Department of Psychiatry, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India.
Department of General Medicine, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India.
Asian J Psychiatr. 2020 Jun;51:102119. doi: 10.1016/j.ajp.2020.102119. Epub 2020 Apr 22.
The spread of novel corona virus (COVID-19) across the globe and the associated morbidity and mortality challenged the nations by several means. One such underrecognized and unaddressed area is the mental health issues medical staff develop during the pandemic.
This review aimed to review the literature about mental health problems faced by health care workers (HCW) during the COVID-19 pandemic. Literature search was conducted in the following databases: PubMed, Google Scholar, Cochrane Library, Embase. All types of articles published in the last 4 months (January 2020-April 2020) which were relevant to the subject of the review were searched. A total of 23 articles were selected by initial screening and 6 articles were included in the final review.
Review of all the 6 articles showed that current research focused on assessing several aspects of mental health affected in HCW due to COVID-19. Several sociodemographic variables like gender, profession, age, place of work, department of work and psychological variables like poor social support, self-efficacy were associated with increased stress, anxiety, depressive symptoms, insomnia in HCW. There is increasing evidence that suggests that COVID-19 can be an independent risk factor for stress in HCW.
Regular screening of medical personnel involved in treating, diagnosing patients with COVID-19 should be done for evaluating stress, depression and anxiety by using multidisciplinary Psychiatry teams.
新型冠状病毒(COVID-19)在全球范围内的传播以及由此导致的发病率和死亡率,以多种方式给各国带来了挑战。一个被低估且未得到解决的领域是医务人员在大流行期间出现的心理健康问题。
本综述旨在回顾 COVID-19 大流行期间医护人员(HCW)面临的心理健康问题的文献。在以下数据库中进行了文献检索:PubMed、Google Scholar、Cochrane Library、Embase。搜索了过去 4 个月(2020 年 1 月至 4 月)发表的与综述主题相关的所有类型的文章。通过初步筛选,共选择了 23 篇文章,最终有 6 篇文章纳入综述。
对所有 6 篇文章的回顾表明,目前的研究重点是评估由于 COVID-19 而导致 HCW 心理健康受到影响的几个方面。一些社会人口学变量,如性别、职业、年龄、工作地点、工作部门,以及心理变量,如社会支持差、自我效能感,与 HCW 的压力、焦虑、抑郁症状和失眠增加有关。越来越多的证据表明,COVID-19 可能是 HCW 压力的一个独立危险因素。
应定期对参与治疗、诊断 COVID-19 患者的医务人员进行筛查,使用多学科精神病学团队评估压力、抑郁和焦虑。