Abstract | Zaposlenici na odjelima hemodijalize izloženi su svakodnevnom stresu zbog specifičnosti rada, radnog vremena i emocionalnom pritisku. Stalna i dugotrajna izloženost navedenim stresovima dovodi do sindroma sagorijevanja koji ima veliki utjecaj na mentalno zdravlje pojedinca te njegovo daljnje funkcioniranje u zdravstvenom sustavu i u sustavu skrbi za pacijenta.
Cilj ovog rada je ukazati na različitost doživljaja stresa, te učestalost pojave sindroma sagorijevanja medicinskih sestara i tehničara na odjelu hemodijalize u bolničkom i izvanbolničkom sustavu.
Istraživanje je provedeno na pet radilišta, hemodijalize. Ukupno je bilo uključeno 81 zdravstveni djelatnika. U Kliničkom bolničkom centru Rijeka bilo je uključeno 30, 20 u poliklinici Sveti Duh, 15 u Poliklinici Zabok, 10 u poliklinici Đakovo i 5 u poliklinici Interdial. Od tog je bilo 67 žena i 14 muškaraca. Zastupljenost prema dobi ispitanika je 22.2% (u rasponu 20-29 godina), 28,4% (od 30-39 godina), 24,7% (od 40-49 godina) i 24,7% (od 50 do 59 godina).
Rezultati istraživanja u navedenoj skupini ukazuju da razina signifikantnosti stresa na radnom mjestu i sindroma sagorijevanja s obzirom na spol nije bila statistički značajna. Obzirom na dob postoji statistički značajna razlika, pri čemu je vrijednost medijana viša za starije ispitanike (P=0,001 ). Također razina stresa i sindroma sagorijevanja je statistički bila značajna s obzirom na godine radnog iskustva, gdje je vrijednost medijana viša za ispitanike s više radnog iskustva ( stres P <0,0001; sagorijevanje P=0,03) u ukupnom radnom stažu, te je statistički bilo značajna viša razina stresa obzirom na dužinu radnog staža na istom radnom mjestu (P=0,001). Stres na radnom mjestu i sindrom sagorijevanja nisu povezani s razinom obrazovanja ispitanika. Istraživanjem je zabilježena pozitivna korelacija između promatranih varijabli stresa na radnom mjesta i sindroma sagorijevanja, te se može zaključiti da se radi o korelaciji srednjeg intenziteta (r=0,647; p<0,0001).
Prema provedenom istraživanju o stresu i sindromu sagorijevanja na dijalizi u medicinskih sestara i tehničara, može se zaključiti da je izloženost istim dosta visoka. A rizik za povećani stres su životna dob i veće radno iskustvo. |
Abstract (english) | Employees in hemodialysis unit are ehposed to dialy stress due to specific of their work, workig hours and exposure to emotional pressure. Constant and log term exposure to the aforementioned stresses leads to burnout syndrome, which has a great impact on the individual's mental health system and in the patient care system.
The aim of this research is to point out the difference in the experience of stress and the frequency of occurrence of burnout syndrome among nurses and technicians in the hemodialysis unit in the hospital and Fresenius Medical Care Clinic.
The research was conducted at five hemodialysis unit.The research were included 81 medical staff, 30 were included in Rijeka Clinical Hospital Center, 20 in Sveti Duh Polyclinic, 15 in Zabok Polyclinic, 10 in Đakovo Polyclinic and 5 in Interdial Polyclinic. Of those, 67 werewoman and 14 were men. Representation accordin to the age of the respondents is 22.2% (between 20-29 years old), 28.4% (from 30-39years old), 24.7% (from 40-49 years old) and 24.7% (from 50-59 years old).
The results of thr research in the mentioned group indicate that the level of significiance of workplace stress and burnout syndrome with regard to gender was not statistically significant. Regarding age, there is a statistically significant difference, with the median value being higher for older medical staff (p=0.001). Also the level of stress and burnout syndrome was statistically significantwith regard to years of work experience, where the median value is higher for medical staff with more work experience (stress p˂0.0001; burnout p=0.03) in total work experience. There was a statistically significant higher level of stress considering the work experience at the same workplace (p=0.001). stress at the workplace and burnout syndrome are not related to the level of education of the medical staff. The research recorded a positive correlation between the observed variables of workplace stresss and burnout syndrome, and it can be concluded that it is a correlation of medium intensity (r=0.647; p˂0.0001). According to the coducted research on stress and burnout syndrome in the hemodialysis unit, it can be conclude that the exposure to them is quite high. And the risk for increased stress is age and longer work experience |