MD, MSc. Attending Physician, Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
PhD. Registered Nurse, Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. Assistant Professor, School of Nursing, Fooyin University, Kaohsiung, Taiwan.
Sao Paulo Med J. 2021 Jan-Feb;139(1):65-71. doi: 10.1590/1516-3180.2020.0516.R1.10122020.
The COVID-19 pandemic has instilled fear and stress among healthcare workers.
The aim of this study was to assess work stress and associated factors among healthcare workers during the COVID-19 outbreak and to evaluate whether prior experience of treating severe acute respiratory syndrome (SARS) had a positive or negative influence on healthcare workers' stress levels during the COVID-19 pandemic.
Cross-sectional survey in a tertiary hospital in Kaohsiung City, in southern Taiwan.
The survey was conducted using an online self-administered questionnaire to measure the stress levels among healthcare workers from March 20 to April 20, 2020. The stress scales were divided into four subscales: worry of social isolation; discomfort caused by the protective equipment; difficulties and anxiety regarding infection control; and workload of caring for patients.
The total stress scores were significantly higher among healthcare workers who were aged 41 or above, female, married, parents and nurses. Those with experience of treating SARS reported having significantly higher stress scores on the subscale measuring the discomfort caused by protective equipment and the workload of caring for patients. During the COVID-19 outbreak, frontline healthcare workers with experience of treating SARS indicated having higher stress levels regarding the workload of caring for patients than did non-frontline healthcare workers with no experience of treating SARS.
Work experience from dealing with the 2003 SARS virus may have had a negative psychological impact on healthcare workers amidst the COVID-19 outbreak.
COVID-19 大流行给医护人员带来了恐惧和压力。
本研究旨在评估 COVID-19 疫情期间医护人员的工作压力及相关因素，并评估先前治疗严重急性呼吸综合征（SARS）的经验对 COVID-19 大流行期间医护人员压力水平的积极或消极影响。
在台湾南部高雄市的一家三级医院进行的横断面调查。
该调查于 2020 年 3 月 20 日至 4 月 20 日期间通过在线自我管理问卷进行，以测量医护人员的压力水平。压力量表分为四个分量表：对社会隔离的担忧；防护设备引起的不适；感染控制的困难和焦虑；以及照顾患者的工作量。
年龄在 41 岁及以上、女性、已婚、父母和护士的医护人员总压力评分明显较高。有 SARS 治疗经验的医护人员在测量防护设备引起的不适和照顾患者工作量的分量表上的压力评分明显较高。在 COVID-19 疫情期间，有 SARS 治疗经验的一线医护人员在照顾患者的工作量方面的压力水平高于没有 SARS 治疗经验的非一线医护人员。
在 COVID-19 大流行期间，处理 2003 年 SARS 病毒的工作经验可能对医护人员的心理健康产生负面影响。
