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[新冠疫情期间卫生专业人员的焦虑患病率:一项荟萃分析的系统评价]

[Prevalence of anxiety among health professionals in times of COVID-19: a systematic review with meta-analysis].

作者信息

Silva David Franciole Oliveira, Cobucci Ricardo Ney, Soares-Rachetti Vanessa de Paula, Lima Severina Carla Vieira Cunha, Andrade Fábia Barbosa de

机构信息

Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Rio Grande do Norte (UFRN). Av. Sen. Salgado Filho 1787, Lagoa Nova. 59056-000 Natal RN Brasil.

Programa de Pós-Graduação em Biotecnologia, Curso de Medicina, Universidade Potiguar (UnP). Natal RN Brasil.

出版信息

Cien Saude Colet. 2021 Feb;26(2):693-710. doi: 10.1590/1413-81232021262.38732020. Epub 2020 Nov 8.

Abstract

This study sets out to identify the prevalence of anxiety among health professionals during the COVID-19 pandemic. It involves a systematic review and meta-analysis of studies published in any language in 2020. A search was conducted in the Embase, LILACS and PubMed databases using the keywords anxiety, COVID-19, health workers, and synonyms. The estimated overall prevalence of anxiety with a 95% confidence interval was calculated using the random effects model. Of the 861 records identified, 36 articles were included in the systematic review and 35 in the meta-analysis. The overall prevalence of anxiety was 35% (95%CI: 29-40). A higher risk of anxiety was identified among women compared to men (Odds Ratio: 1.64 [95%CI: 1.47-1.84]), and in nurses, in comparison with physicians (Odds Ratio: 1.19 [95%CI: 1.07-1.33]). Being on the front line of COVID-19, being infected with coronavirus and having chronic diseases were also factors associated with a higher risk of anxiety. A high prevalence of anxiety among health professionals was observed, with higher risk among women and nurses. There is a pressing need for measures aimed at prevention of anxiety and providing early and appropriate treatment for those suffering from moderate and severe anxiety.

摘要

本研究旨在确定新冠疫情期间医护人员中焦虑症的患病率。该研究对2020年以任何语言发表的研究进行了系统综述和荟萃分析。使用关键词焦虑、新冠病毒、医护人员及其同义词在Embase、LILACS和PubMed数据库中进行了检索。采用随机效应模型计算了95%置信区间的焦虑症总体患病率估计值。在检索到的861条记录中,36篇文章纳入系统综述,35篇纳入荟萃分析。焦虑症的总体患病率为35%(95%置信区间:29%-40%)。与男性相比,女性患焦虑症的风险更高(优势比:1.64 [95%置信区间:1.47-1.84]);与医生相比,护士患焦虑症的风险更高(优势比:1.19 [95%置信区间:1.07-1.33])。身处新冠疫情一线、感染冠状病毒以及患有慢性病也是与焦虑症风险较高相关的因素。研究观察到医护人员中焦虑症的患病率较高,女性和护士的风险更高。迫切需要采取措施预防焦虑症,并为中度和重度焦虑症患者提供早期和适当的治疗。

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