Health Science Center, Xi'an Jiaotong University, Xi'an, China.
Health Science Center, Xi'an Jiaotong University, Xi'an, China
BMJ Open. 2021 Feb 26;11(2):e043686. doi: 10.1136/bmjopen-2020-043686.
Frontline healthcare providers are redeployed to areas outside their clinical expertise and assigned high-loading workload to address the surge of patients with each coronavirus outbreak. Their importance in crisis is not in doubt. However, they experienced considerable physical distress and psychological stressors, even leading to psychological illness and infection in this environment. There is an urgent need to accurately, comprehensively and objectively understand their experiences, perceptions and current situation of burnout, post-traumatic stress disorder (PTSD), anxiety, depression, insomnia and coronavirus infection. Therefore, this protocol is to conduct a mixed-methods systematic review to summarise the evidence on the experiences of healthcare providers and impacts of the coronavirus on their psychological status and infection during the pandemics.
Published studies on experience, perspective, impact, burnout, PTSD, anxiety, depression, insomnia, and infection of healthcare providers with SARS, Middle East respiratory syndrome and COVID-19, and written in English and Chinese will be accepted. Databases (MEDLINE, EMBASE, CENTRAL, Web of Science, PubMed, Psychology Information, WanFang and SinoMed) from inception until 30 July 2020 will be searched. Two reviewers will select, screen, extract data and assess the risk of bias independently. Risk of bias of results will be using the Mixed-Methods Appraisal Tool. Using a convergent integrated approach on qualitative/quantitative studies, we will synthesise qualitative and quantitative data separately. The incidence and number of cases about burnout, PTSD, anxiety, depression, insomnia and coronavirus infection among medical staff will be extracted. Then we will transform quantitative data to synthesise narrative findings. This protocol will be reported per the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines.
Ethical assessment is not required due to the nature of the proposed systematic review. Findings of our research will be disseminated at conferences related to this field and through publication in peer-reviewed journals.
CRD42020198506.
在每次冠状病毒爆发时，一线医护人员都被重新部署到超出其临床专业知识的领域，并承担高负荷的工作量，以应对患者人数的激增。他们在危机中的重要性毋庸置疑。然而，他们经历了相当大的身体痛苦和心理压力源，甚至在这种环境下导致心理疾病和感染。准确、全面、客观地了解他们在冠状病毒大流行期间的经历、看法以及倦怠、创伤后应激障碍（PTSD）、焦虑、抑郁、失眠和冠状病毒感染的现状，这是当务之急。因此，本方案旨在进行混合方法系统评价，以总结有关医护人员经历和冠状病毒对其心理状态和感染影响的证据。
将接受关于 SARS、中东呼吸综合征和 COVID-19 医护人员的经验、观点、影响、倦怠、创伤后应激障碍、焦虑、抑郁、失眠和感染的研究，且发表语言为英语和中文。将从开始到 2020 年 7 月 30 日搜索数据库（MEDLINE、EMBASE、CENTRAL、Web of Science、PubMed、心理学信息、万方和中国生物医学文献数据库）。两名评审员将独立选择、筛选、提取数据和评估偏倚风险。结果的偏倚风险将使用混合方法评价工具进行评估。使用定性/定量研究的收敛综合方法，我们将分别综合定性和定量数据。将提取医务人员倦怠、创伤后应激障碍、焦虑、抑郁、失眠和冠状病毒感染的发病率和病例数。然后，我们将定量数据转换为综合叙述性发现。本方案将按照系统评价和荟萃分析报告规范进行报告。
由于拟议的系统评价的性质，不需要进行伦理评估。我们的研究结果将在相关领域的会议上以及通过在同行评议期刊上发表来传播。
PROSPERO 注册号：CRD42020198506。
