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本文引用的文献

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Is the lockdown important to prevent the COVID-19 pandemic? Effects on psychology, environment and economy-perspective.封锁对于预防新冠疫情是否重要?从心理学、环境和经济角度的影响。
Ann Med Surg (Lond). 2020 Jun 14;56:38-42. doi: 10.1016/j.amsu.2020.06.010. eCollection 2020 Aug.
2
Psychosocial impact of COVID-19.新冠疫情的社会心理影响
Diabetes Metab Syndr. 2020 Sep-Oct;14(5):779-788. doi: 10.1016/j.dsx.2020.05.035. Epub 2020 May 27.
3
Ground-glass opacity on chest computed tomography in a young, athletic man with coronavirus disease 2019-related pneumonia without hypoxemia.一名年轻、体格健壮的男性,患有2019冠状病毒病相关肺炎且无低氧血症,其胸部计算机断层扫描显示磨玻璃影。
Pol Arch Intern Med. 2020 Jun 25;130(6):548-549. doi: 10.20452/pamw.15349. Epub 2020 May 11.
4
Survey of Insomnia and Related Social Psychological Factors Among Medical Staff Involved in the 2019 Novel Coronavirus Disease Outbreak.参与2019年新型冠状病毒病疫情防控的医务人员失眠及相关社会心理因素调查
Front Psychiatry. 2020 Apr 14;11:306. doi: 10.3389/fpsyt.2020.00306. eCollection 2020.
5
COVID-19 and mental health: A review of the existing literature.新型冠状病毒肺炎(COVID-19)与心理健康:现有文献综述。
Asian J Psychiatr. 2020 Aug;52:102066. doi: 10.1016/j.ajp.2020.102066. Epub 2020 Apr 10.
6
Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic.COVID-19 大流行期间印度民众的知识、态度、焦虑和感知的精神卫生保健需求研究。
Asian J Psychiatr. 2020 Jun;51:102083. doi: 10.1016/j.ajp.2020.102083. Epub 2020 Apr 8.
7
Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore.2019年冠状病毒病疫情对新加坡医护人员的心理影响
Ann Intern Med. 2020 Aug 18;173(4):317-320. doi: 10.7326/M20-1083. Epub 2020 Apr 6.
8
Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019.与 COVID-19 暴露的医护人员心理健康结果相关的因素。
JAMA Netw Open. 2020 Mar 2;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976.
9
Mitigate the effects of home confinement on children during the COVID-19 outbreak.减轻新冠疫情期间居家隔离对儿童的影响。
Lancet. 2020 Mar 21;395(10228):945-947. doi: 10.1016/S0140-6736(20)30547-X. Epub 2020 Mar 4.
10
The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China.2020年1月和2月中国医护人员治疗新型冠状病毒肺炎(COVID-19)患者时社会支持对其睡眠质量的影响
Med Sci Monit. 2020 Mar 5;26:e923549. doi: 10.12659/MSM.923549.

评估卫生专业人员的心理健康因素,取决于他们与 COVID-19 患者的接触情况。

Assessment of Mental Health Factors among Health Professionals Depending on Their Contact with COVID-19 Patients.

机构信息

Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland.

出版信息

Int J Environ Res Public Health. 2020 Aug 12;17(16):5849. doi: 10.3390/ijerph17165849.

DOI:10.3390/ijerph17165849
PMID:32806699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7459704/
Abstract

It seems that the medical personnel in contact with patients infected with SARS-CoV-2 are at an especially high risk of adverse psychological effects. Therefore, the aim of this study was to assess the mental health factors among healthcare workers by quantifying the severity of anxiety, depression, and sleep disorders during the current SARS-CoV-2 pandemic, while taking into account coexisting diseases. The study involved 441 healthcare professionals including 206 healthcare workers at emergency wards, infectious wards, and intensive care units. The control group consisted of 235 healthcare workers working in wards other than those where individuals from the study group worked. Regression adjusted by age, gender, the occurrence of hypertension, diabetes mellitus, dyslipidemia, asthma, autoimmune diseases, and cigarette smoking showed the elevated risk of anxiety on the Generalized Anxiety Disorder (GAD-7) scale (OR = 1.934; < 0.001), depression on the Patient Health Questionnaire (PHQ-9) scale (OR = 2.623; < 0.001), and sleep disorders on the Insomnia Severity Index (ISI) scale (OR = 3.078; < 0.001). Our study showed that healthcare workers who are exposed to SARS-CoV-2-infected patients at emergency wards, infectious wards, and intensive care units are at a much higher risk of showing symptoms of anxiety, depression, and sleep disorders than healthcare workers working in other wards.

摘要

似乎接触 SARS-CoV-2 感染患者的医务人员面临着特别高的不良心理影响风险。因此,本研究旨在通过量化当前 SARS-CoV-2 大流行期间医护人员的焦虑、抑郁和睡眠障碍严重程度,同时考虑共存疾病,评估医护人员的心理健康因素。该研究涉及 441 名医护人员,包括 206 名在急诊病房、传染病病房和重症监护病房工作的医护人员。对照组由 235 名在研究组工作地点以外的病房工作的医护人员组成。通过年龄、性别、高血压、糖尿病、血脂异常、哮喘、自身免疫性疾病和吸烟发生情况进行回归调整后,显示出一般焦虑障碍 (GAD-7) 量表上焦虑风险升高 (OR = 1.934; < 0.001)、患者健康问卷 (PHQ-9) 量表上抑郁 (OR = 2.623; < 0.001) 和失眠严重程度指数 (ISI) 量表上睡眠障碍 (OR = 3.078; < 0.001)。我们的研究表明,与在其他病房工作的医护人员相比,在急诊病房、传染病病房和重症监护病房接触 SARS-CoV-2 感染患者的医护人员出现焦虑、抑郁和睡眠障碍症状的风险更高。