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新冠疫情期间医护人员的创伤应激:即时影响综述

Traumatic Stress in Healthcare Workers During COVID-19 Pandemic: A Review of the Immediate Impact.

作者信息

Benfante Agata, Di Tella Marialaura, Romeo Annunziata, Castelli Lorys

机构信息

Department of Psychology, University of Turin, Turin, Italy.

出版信息

Front Psychol. 2020 Oct 23;11:569935. doi: 10.3389/fpsyg.2020.569935. eCollection 2020.

Abstract

The disease caused by respiratory syndrome coronavirus 2 (SARS-CoV-2) called COVID-19 resulted in a pandemic that has demanded extraordinary physical and mental effort from healthcare workers. This review provides an overview of studies that have explored traumatic stress in healthcare workers and associated factors between January and May 2020. The focus is on the most relevant literature investigating the prevalence of trauma- and stressor-related symptoms. Articles were selected from PubMed and PsycINFO databases using the search terms, "healthcare workers," "COVID-19," and "posttraumatic stress" in different combinations and with various synonyms. Among the seven studies that fulfilled our criteria, five assessed traumatic stress response, one assessed acute stress symptoms, and one focused on vicarious traumatization. Overall, the available findings highlight the presence of trauma-related stress, with a prevalence ranging from 7.4 to 35%, particularly among women, nurses, frontline workers, and in workers who experienced physical symptoms. Future studies should clarify the long-term effects of the COVID-19 pandemic on the mental health of healthcare workers, with particular focus on posttraumatic stress disorder.

摘要

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的疾病COVID-19导致了一场大流行,这给医护人员带来了超乎寻常的身心压力。本综述概述了2020年1月至5月期间探索医护人员创伤应激及相关因素的研究。重点是调查与创伤和应激源相关症状患病率的最相关文献。使用“医护人员”“COVID-19”和“创伤后应激”等搜索词及其不同组合和各种同义词,从PubMed和PsycINFO数据库中筛选文章。在符合我们标准的七项研究中,五项评估了创伤应激反应,一项评估了急性应激症状,一项关注替代性创伤。总体而言,现有研究结果凸显了与创伤相关应激的存在,患病率在7.4%至35%之间,尤其在女性、护士、一线工作人员以及出现身体症状的工作人员中更为常见。未来的研究应阐明COVID-19大流行对医护人员心理健康的长期影响,尤其要关注创伤后应激障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ff/7645025/b258b1f40ced/fpsyg-11-569935-g001.jpg

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