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新冠疫情期间医护人员的心理健康状况与职业生活质量:一项(一线新冠)调查

Mental Health outcome and Professional quality of Life among Healthcare Worker during COVID-19 pandemic: A (FRONTLINE-COVID) survey.

作者信息

Nathiya Deepak, Suman Supriya, Singh Pratima, Raj Preeti, Tomar Balvir Singh

机构信息

Department of Pharmacy Practice, Institute of Pharmacy, Nims University Rajasthan, Jaipur, India.

Institute of Gastroenterology, Hepatology & Transplant, Nims University Rajasthan, Jaipur, India.

出版信息

Ann Med Psychol (Paris). 2021 Jan 6. doi: 10.1016/j.amp.2020.12.017.

DOI:10.1016/j.amp.2020.12.017
PMID:33518767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7832243/
Abstract

BACKGROUND

  • Health care workers are under a substantial level of psychological impact due to the risk of exposure, workload and moral dilemmas as the nation is on upsurge of COVID-19 cases. Since there are limited research available on this issue from India, we have decided to conduct an online survey to evaluate mental health outcome and professional quality of life among healthcare worker during COVID-19 pandemic.

METHODS

  • From 25th May to 10th June 2020, a web-based (FRONT-LINE COVID) survey was conducted. Impact of event revised (IES-R), Connor-Davidson Resilience scale (CD-RISC) and Professional Quality of life (ProQOL) and Feeling related questions were administered among Healthcare workers from different departments of hospital.

RESULTS

  • Among the respondents,218 (52.1%) belongs from the low-risk unit and 200 (47.9%) from the 'high-risk unit' including a higher proportion of nurses 191 (45.7%), female 282(67.5%), aged 31-40 years (48.3%), and married 220 (52.6%). Overall female nurses (P=>0.001), doctors (P=0.02) those were working in an emergency unit (P= <0.001) were at greater risk of psychological distress. Middle-aged (31- 40 years) had a higher level of resilience (p=0.02) contrast to this; working in COVID-19 unit was associated with a lower scale of resilience (p=0.009). Resilience and QoL were an important predictor for psychological distress.

CONCLUSION

  • Results implicate interventions for stress management and social support among medical staff working in the pandemic.
摘要

背景

由于该国新冠疫情病例激增,医护人员面临暴露风险、工作量和道德困境,承受着巨大的心理压力。鉴于印度在这一问题上的研究有限,我们决定开展一项在线调查,以评估新冠疫情期间医护人员的心理健康状况和职业生活质量。

方法

2020年5月25日至6月10日,开展了一项基于网络的(一线新冠)调查。对来自医院不同科室的医护人员进行了事件影响修订版(IES-R)、康纳-戴维森韧性量表(CD-RISC)、职业生活质量量表(ProQOL)以及相关感受问题的调查。

结果

在受访者中,218人(52.1%)来自低风险科室,200人(47.9%)来自“高风险科室”,其中护士占比更高,为191人(45.7%),女性282人(67.5%),年龄在31 - 40岁之间(48.3%),已婚220人(52.6%)。总体而言,女性护士(P>0.001)、医生(P = 0.02)以及在急诊科工作的人员(P<0.001)面临心理困扰的风险更高。相比之下,中年(31 - 40岁)人群的韧性水平更高(p = 0.02);而在新冠科室工作与较低的韧性水平相关(p = 0.009)。韧性和生活质量是心理困扰的重要预测因素。

结论

研究结果表明,应对疫情期间工作的医护人员采取压力管理和社会支持干预措施。