Barnet Hospital, Royal Free London NHS Foundation Trust, London, United Kingdom.
Institute for Global Health, University College London, London, United Kingdom.
Acute Med. 2021;20(1):25-36.
The COVID-19 pandemic has been unsurpassed in clinical severity or infectivity since the 1918 Spanish influenza pandemic and continues to impact the world. During the A/H1N1 pandemic, healthcare workers presented concerns regarding their own and their families' health, as well as high levels of psychological distress. We aim to assess hospital trainees' concerns, perceived sufficiency of information, behaviour and reported psychological health during the COVID-19 pandemic.
Single 39-point questionnaire.
A large NHS foundation trust in London.
204 hospital trainee doctors.
204 trainees participated, of whom 91.7% (n=187) looked after COVID-19 patients. 91.6% (n=164) were worried about COVID-19; the most frequent concern was that of family and friends dying from COVID-19 (74.6%, n=126). 22.2% (n=36) reported being infected with COVID-19. 6.8% (n=11) of trainees considered avoiding going to work. Perceived sufficiency of information about COVID-19 was moderately high. 25.9% (n=42) reported social distancing at work compared with 94.4% (n=152) outside work. 98.2% (n=159) reported using PPE and 24.7% (n=40) were confident the provided PPE protected them. 41.9% (n=67) reported their psychological health had been adversely affected. 95.6% (n=153) supported provision of psychological support services and 62.5% (n=100) stated they would consider using them.
A significant proportion of hospital trainees expressed worries about COVID-19, above all with regards to the wellbeing of their loved ones over their own. Confidence in sufficiency of provided information was high and in utilised infection control measures low. A larger proportion of trainees reported psychological as compared with physical health concerns, with a smaller proportion confirming having been infected with COVID-19 although most perceived their risk of infection as high. Seeking solutions to support hospital trainees in their duties and their wellbeing with their input would help to empower them and improve their health and morale while working during pandemics.
自 1918 年西班牙流感大流行以来，COVID-19 大流行在临床严重程度或传染性方面前所未有，并继续影响着世界。在 A/H1N1 大流行期间，医护人员对自己和家人的健康以及高度的心理困扰表示担忧。我们旨在评估 COVID-19 大流行期间医院受训者的担忧、对信息的感知充足程度、行为和报告的心理健康。
单一的 39 点问卷。
伦敦的一家大型 NHS 基金会信托。
204 名医院受训医生。
204 名受训者参与了调查，其中 91.7%（n=187）照顾 COVID-19 患者。91.6%（n=164）表示担心 COVID-19；最常见的担忧是家人和朋友死于 COVID-19（74.6%，n=126）。22.2%（n=36）报告感染了 COVID-19。6.8%（n=11）的受训者考虑避免上班。对 COVID-19 信息的感知充足程度中等。25.9%（n=42）报告在工作中保持社交距离，而 94.4%（n=152）在工作外保持社交距离。98.2%（n=159）报告使用了个人防护装备，24.7%（n=40）对提供的个人防护装备保护自己有信心。41.9%（n=67）报告他们的心理健康受到了不利影响。95.6%（n=153）支持提供心理支持服务，62.5%（n=100）表示他们会考虑使用这些服务。
相当一部分医院受训者对 COVID-19 表示担忧，最关心的是他们亲人的健康，而不是他们自己的健康。对提供信息的充足性的信心很高，而对所使用的感染控制措施的信心很低。报告心理健康问题的受训者比例高于报告身体健康问题的比例，尽管大多数人认为自己感染的风险很高，但报告感染 COVID-19 的比例较小。寻求解决方案来支持医院受训者履行职责和改善他们的健康和士气，同时在大流行期间工作，这将有助于赋予他们权力，并改善他们的健康和士气。
