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COVID-19 大流行期间医护人员的抑郁和焦虑。

Depression and anxiety in healthcare professionals during the COVID-19 pandemic.

机构信息

PFH Private University of Applied Sciences Göttingen, Göttingen, Germany.

University of Vienna, Vienna, Austria.

出版信息

Epidemiol Infect. 2021 Feb 9;149:e46. doi: 10.1017/S0950268821000303.

Abstract

Healthcare staff have been at the centre of the fight against the COVID-19 pandemic, facing diverse work-related stressors. Building upon studies from various countries, we aimed to investigate (1) the prevalence of various work-related stressors among healthcare professionals in Germany specific to the COVID-19 pandemic, (2) the psychological effects of these stressors in terms of clinical symptoms, and (3) the healthcare professionals' help-seeking behaviour. To this end, N = 300 healthcare professionals completed an online survey including the ICD-10 Symptom Rating checklist (ISR), event-sampling questions on pandemic-related stressors and self-formulated questions on help-seeking behaviour. Participants were recruited between 22 May and 22 July 2020. Findings were analysed using t tests, regressions and comparisons to large clinical and non-clinical samples assessed before and during the pandemic. Results show that healthcare professionals were most affected by protective measures at their workplace and changes in work procedures. Psychological symptoms, particularly anxiety and depression, were significantly more severe than in a non-clinical pre-pandemic sample and in the general population during the pandemic. At the same time, most professionals indicated that they would not seek help for psychological concerns. These findings indicate that healthcare employers need to pay greater attention to the mental health of their staff.

摘要

医护人员一直是抗击 COVID-19 大流行的核心力量,他们面临着各种与工作相关的压力源。本研究以多个国家的研究为基础,旨在调查:(1)德国医护人员在 COVID-19 大流行背景下特定工作相关压力源的流行情况;(2)这些压力源对临床症状的心理影响;(3)医护人员的求助行为。为此,我们共招募了 300 名医护人员完成了一项在线调查,该调查包括 ICD-10 症状评定检查表(ISR)、与大流行相关压力源的事件抽样问题以及自我制定的求助行为问题。参与者于 2020 年 5 月 22 日至 7 月 22 日之间招募。使用 t 检验、回归分析以及与大流行前和大流行期间评估的大型临床和非临床样本进行比较,对研究结果进行分析。结果表明,医护人员受工作场所防护措施和工作流程变化的影响最大。心理症状,特别是焦虑和抑郁,比非临床大流行前样本和大流行期间的一般人群更为严重。与此同时,大多数专业人员表示他们不会因心理问题寻求帮助。这些发现表明,医疗保健雇主需要更加关注员工的心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94c6/7900665/4520b2de76c9/S0950268821000303_fig1.jpg

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