Department of Urology, National University Hospital, National University, Health System, Singapore.
Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Ann Surg. 2023 Jan 1;277(1):50-56. doi: 10.1097/SLA.0000000000004775. Epub 2021 Jan 22.
To assess the degree of psychological impact among surgical providers during the COVID-19 pandemic.
The COVID-19 pandemic has extensively impacted global healthcare systems. We hypothesized that the degree of psychological impact would be higher for surgical providers deployed for COVID-19 work, certain surgical specialties, and for those who knew of someone diagnosed with, or who died, of COVID-19.
We conducted a global web-based survey to investigate the psychological impact of COVID-19. The primary outcomes were the depression anxiety stress scale-21 and Impact of Event Scale-Revised scores.
A total of 4283 participants from 101 countries responded. 32.8%, 30.8%, 25.9%, and 24.0% screened positive for depression, anxiety, stress, and PTSD respectively. Respondents who knew someone who died of COVID-19 were more likely to screen positive for depression, anxiety, stress, and PTSD (OR 1.3, 1.6, 1.4, 1.7 respectively, all P < 0.05). Respondents who knew of someone diagnosed with COVID-19 were more likely to screen positive for depression, stress, and PTSD (OR 1.2, 1.2, and 1.3 respectively, all P < 0.05). Surgical specialties that operated in the head and neck region had higher psychological distress among its surgeons. Deployment for COVID- 19-related work was not associated with increased psychological distress.
The COVID-19 pandemic may have a mental health legacy outlasting its course. The long-term impact of this ongoing traumatic event underscores the importance of longitudinal mental health care for healthcare personnel, with particular attention to those who know of someone diagnosed with, or who died of COVID-19.
评估 COVID-19 大流行期间外科医务人员的心理影响程度。
COVID-19 大流行已广泛影响全球医疗保健系统。我们假设，对于因 COVID-19 工作而部署的外科医务人员、某些外科专业人员以及那些知道有人被诊断出 COVID-19 或死于 COVID-19 的人，其心理影响程度会更高。
我们进行了一项全球性的网络调查，以调查 COVID-19 对心理的影响。主要结果是抑郁焦虑压力量表-21 评分和事件影响量表修订版评分。
共有来自 101 个国家的 4283 名参与者做出了回应。分别有 32.8%、30.8%、25.9%和 24.0%的人出现抑郁、焦虑、压力和创伤后应激障碍的阳性筛查结果。知道有人死于 COVID-19 的受访者更有可能出现抑郁、焦虑、压力和创伤后应激障碍的阳性筛查结果（OR 分别为 1.3、1.6、1.4、1.7，均 P<0.05）。知道有人被诊断出 COVID-19 的受访者更有可能出现抑郁、压力和创伤后应激障碍的阳性筛查结果（OR 分别为 1.2、1.2 和 1.3，均 P<0.05）。在头部和颈部区域进行手术的外科专业人员其外科医生的心理困扰程度更高。参与 COVID-19 相关工作与增加心理困扰无关。
COVID-19 大流行可能会产生超出其持续时间的心理健康后遗症。这一持续的创伤性事件的长期影响凸显了为医护人员提供长期心理健康护理的重要性，特别是要关注那些知道有人被诊断出 COVID-19 或死于 COVID-19 的人。
