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Global Health Economics and
            Sustainability
                                                                  Fatigue, quality of life, and social support in Greek health staff


            depression factor (r[62]   =   −0.30,  p   =   0.02), fatigue   The social  support  questionnaire  showed the  similar
            variable (r[62] = −0.30, p =  0.02), and complete GHQ-28   variability in the two groups (public and private sector),
            questionnaire  (r[62]    =    −0.42,  p =  0.00)  (Table  10).   as Levene’s test resulted in F = 1.65, p = 0.20, and the same
            The friends subscale variable was non-significantly   mean value, with t(157) = −1.61, p = 0.11 (Table 12). In
            negatively correlated with the physical symptoms factor   contrast, the fatigue questionnaire did not exhibit the
            (r[62]   =   −0.17,  p =  0.18) but significantly negatively   same dispersion in the two groups, as Levene’s test resulted
            correlated with the anxiety/insomnia factor (r[62] = −0.31,   in F = 4.12, p = 0.04, and it also showed different mean
            p = 0.01), social dysfunction factor (r[62] = −0.42, p = 0.00),   values, with t(157) = 2.39, p = 0.02. The public sector had a
            severe depression factor (r[62] = −0.30, p = 0.02), fatigue   higher average score (Table 12). Similarly, the quality of life
            variable (r[62] = −0.30, p = 0.02), and complete GHQ-28   questionnaire did not have the same dispersion in the two
            questionnaire (r[62]  =  −0.35, p = 0.00) (Table 10).  groups, with Levene’s test resulting in F = 7.30, p = 0.01,
                                                               and it also indicated different mean values, with  t(156)
              The MSPSS variable was significantly positively
            correlated with the family subscale variable (r[93] =  0.81,   =  3.74, p = 0.00.
            p = 0.00) and the friends subscale variable (r[93] = 0.70,   4. Discussion
            p  = 0.00). It was significantly negatively correlated with
            the physical symptoms factor (r[92] = −0.30,  p  =  0.00),   In this study, we aimed to investigate the levels of fatigue,
            anxiety/insomnia factor (r[93] = −0.45, p = 0.00), social   social support, and quality of life among health professionals
            dysfunction factor (r[93] = −0.45, p =  0.00), and severe   working in artificial kidney units and to compare
            depression factor (r[93] = −0.46,  p =  0.00) but was   these variables between the private and public sectors.
            non-significantly correlated with the fatigue variable   According to the questionnaire responses, the majority of
            (r[93]  =  −0.12, p  =  0.24) and significantly negatively   participants were women, with a predominant age range
            correlated with the complete GHQ-28 questionnaire   of 26 – 45 years. Most individuals had university degrees,
            (r[92] = −0.50, p = 0.00) (Table 11). The variable family   and a significant proportion held master’s or doctorate
            subscale  was  significantly  positively  correlated  with   degrees. Moreover, most  participants  were married and
            the friends subscale variable (r[93]   =   0.72,  p =  0.00).   had children. Regarding professional data, the largest
            However,  it  was significantly negatively correlated  with   percentage of participants who answered this question had
            the physical symptoms factor (r[92] = −0.24,  p  =  0.02),   >20 years of service in general; however, in the artificial
            anxiety/insomnia factor (r[93]   =   −0.37,  p =  0.00),   kidney unit, most participants had ≤5  years of service.
            social dysfunction factor (r[93]  = −0.31, p = 0.00), and   Nurses primarily responded to this questionnaire, whereas
            severe depression factor (r[93] = −0.35,  p =  0.02) but   doctors comprised a very small percentage. Furthermore,
            was non-significantly correlated with the fatigue variable   the majority of respondents worked in the private sector,
            (r[93] =   −0.01,  p   =   0.44) and significantly negatively   but they showed no significant differences compared with
            correlated with the complete GHQ-28 questionnaire   respondents in the public sector. Most individuals did
            (r[92] = −0.38, p = 0.00) (Table 11). The friends subscale   not hold positions of responsibility. Regarding the social
            variable was significantly negatively correlated with the   support received by the sample, it ranged from moderate
            physical symptoms factor (r[92] =   −0.21,  p =  0.04),   to high levels. The family scale recorded a higher average,
            anxiety/insomnia factor (r[93]   =   −0.28,  p =  0.01),   indicating that most of the social support received came
            social dysfunction factor (r[93]  =  −0.30, p = 0.00), and   from the family environment, which was greater than that
            severe depression factor (r[93] = −0.27,  p =  0.01) but   from friends. Social support levels were similar to those
            was nonsignificantly correlated with the fatigue variable   reported in other studies, such as that by Theofilou et al.
            (r[93] = −0.01, p  =  0.48) and was significantly negatively   (2022), which also investigated the parameters of social
            correlated with the complete GHQ-28 questionnaire   support among 165 health professionals in Macedonia and
            (r[92]  = −0.32, p = 0.00) (Table 11). The social support   Thrace.
            variable was significantly negatively correlated with the   The levels of fatigue were found to be moderate to
            physical  symptoms  factor  (r[92]    =    −0.27,  p =  0.01),   low, whereas the scores  on  the quality  of life subscales
            anxiety/insomnia factor (r[93] = −0.42, p = 0.00), social   appeared to be low. The lowest score was associated with
            dysfunction factor (r[93] = −0.37, p =  0.00), and severe   severe depression, followed by social dysfunction, physical
            depression factor (r[93] = −0.38,  p =  0.00) but was   symptoms, and anxiety, which showed higher scores but
            nonsignificantly correlated with the fatigue variable   were still low compared to the maximum. These findings
            (r[93] = −0.11, p = 0.25) and was significantly negatively   indicate that the study sample, while exhibiting some degree
            correlated with the complete GHQ-28 questionnaire   of fatigue, was not seriously affected in terms of quality of
            (r[92]  = −0.43, p = 0.00).                        life, and social support networks existed to a relatively high


            Volume 3 Issue 1 (2025)                        216                       https://doi.org/10.36922/ghes.4574
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