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BURNOUT SYNDROME AND ANXIETY DISORDER AMONG NURSES IN FEDERAL MEDICAL CENTRE, ABEOKUTA.

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Supervisor: DR. P.O. ONIFADE DR. G. AMOO
Faculty: PSYCHIATRY
Month: 11
Year: 2012

Abstract

The hospitals have been in the limelight in recent time with rising waves of litigations against health professionals and their institutions following observed dwindling quality of health care services. Burnout and Generalized Anxiety Disorder are reported as occupational hazards among human service professionals yet most previous studies on mental health at workplaces have focused mainly on depression as frequent cause of occupational disability. There is relative dearth of information regarding these stress-related disorders amongst nurses in most developing countries with focus on Nigeria. Current evidence suggests that both disorders may be found among human service providers like nurses exposed to stressful work conditions and they can impact negatively on health care services delivery. AIMS AND OBJECTIVES To determine the prevalence of Burnout Syndrome and Generalized Anxiety Disorder (GAD) and their associated socio-demographic and work-related factors among nurses in Federal Medical Centre, Abeokuta. METHOD A simple random sampling technique was used to assess One hundred and seventy-five nurses in a two- staged cross-sectional descriptive study. The first stage involved the administration of a Socio-demographic Questionnaire, the 22-item Maslach Burnout Inventory (MBI) and 12–item General Health Questionnaire (GHQ-12) to all consenting nurses to diagnose Burnout and screen for probable psychiatric morbidity. The second stage involved interview of nurses with probable psychiatric morbidity evident by GHQ Score 3 and above with Structured Clinical Interview Schedule for DSM IV Axis I Disorder (SCID) Anxiety module to diagnose Generalized Anxiety Disorder (GAD). RESULTS The prevalence rates of Burnout Syndrome subscales were 51.3% for Emotional Exhaustion, 84.7% for Depersonalization, 24.5% for Personal Achievement while that of Generalized Anxiety Disorder was 4%. The associated socio-demographic and work related variables for Burnout Syndromes among nurses were low educational achievement (O.R= 6.8,p=0.005 ), having less than 3 children (O.R=4.8,p=0.038), stressful job perception(O.R=19.5,p=0.005), having a great deal of involvement in report writing ( O.R=1.9,p=0.006),spouses complaint ( O.R=2.2,p=0.002) and being absent from work in the last 6 months (O.R=6.5,p=0.041) . There was however no association between the socio-demographic and work-related factors and Generalized Anxiety Disorder. CONCLUSION Burnout Syndrome and Generalized Anxiety Disorder are common among nurses in Federal Medical Centre, Abeokuta and are related to some socio-demographic and work-related factors. These findings call for high index of suspicion, holistic approach to the management of these disorders among health care professionals in addition to developing effective prevention strategies so as to protect their mental well-being and that of the health care industry. Others include regular interventional programs at work place and promotion of Occupational Mental Health services among vulnerable groups within the health care industry for enhancement of health care service delivery and productivity.

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