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Covid-19 大流行对医护人员心理健康的影响,以及帮助他们的干预措施:快速系统评价。

The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review.

机构信息

Norwegian Institute of Public Health, Oslo, Norway.

Norwegian Institute of Public Health, Oslo, Norway.

出版信息

Psychiatry Res. 2020 Nov;293:113441. doi: 10.1016/j.psychres.2020.113441. Epub 2020 Sep 1.

Abstract

The covid-19 pandemic has heavily burdened healthcare systems throughout the world. We performed a rapid systematic review to identify, assess and summarize research on the mental health impact of the covid-19 pandemic on HCWs (healthcare workers). We utilized the Norwegian Institute of Public Health's Live map of covid-19 evidence on 11 May and included 59 studies. Six reported on implementing interventions, but none reported on effects of the interventions. HCWs reported low interest in professional help, and greater reliance on social support and contact. Exposure to covid-19 was the most commonly reported correlate of mental health problems, followed by female gender, and worry about infection or about infecting others. Social support correlated with less mental health problems. HCWs reported anxiety, depression, sleep problems, and distress during the covid-19 pandemic. We assessed the certainty of the estimates of prevalence of these symptoms as very low using GRADE. Most studies did not report comparative data on mental health symptoms before the pandemic or in the general population. There seems to be a mismatch between risk factors for adverse mental health outcomes among HCWs in the current pandemic, their needs and preferences, and the individual psychopathology focus of current interventions.

摘要

新冠疫情给全球各地的医疗系统带来了沉重负担。我们进行了一项快速系统评价,以确定、评估和总结新冠疫情对医护人员心理健康的影响的研究。我们利用挪威公共卫生研究所的新冠疫情实时证据地图于 2023 年 5 月 11 日进行检索,纳入了 59 项研究。其中 6 项报告了干预措施的实施情况,但没有一项报告干预措施的效果。医护人员报告对专业帮助的兴趣较低,更依赖于社会支持和联系。接触新冠病毒是报告心理健康问题最常见的相关因素,其次是女性性别,以及对感染或感染他人的担忧。社会支持与较少的心理健康问题相关。医护人员报告在新冠疫情期间出现焦虑、抑郁、睡眠问题和困扰。我们使用 GRADE 评估了这些症状的流行率估计值的确定性为极低。大多数研究没有报告疫情前或一般人群中关于心理健康症状的比较数据。当前大流行期间医护人员不良心理健康结果的风险因素、他们的需求和偏好以及当前干预措施的个体精神病理学重点之间似乎存在不匹配。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23b/7462563/6261d7f17519/gr1_lrg.jpg

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