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.
Mo Med. 2021 Jan-Feb;118(1):55-62.
Global pandemics have a profound psycho-social impact on health systems and their impact on healthcare workers is under-reported.
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.
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.
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.
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。
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。
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。
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。
