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COVID-19 疫情对医生心理弹性水平的影响。

The effects of the COVID-19 outbreak on physicians' psychological resilience levels.

机构信息

Department of Public Health, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.

Department of Psychiatry, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.

出版信息

Postgrad Med. 2021 Mar;133(2):223-230. doi: 10.1080/00325481.2021.1874166. Epub 2021 Jan 19.

Abstract

BACKGROUND

Health-care workers exposed to coronavirus19 disease could be psychologically stressed. The objective of this study is to assess the anxiety, depression levels, and psychological resilience of physicians working during the Covid-19 outbreak and to evaluate the related factors that are associated with their psychological resilience.

METHODS

The sample of this descriptive study was composed of medical doctors and dentists. The data were obtained online between April 13-23, 2020 through a survey prepared by the researchers. In addition, a questionnaire about the participants' sociodemographic characteristics, the Psychological Resilience Scale and Hospital Anxiety Depression Scale (HAD-A/HAD-D) was given.

RESULTS

The average age of the 671 participants was 44.0 ± 9.0 years. Psychological resilience scores were significantly higher in those who had children, who had worked for 15 years or more, and who had received training about COVID-19 (p < 0.05). Depression scores were higher among women and in those who reported having a chronic disease, whose workload increased after the outbreak, and who had physical contact with COVID-positive patients. The anxiety scores were also higher among women and in those whose workload had increased and who had contact with COVID-positive patients (p < 0.05). The physicians with scores below the cutoff point on the HAD-D/HAD-A had significantly higher scores on the Psychological Resilience Scale (p < 0.05).

DISCUSSION

Depression and anxiety levels were found to be significantly lower in physicians with greater psychological resilience. Psychological and social support of all health-care workers, especially physicians, is important in the struggle with the pandemic. It is thought that determining the variables related to psychological resilience in health-care workers will be a guide for psychosocial services.

摘要

背景

接触新型冠状病毒疾病的医护人员可能会承受心理压力。本研究的目的是评估在新冠疫情期间工作的医生的焦虑、抑郁水平和心理弹性,并评估与他们心理弹性相关的因素。

方法

本描述性研究的样本由医生和牙医组成。数据是在 2020 年 4 月 13 日至 23 日通过研究人员编制的在线调查获得的。此外,还向参与者发放了一份关于其社会人口学特征、心理弹性量表和医院焦虑抑郁量表(HAD-A/HAD-D)的问卷。

结果

671 名参与者的平均年龄为 44.0±9.0 岁。有孩子、工作 15 年或以上、接受过 COVID-19 培训的人心理弹性评分较高(p<0.05)。女性、报告患有慢性病、疫情后工作量增加、与 COVID 阳性患者有身体接触的人抑郁评分较高。女性、工作量增加且与 COVID 阳性患者有接触的人焦虑评分也较高(p<0.05)。HAD-D/HAD-A 得分低于临界值的医生在心理弹性量表上的得分显著较高(p<0.05)。

讨论

发现心理弹性较高的医生抑郁和焦虑水平显著较低。在与大流行的斗争中,所有医护人员,特别是医生,都需要心理和社会支持。认为确定医护人员心理弹性相关的变量将为心理社会服务提供指导。

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