatives. Front Psychiatry. 2020;11:581598.
• 15. Huo L, Zhou Y, Li S, et al. Burnout and its relationship with depressive symptoms in medical staff during the COVID-19 epidemic in China. Front Psychol. 2021;12:616369.
• 16. Ilgın B, Aytar A. Pandemi sürecinde hastanede çalışan fizyoterapistlerin mesleki tükenmişlik, yorgunluk ve mental sağlıkları arasındaki ilişki. J Health Pro Res. 2021;4:71–78.
• 17. Roslan NS, Yusoff MSB, Asrenee AR, et al. Burnout prevalence and its associated factors among Malaysian healthcare workers during COVID-19 pandemic: An embedded mixedmethod study. Healthcare. 2021;9:90–109.
• 18. Jácome C, Seixas A, Serrão C, et al. Burnout in Portuguese physiotherapists during COVID-19 pandemic. Physiother Res Int. 2021;26:e1915.
• 19. Dobson H, Malpas CB, Burrell AJC, et al. Burnout and psychological distress amongst Australian healthcare workers during the COVID-19 pandemic. Australas Psychiatry. 2021;29:26–30.
• 20. Kerlin MP, McPeake J, Mikkelsen ME. Burnout and joy in the profession of critical care medicine. Crit Care. 2020;24:1–6.
• 21. Pavlakis A, Raftopoulos V, Theodorou M. Burnout syndrome in Cypriot physiotherapists: a national survey. BMC Health Serv Res. 2010;10:1–8.
• 22. Tigli A. Fizyoterapistlerde empati becerisinin mutluluk ve tükenmişlik düzeyi ile ilişkisi. OPUS JSR. 2019;14:1011–1024.
• 23. Yasacı Z, Mustafaoğlu R, Zirek E, et al. Fizyoterapistlerin mezuniyet sonrasi aldiği eğitim, iş doyumu ve mesleki tükenmişlik düzeylerinin araştirilmasi. MBD. 2017;6:719–729.
• 24. Tarakçı E., Tütüncüoğlu F, Tarakcı D. Özel eğitim ve rehabilitasyon alanında çalışan meslek elemanlarının öz-yeterlilik ve tükenmişlik düzeylerinin incelenmesi. Fizyoter Rehabil. 2012;23:26–35.
• 25. Ruiz-Fernández MD, Ramos-Pichardo JD, Ibáñez-Masero O, et al. Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID-19 health crisis in Spain. J Clin Nurs. 2020;29:4321–4330.
• 26. Pniak B, Leszczak J, Adamczyk M, et al. Occupational burnout among active physiotherapists working in clinical hospitals during the COVID-19 pandemic in south-eastern Poland. Work. 2021;68:285–295.
• 27. Dinibutun SR. Factors associated with burnout among physicians: An evaluation during a periodof COVID-19 pandemic. J Heal Leadersh. 2020;12:85–94.
• 28. Inocian EP, Cruz JP, Saeed Alshehry A, et al. Professional quality of life and caring behaviours among clinical nurses during the COVID-19 pandemic. J Clin Nurs. 2021;1:1–13.
• 29. Amanullah S, Shankar RR. The impact of COVID-19 on physician burnout globally: A review. Healthcare (Basel). 2020;8:421–432.
• 30. Hu D, Kong Y, Li W, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine. 2020;24:100424.
• 31. Jose S, Dhandapani M, Cyriac MC. Burnout and resilience among frontline nurses during COVID-19 pandemic: A cross-sectional study in the emergency department of a tertiary care center. Indian J Crit Care Med. 2020;24:1081–1088.
• 32. Barello S, Palamenghi L, Graffigna G. Stressors and resources for healthcare professionals during the COVID-19 pandemic: lesson learned from Italy. Front Psychol. 2020;11:2179.
• 33. Mosheva M, Hertz-Palmor N, Dorman Ilan S, et al. Anxiety, pandemic-related stress and resilience among physicians during the COVID- 19 pandemic. Depress Anxiety. 2020;37:965-971.
• 34. Çelmeçe N, Menekay M. The effect of stress, anxiety and burnout levels of healthcare professionals caring for COVID-19 patients on their quality of life. Front Psychol. 2020;11:597624.