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COVID-19 对大流行震中神经科项目的心理社会影响。

The psychosocial implications of COVID-19 for a neurology program in a pandemic epicenter.

机构信息

New York University Grossman School of Medicine Department of Neurology, New York, NY, USA.

New York University Grossman School of Medicine Department of Neurology, New York, NY, USA; New York University Grossman School of Medicine Department of Ophthalmology, New York, NY, USA; New York University Grossman School of Medicine Department of Population Health, New York, NY, USA.

出版信息

J Neurol Sci. 2020 Sep 15;416:117034. doi: 10.1016/j.jns.2020.117034. Epub 2020 Jul 14.

Abstract

OBJECTIVE

We discuss the psychosocial implications of the COVID-19 pandemic as self-reported by housestaff and faculty in the NYU Langone Health Department of Neurology, and summarize how our program is responding to these ongoing challenges.

METHODS

During the period of May 1-4, 2020, we administered an anonymous electronic survey to all neurology faculty and housestaff to assess the potential psychosocial impacts of COVID-19. The survey also addressed how our institution and department are responding to these challenges. This report outlines the psychosocial concerns of neurology faculty and housestaff and the multifaceted support services that our department and institution are offering in response. Faculty and housestaff cohorts were compared with regard to frequencies of binary responses (yes/ no) using the Fisher's exact test.

RESULTS

Among 130 total survey respondents (91/191 faculty [48%] and 37/62 housestaff [60%]), substantial proportions of both groups self-reported having increased fear (79%), anxiety (83%) and depression (38%) during the COVID-19 pandemic. These proportions were not significantly different between the faculty and housestaff groups. Most respondents reported that the institution had provided adequate counseling and support services (91%) and that the department had rendered adequate emotional support (92%). Participants offered helpful suggestions regarding additional resources that would be helpful during the COVID-19 pandemic.

CONCLUSION

COVID-19 has affected the lives and minds of faculty and housestaff in our neurology department at the epicenter of the pandemic. Efforts to support these providers during this evolving crisis are imperative for promoting the resilience necessary to care for our patients and colleagues.

摘要

目的

我们讨论了 COVID-19 大流行对 NYU Langone 健康神经科住院医师和教师的影响,并总结了我们的项目如何应对这些持续存在的挑战。

方法

在 2020 年 5 月 1 日至 4 日期间,我们向所有神经科医生和住院医师进行了一项匿名电子调查,以评估 COVID-19 对潜在的心理社会影响。该调查还探讨了我们的机构和部门如何应对这些挑战。本报告概述了神经科医生和住院医师的心理社会问题,以及我们部门和机构提供的多方面支持服务。使用 Fisher 精确检验比较了教师和住院医师群体之间的二进制响应(是/否)频率。

结果

在 130 名总调查受访者中(91/191 名教师[48%]和 37/62 名住院医师[60%]),两组都有相当比例的人自我报告在 COVID-19 大流行期间增加了恐惧(79%)、焦虑(83%)和抑郁(38%)。这两个群体之间的比例没有显著差异。大多数受访者表示,该机构提供了足够的咨询和支持服务(91%),该部门提供了足够的情感支持(92%)。参与者就 COVID-19 大流行期间有用的额外资源提出了有益的建议。

结论

COVID-19 大流行已经影响了我们神经科部门的教师和住院医师的生活和思想,我们部门处于大流行的中心。在这场不断演变的危机中,努力支持这些提供者对于促进照顾我们的患者和同事所需的适应力至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a383/7358162/75f09301a5c5/gr1_lrg.jpg

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