Current Research in Medical Sciences
Babol Univesity of Medical Sciences
Thu, Oct 22, 2026
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Volume 10, Issue 1 (10-2026)
CRMS 2026, 10(1): 11-19 |
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Mansourian M, emami hamzehkolaee M, Ashrafi E, Riahi M H, Ghahari S, Charkazi A et al . Burnout among Primary Health Care Workers during the COVID-19 pandemic: A Cross-Sectional Study in Gorgan, Iran. CRMS 2026; 10 (1) : 2
URL: http://crms.mubabol.ac.ir/article-1-218-en.html
URL: http://crms.mubabol.ac.ir/article-1-218-en.html
Morteza Mansourian * 
, Mahasti Emami hamzehkolaee , Elnaz Ashrafi , Mohammad Hasan Riahi , Shahrbanoo Ghahari , Abdurrahman Charkazi , Roghaye Farhadi Hassankiadeh
, Mahasti Emami hamzehkolaee , Elnaz Ashrafi , Mohammad Hasan Riahi , Shahrbanoo Ghahari , Abdurrahman Charkazi , Roghaye Farhadi Hassankiadeh
Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran , mansourian55@gmail.com
Abstract: (18 Views)
Background: Burnout is an occupational phenomenon resulting from chronic workplace stress that has not been successfully managed. During the COVID-19 pandemic, primary health care (PHC) workers faced sustained service pressures and expanded responsibilities. However, city-level evidence on burnout among Iran’s PHC workforce remains limited. This study aimed to assess burnout among PHC workers in Gorgan during the COVID-19 pandemic.
Methods: This cross-sectional study, conducted in June 2022, included 400 PHC workers in Gorgan. Burnout was assessed using the Maslach Burnout Inventory–Human Services Survey (MBI-HSS). Data were analyzed using SPSS version 22. Group comparisons were performed using independent-samples t-tests and one-way analysis of variance (ANOVA), with effect sizes reported as Cohen’s d and partial η². As an exploratory descriptive analysis, mean item scores for each subscale were compared with the neutral midpoint (3 on a 0–6 scale) using one-sample t-tests. All tests were two-tailed, with α=0.05.
Results: The mean (±SD) item scores were 4.60±1.13 for emotional exhaustion (EE), 5.45±0.74 for depersonalization (DP), and 3.99±0.95 for personal accomplishment (PA). Mean EE and DP scores were significantly higher than the neutral midpoint (both p<0.001). Overall burnout scores were higher among married participants than among unmarried participants (p=0.002; Cohen’s d=0.40). No statistically significant differences were observed according to age, employment status, years of service, or field of study.
Conclusion: PHC workers in Gorgan reported high mean scores for emotional exhaustion and depersonalization during the COVID-19 pandemic. Organizational measures addressing workload and work–family demands may help reduce burnout among PHC workers. These findings should be interpreted cautiously because of the cross-sectional design and the single-city convenience sample.
Methods: This cross-sectional study, conducted in June 2022, included 400 PHC workers in Gorgan. Burnout was assessed using the Maslach Burnout Inventory–Human Services Survey (MBI-HSS). Data were analyzed using SPSS version 22. Group comparisons were performed using independent-samples t-tests and one-way analysis of variance (ANOVA), with effect sizes reported as Cohen’s d and partial η². As an exploratory descriptive analysis, mean item scores for each subscale were compared with the neutral midpoint (3 on a 0–6 scale) using one-sample t-tests. All tests were two-tailed, with α=0.05.
Results: The mean (±SD) item scores were 4.60±1.13 for emotional exhaustion (EE), 5.45±0.74 for depersonalization (DP), and 3.99±0.95 for personal accomplishment (PA). Mean EE and DP scores were significantly higher than the neutral midpoint (both p<0.001). Overall burnout scores were higher among married participants than among unmarried participants (p=0.002; Cohen’s d=0.40). No statistically significant differences were observed according to age, employment status, years of service, or field of study.
Conclusion: PHC workers in Gorgan reported high mean scores for emotional exhaustion and depersonalization during the COVID-19 pandemic. Organizational measures addressing workload and work–family demands may help reduce burnout among PHC workers. These findings should be interpreted cautiously because of the cross-sectional design and the single-city convenience sample.
Article number: 2
Type of Study: Original Article |
Subject:
پرستاری
Received: 2025/10/7 | Accepted: 2026/08/17 | Published: 2026/10/21
Received: 2025/10/7 | Accepted: 2026/08/17 | Published: 2026/10/21
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