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新型冠状病毒肺炎疫情期间中国医院工作人员的自杀意念和自伤意念:流行率及相关因素。

Suicidal and self-harm ideation among Chinese hospital staff during the COVID-19 pandemic: Prevalence and correlates.

机构信息

Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.

Mental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing 401331, China.

出版信息

Psychiatry Res. 2021 Feb;296:113654. doi: 10.1016/j.psychres.2020.113654. Epub 2020 Dec 17.

Abstract

The COVID-19 pandemic put global medical systems under massive pressure for its uncertainty, severity, and persistence. For detecting the prevalence of suicidal and self-harm ideation (SSI) and its related risk factors among hospital staff during the COVID-19 pandemic, this cross-sectional study collected the sociodemographic data, epidemic-related information, the psychological status and need, and perceived stress and support from 11507 staff in 46 hospitals by an online survey from February 14 to March 2, 2020. The prevalence of SSI was 6.47%. Hospital staff with SSI had high family members or relatives infected number and the self-rated probability of infection. Additionally, they had more perceived stress, psychological need, and psychological impact. On the contrary, hospital staff without SSI reported high self-rated health, willingness to work in a COVID-19 ward, confidence in defeating COVID-19, and perceived support. Furthermore, they reported better marital or family relationship, longer sleep hours, and shorter work hours. The infection of family members or relatives, poor marital status, poor self-rated health, the current need for psychological intervention, perceived high stress, perceived low support, depression, and anxiety were independent factors to SSI. A systematic psychological intervention strategy during a public health crisis was needed for the hospital staff's mental well-being.

摘要

新冠疫情的不确定性、严重性和持续性给全球医疗系统带来了巨大压力。为了在新冠疫情期间检测医院工作人员自杀意念和自我伤害意念(SSI)及其相关风险因素的流行情况,本横断面研究通过在线调查,于 2020 年 2 月 14 日至 3 月 2 日,从 46 家医院收集了 11507 名员工的社会人口学数据、与疫情相关的信息、心理状况和需求以及感知压力和支持。SSI 的流行率为 6.47%。有 SSI 的医院工作人员的家庭成员或亲属感染人数高,自我感染概率高。此外,他们的感知压力、心理需求和心理影响更大。相反,没有 SSI 的医院工作人员报告自我健康状况良好、愿意在 COVID-19 病房工作、对战胜 COVID-19 的信心以及感知支持。此外,他们报告说婚姻或家庭关系更好、睡眠时间更长、工作时间更短。家庭成员或亲属感染、婚姻状况不佳、自我健康状况不佳、当前需要心理干预、感知压力大、感知支持低、抑郁和焦虑是 SSI 的独立因素。在公共卫生危机期间,需要为医院工作人员的心理健康制定系统的心理干预策略。

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