Postgraduate Program in Health Sciences, School of Medicine of ABC, Santo André, São Paulo, Brazil.
Postgraduate Program in Health Sciences, School of Medicine of ABC, Santo André, São Paulo, Brazil.
Prog Neuropsychopharmacol Biol Psychiatry. 2021 Aug 30;110:110299. doi: 10.1016/j.pnpbp.2021.110299. Epub 2021 Mar 11.
During the COVID-19 pandemic period, the structure of the Intensive Care Unit (ICU) activities changed fast. It was observed that the mental and physical health of the frontline workers reached levels of extreme clinical and psychological concern.
Understand the impact that COVID-19 is having on the front-line clinical team in the ICU environment, as well as reveal what proposals are being made to mitigate the clinical and psychological impacts that this group experiences.
A systematic review was made following the PRISMA protocol (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). We included any type of study on health workers during the COVID-19 pandemic, with results about their mental health. We were, therefore, interested in quantitative studies examining the prevalence of problems and effects of interventions, as well as qualitative studies examining experiences. We had no restrictions related to study design, methodological quality or language.
Twenty-one studies reported on the urgent need for interventions to prevent or reduce mental health problems caused by COVID-19 among health professionals in ICU. Eleven studies demonstrated possibilities for interventions involving organizational adjustments in the ICU, particularly linked to emotional conflicts in the fight against COVID-19.
The disproportion between the need for technological supplies of intensive care medicine and their scarcity promotes, among many factors, high rates of psychological distress. Anxiety, irritability, insomnia, fear and anguish were observed during the pandemic, probably related to extremely high workloads and the lack of personal protective equipment.
在 COVID-19 大流行期间，重症监护病房（ICU）的活动结构迅速改变。观察到前线工作人员的身心健康达到了极其临床和心理关注的水平。
了解 COVID-19 对 ICU 环境中一线临床团队的影响，并揭示正在提出哪些建议来减轻该群体所经历的临床和心理影响。
按照 PRISMA 方案（系统评价和荟萃分析的首选报告项目）进行系统审查。我们纳入了 COVID-19 大流行期间卫生工作者的任何类型的研究，研究结果涉及他们的心理健康。因此，我们对定量研究（检查问题的普遍性和干预措施的效果）和定性研究（检查经验）感兴趣。我们对研究设计、方法学质量或语言没有任何限制。
有 21 项研究报告了在 ICU 中，迫切需要干预措施来预防或减少 COVID-19 对卫生专业人员造成的心理健康问题。有 11 项研究表明，可以通过 ICU 中的组织调整进行干预，特别是与抗击 COVID-19 中的情绪冲突有关。
在重症监护医学技术供应的需求与供应不足之间的巨大差距，在许多因素的推动下，导致了高比例的心理困扰。在大流行期间观察到焦虑、烦躁、失眠、恐惧和痛苦，这可能与极高的工作量和缺乏个人防护设备有关。
