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COVID19 大流行封锁对意大利职业医生的心理社会健康的影响。

Consequences of COVID19-pandemic lockdown on Italian occupational physicians' psychosocial health.

机构信息

R.U. of Occupational Medicine, "Sapienza" University of Rome, Rome, Italy.

Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Rome, Italy.

出版信息

PLoS One. 2021 Feb 3;16(2):e0243194. doi: 10.1371/journal.pone.0243194. eCollection 2021.

DOI:10.1371/journal.pone.0243194
PMID:33534805
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7857620/
Abstract

COVID-19 was declared a pandemic on March 12, 2020. Italy has been the most affected country in the world, right after China. Healthcare workers (HCWs) were among the hardest hit by this event from both a working and psychological point of view. The aim of this web-based cross-sectional study is to assess the consequences of the COVID-19 pandemic on Italian Occupational Physicians' well-being and psychological distress, in relation to demographic and occupational characteristic, lifestyle and habits during the lockdown period. We conducted a web-based cross-sectional survey questionnaire from April 1 to April 21st, 2020. To evaluate the level of psychological distress and the level of well-being, the general Health Questionnaire-12 (GHQ-12) and the WHO-5 Wellbeing Index were utilized. Since the statistical assumptions were respected, we proceeded with an analysis of variance (ANOVA) to ascertain the differences between the averages of the scores of the GHQ-12. Doctors who live in the most affected regions have a prevalence of psychological distress higher than their colleagues from the rest of Italy. ANOVA shows significant differences relating to the female gender, and to the life changes provoked by the lockdown for example not feeling sheltered at home or suffering from loneliness. This study showed a high prevalence of psychological distress in occupational physicians. To prevent the occurrence of mental disorders among Occupational Physicians, it is urgent to put in place policies of psychological support and well-being preservation.

摘要

2020 年 3 月 12 日,世界卫生组织宣布 COVID-19 疫情构成“国际关注的突发公共卫生事件”。意大利是继中国之后受疫情影响最严重的国家。医护人员(HCWs)在工作和心理方面都受到了这场疫情的严重影响。本网络横断面研究旨在评估 COVID-19 大流行对意大利职业医生的幸福感和心理困扰的影响,同时考虑到人口统计学和职业特征、封锁期间的生活方式和习惯。我们于 2020 年 4 月 1 日至 4 月 21 日进行了网络横断面调查。为了评估心理困扰的程度和幸福感水平,使用了一般健康问卷-12 项(GHQ-12)和世界卫生组织-5 项幸福感指数(WHO-5)。由于统计假设得到了尊重,我们进行了方差分析(ANOVA),以确定 GHQ-12 得分的平均值之间的差异。居住在受影响最严重地区的医生的心理困扰患病率高于意大利其他地区的同事。ANOVA 显示,女性性别和封锁引起的生活变化(例如,在家中感觉没有庇护或感到孤独)与心理困扰显著相关。本研究显示,职业医生中存在较高的心理困扰患病率。为了防止职业医生出现精神障碍,迫切需要制定心理支持和幸福感保护政策。