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我们应对 COVID-19 良好吗?:对一线医护人员心理社会影响的研究。

Are We Coping Well with COVID-19?: A Study on Its Psycho-Social Impact on Front-line Healthcare Workers.

机构信息

Clinical Fellow, Department of Medicine, Division of Pulmonary, Critical Care and Environmental Medicine, University of Missouri-Columbia, (UMC), Columbia, Missouri.

Second-year Medical Student, Department of Medicine, UMC.

出版信息

Mo Med. 2021 Jan-Feb;118(1):55-62.


DOI:
PMID:33551487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7861609/
Abstract

BACKGROUND: Global pandemics have a profound psycho-social impact on health systems and their impact on healthcare workers is under-reported. METHODS: We performed a cross-sectional survey with 13 Likert-scale responses and some additional polar questions pertaining to dressing habits and learning in a university hospital in the midwest United States. Descriptive and analytical statistics were performed. RESULTS: The 370 respondents (66.1% response rate, age 38.5±11.6 years; 64.9% female), included 102 supervising providers [96 (25.9%) physicians, 6 (1.6%) mid-level], 64 (17.3%) residents/fellows, 73 (19.7% nurses, 45 (12.2%) respiratory therapists, 31 (8.4%) therapy services and others: 12 (3.2%) case-managers, 4 (1.1%) dietitians, 39 (10.5%) unclassified]. Overall, 200 (54.1%) had increased anxiety, 115 (31.1%) felt overwhelmed, 159 (42.9%) had fear of death, and 281 (75.9%) changed dressing habits. Females were more anxious (70.7% vs. 56%, X (1, N=292)=5.953, p=0.015), overwhelmed (45.6% vs. 27.3%, X (1, N=273)=8.67, p=0.003) and suffered sleep disturbances (52% vs. 39%, X (1, N=312)=4.91, p=0.027). Administration was supportive; 243 (84.1%, N=289), 276 (74.5%) knew another co-worker with COVID-19, and only 93 (25.1%) felt healthcare employment was less favorable. Residents and fellows reported a negative impact on their training despite feeling supported by their program. CONCLUSION: Despite belief of a supportive administration, over half of healthcare workers and learners reported increased anxiety, and nearly a third felt overwhelmed during this current pandemic.

摘要

背景:全球大流行对卫生系统造成了深远的心理社会影响,但其对医护人员的影响报道不足。

方法:我们在美国中西部的一家大学医院进行了一项横断面调查,共涉及 13 个李克特量表回答和一些与着装习惯和学习相关的极端问题。进行了描述性和分析性统计。

结果:370 名受访者(66.1%的回复率,年龄 38.5±11.6 岁;64.9%为女性),包括 102 名监督提供者[96 名(25.9%)医生,6 名(1.6%)中级医生],64 名住院医师/研究员,73 名护士(19.7%),45 名呼吸治疗师(12.2%),31 名治疗服务人员和其他:12 名(3.2%)个案经理,4 名(1.1%)营养师,39 名(10.5%)未分类)。总体而言,200 名(54.1%)感到焦虑增加,115 名(31.1%)感到不知所措,159 名(42.9%)担心死亡,281 名(75.9%)改变了着装习惯。女性更焦虑(70.7%比 56%,X(1,N=292)=5.953,p=0.015),不知所措(45.6%比 27.3%,X(1,N=273)=8.67,p=0.003),睡眠障碍(52%比 39%,X(1,N=312)=4.91,p=0.027)。管理层给予支持;243 人(84.1%,N=289),276 人(74.5%)认识另一名患有 COVID-19 的同事,只有 93 人(25.1%)认为医疗保健工作不再有利。住院医师和研究员报告说,尽管他们的项目对他们表示支持,但他们的培训受到了负面影响。

结论:尽管管理层表示支持,但超过一半的医护人员和学习者表示在当前大流行期间焦虑增加,近三分之一的人感到不知所措。

相似文献

[1]
Are We Coping Well with COVID-19?: A Study on Its Psycho-Social Impact on Front-line Healthcare Workers.

Mo Med. 2021

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[9]
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[10]
Psychosocial burden of healthcare professionals in times of COVID-19 - a survey conducted at the University Hospital Augsburg.

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引用本文的文献

[1]
Assessing the Disruption Impact on Healthcare Delivery.

J Prim Care Community Health. 2024

[2]
The challenges, coping mechanisms, and recovery from the initial waves of the COVID-19 pandemic among academic radiographers.

Radiography (Lond). 2022-10

[3]
Construct Validity and Differential Item Functioning of the PHQ-9 Among Health Care Workers: Rasch Analysis Approach.

Neuropsychiatr Dis Treat. 2021-4-8

本文引用的文献

[1]
Stress and Stigmatization in Health-Care Workers during the COVID-19 Pandemic.

Indian J Psychiatry. 2020-9

[2]
Coping with COVID-19 in United Nations peacekeeping field hospitals: increased workload and mental stress for military healthcare providers.

BMJ Mil Health. 2021-8

[3]
Occupational Stress and Mental Health among Anesthetists during the COVID-19 Pandemic.

Int J Environ Res Public Health. 2020-11-8

[4]
Nurse Reports of Stressful Situations during the COVID-19 Pandemic: Qualitative Analysis of Survey Responses.

Int J Environ Res Public Health. 2020-11-3

[5]
Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review.

Cochrane Database Syst Rev. 2020-11-5

[6]
Effect of Emotional Intelligence and Psychosocial Risks on Burnout, Job Satisfaction, and Nurses' Health during the COVID-19 Pandemic.

Int J Environ Res Public Health. 2020-10-30

[7]
Anxiety, Depression, and Resilience of Healthcare Workers in Japan During the Coronavirus Disease 2019 Outbreak.

Intern Med. 2020

[8]
Personnel Well-Being in the Helsinki University Hospital during the COVID-19 Pandemic-A Prospective Cohort Study.

Int J Environ Res Public Health. 2020-10-28

[9]
COVID-19-Related Mental Health Effects in the Workplace: A Narrative Review.

Int J Environ Res Public Health. 2020-10-27

[10]
Anxiety and depression in frontline health care workers during the outbreak of Covid-19.

Int J Soc Psychiatry. 2021-9

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