COVID-19 大流行对卫生专业人员造成的心理影响：系统评价与荟萃分析。
Psychological effects caused by the COVID-19 pandemic in health professionals: A systematic review with meta-analysis.
机构信息
Nursing Course, Centro Universitário de Juazeiro do Norte (UNIJUAZEIRO), Juazeiro do Norte, CE, Brazil.
Development, Nutrition, Phytotherapy and HygieneResearchGroup, Universidade de Pernambuco (UPE), Petrolina, PE, Brazil.
出版信息
Prog Neuropsychopharmacol Biol Psychiatry. 2021 Jan 10;104:110062. doi: 10.1016/j.pnpbp.2020.110062. Epub 2020 Aug 6.
BACKGROUND
Psychological suffering by health professionals may be associated with the uncertainty of a safe workplace. Front-line professionals exposed and involved in the diagnosis and treatment of COVID-19 patients are more susceptible.
METHOD
This review was conducted based on papers that were published at MEDLINE, BMJ, PsycINFO, and LILACS, the according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA).
RESULTS
Health professionals had a higher level of anxiety (13.0 vs. 8.5%, p < 0.01, OR = 1.6152; 95%CI 1.3283 to 1.9641; p < 0.0001) and depression 12.2 vs. 9.5%; p = 0.04; OR = 1.3246; 95%CI 1.0930 to 1.6053; p = 0.0042), besides somatizations and insomnia compared to professionals from other areas.
CONCLUSION
Health professionals, regardless of their age, showed significant levels of mental disorders. We observed a prevalence of anxiety and depression. Insomnia was a risk factor for both.
背景
医护人员的心理痛苦可能与工作场所安全的不确定性有关。一线专业人员接触并参与 COVID-19 患者的诊断和治疗，更容易受到影响。
方法
本综述基于在 MEDLINE、BMJ、PsycINFO 和 LILACS 上发表的论文，根据系统评价和荟萃分析的首选报告项目 (PRISMA) 进行。
结果
与来自其他领域的专业人员相比，医护人员的焦虑水平更高（13.0%比 8.5%，p<0.01，OR=1.6152；95%CI 1.3283 至 1.9641；p<0.0001）和抑郁水平更高（12.2%比 9.5%；p=0.04；OR=1.3246；95%CI 1.0930 至 1.6053；p=0.0042），此外，与其他专业人员相比，他们还表现出更多的躯体化和失眠。
结论
无论年龄大小，医护人员都表现出明显的精神障碍。我们观察到焦虑和抑郁的患病率。失眠是两者的一个风险因素。
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