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.
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.
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。
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