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COVID-19 大流行对西班牙卫生工作者短期情绪的影响。

Short-term emotional impact of COVID-19 pandemic on Spaniard health workers.

机构信息

UGC Salud Mental, Hospital Universitario Virgen del Rocio, Sevilla, Spain.

UGC Salud Mental, Hospital Universitario Virgen del Rocio, Sevilla, Spain; Centro Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Spain; Instituto de Biomedicina de Sevilla (IBIS), Sevilla, Spain; Departamento de Psiquiatria, Universidad de Sevilla, Sevilla, Spain.

出版信息

J Affect Disord. 2021 Jan 1;278:390-394. doi: 10.1016/j.jad.2020.09.079. Epub 2020 Sep 24.

Abstract

BACKGROUND

The aims of this study were to evaluate the short-term impact of 2019-nCoV outbreak on the mental/psychological state of Spaniard health care workers (HCWs) and to explore the influencing factors, including organizational factors.

METHODS

A web-based survey (Google forms questionnaire) spread via professional and scientific associations, professional WhatsApp and email lists, following a snowball technique was used. Data were collected from May 11th and May 31st, 2020 RESULTS: : A total of 1407 subjects were included in final analyses. 24.7% (348 out of 1407) of HCWs reported symptoms of acute stress (SARS-Q measurement) and 53.6% (754 out of 1407) reported symptoms related to poorer general health (GHQ-28 measurement). A higher risk of having an acute stress disorder was associated to being female, not having access to protective material, and several subjects´ perceived risks. Additionally, poorer overall general health (GHQ>24) was related to being female, working in a geographical area with a high incidence of infection, not being listened to by your co-workers, having a greater perception of stress at work and being able to transmit the infection to others.

LIMITATIONS

We must consider a likely memory bias.

CONCLUSION

The high prevalence of affective and general health symptoms among the HCWs and the critical influence of organizational issues and subjects´ perceived risk should lead health authorities to design future strategies to protect health professional force for facing a potential upcoming epidemiological crisis.

摘要

背景

本研究旨在评估 2019 年新型冠状病毒爆发对西班牙医护人员心理健康/心理状态的短期影响,并探讨包括组织因素在内的影响因素。

方法

采用基于网络的调查(Google 表单问卷),通过专业和科学协会、专业 WhatsApp 和电子邮件列表传播,采用滚雪球技术。数据收集于 2020 年 5 月 11 日至 5 月 31 日。

结果

共纳入 1407 名研究对象进行最终分析。24.7%(348/1407)的医护人员报告出现急性应激症状(SARS-Q 测量),53.6%(754/1407)报告出现与较差一般健康相关的症状(GHQ-28 测量)。较高的急性应激障碍风险与女性、无法获得防护材料以及一些被调查者感知到的风险有关。此外,较差的总体一般健康状况(GHQ>24)与女性、在感染高发地区工作、得不到同事的倾听、工作压力较大以及能够将感染传染给他人有关。

局限性

我们必须考虑到可能存在记忆偏差。

结论

医护人员中出现情感和一般健康症状的高患病率,以及组织问题和被调查者感知风险的关键影响,应促使卫生当局设计未来的战略,以保护卫生专业人员队伍,应对潜在的即将到来的流行病学危机。

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