Birmingham Medical School, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
The John Goligher Colorectal Surgery Unit, St. James's University Hospital, Leeds, UK.
J Occup Health. 2020 Jan;62(1):e12175. doi: 10.1002/1348-9585.12175.
The SARS-CoV-2 global pandemic has subjected healthcare workers (HCWs) to high risk of infection through direct workplace exposure, coupled with increased workload and psychological stress. This review aims to determine the impact of SARS-CoV-2 on mental health outcomes of hospital-based HCWs and formulate recommendations for future action.
A systematic review was performed between 31st December 2019 and 17th June 2020 through Ovid Medline and Embase databases (PROSPERO ID CRD42020181204). Studies were included for review if they investigated the impact of SARS-CoV-2 on mental health outcomes of hospital-based HCWs and used validated psychiatric scoring tools. Prevalence of ICD-10 classified psychiatric disorders was the primary outcome measure.
The initial search returned 436 articles. Forty-four studies were included in final analysis, with a total of 69,499 subjects. Prevalence ranges of six mental health outcomes were identified: depression 13.5%-44.7%; anxiety 12.3%-35.6%; acute stress reaction 5.2%-32.9%; post-traumatic stress disorder 7.4%-37.4%; insomnia 33.8%-36.1%; and occupational burnout 3.1%-43.0%. Direct exposure to SARS-CoV-2 patients was the most common risk factor identified for all mental health outcomes except occupational burnout. Nurses, frontline HCWs, and HCWs with low social support and fewer years of working experience reported the worst outcomes.
The SARS-CoV-2 pandemic has significantly impacted the mental health of HCWs. Frontline staff demonstrate worse mental health outcomes. Hospitals should be staffed to meet service provision requirements and to mitigate the impact onmental health. This can be improved with access to rapid-response psychiatric teams and should be continually monitored throughout the pandemic and beyond its conclusion.
SARS-CoV-2 全球大流行使医护人员（HCWs）通过直接工作场所接触面临高感染风险，加之工作量增加和心理压力增大。本综述旨在确定 SARS-CoV-2 对基于医院的 HCWs 的心理健康结果的影响，并为未来行动制定建议。
通过 Ovid Medline 和 Embase 数据库（PROSPERO ID CRD42020181204）于 2019 年 12 月 31 日至 2020 年 6 月 17 日进行了系统综述。如果研究调查了 SARS-CoV-2 对基于医院的 HCWs 的心理健康结果的影响，并使用了经过验证的精神科评分工具，则纳入研究进行综述。ICD-10 分类精神障碍的患病率是主要的结局测量指标。
最初的搜索返回了 436 篇文章。44 项研究被纳入最终分析，共有 69499 名受试者。确定了六种心理健康结果的患病率范围：抑郁 13.5%-44.7%；焦虑 12.3%-35.6%；急性应激反应 5.2%-32.9%；创伤后应激障碍 7.4%-37.4%；失眠 33.8%-36.1%；职业倦怠 3.1%-43.0%。直接接触 SARS-CoV-2 患者是所有心理健康结果的最常见危险因素，但职业倦怠除外。护士、一线 HCWs、社会支持较少和工作经验较少的 HCWs 报告的结果最差。
SARS-CoV-2 大流行对 HCWs 的心理健康产生了重大影响。一线工作人员的心理健康结果更差。医院应配备人员以满足服务提供要求，并减轻对心理健康的影响。通过快速反应精神科团队的介入，可以改善这一点，并且应在整个大流行期间及其结束后持续进行监测。
Zotero 插件