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与新冠疫情相关的工作要求和资源对西班牙医护人员情绪耗竭和继发性创伤压力的预测作用

The Job Demands and Resources Related to COVID-19 in Predicting Emotional Exhaustion and Secondary Traumatic Stress Among Health Professionals in Spain.

作者信息

Moreno-Jiménez Jennifer E, Blanco-Donoso Luis Manuel, Chico-Fernández Mario, Belda Hofheinz Sylvia, Moreno-Jiménez Bernardo, Garrosa Eva

机构信息

Departamento de Psicología Biológica y de la Salud, Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, Spain.

University Hospital October 12, Madrid, Spain.

出版信息

Front Psychol. 2021 Mar 9;12:564036. doi: 10.3389/fpsyg.2021.564036. eCollection 2021.

Abstract

The current COVID-19 crisis may have an impact on the mental health of professionals working on the frontline, especially healthcare workers due to the increase of occupational psychosocial risks, such as emotional exhaustion and secondary traumatic stress (STS). This study explored job demands and resources during the COVID-19 crisis in predicting emotional exhaustion and STS among health professionals. The present study is a descriptive and correlational cross-sectional design, conducted in different hospitals and health centers in Spain. The sample consisted of 221 health professionals with direct involvement in treating COVID-19. An online survey was created and distributed nationwide from March 20 to April 15 which assessed: sociodemographic and occupational data, fear of contagion, contact with death/suffering, lack of material and human protection resources (MHRP), challenge, emotional exhaustion, and STS. Descriptive findings show high levels of workload, contact with death/suffering, lack of MHPR and challenge, and are moderately high for fear of contagion, emotional exhaustion, and STS. We found an indirect significant effect of lack of MHPR on predicting (1) emotional exhaustion through the workload and (2) on STS through fear of contagion, contact with death/suffering, and workload. To conclude, this study examines the immediate consequences of the crisis on health professionals' well-being in Spain, emphasizing the job demands related to COVID-19 that health professionals are facing, and the resources available in these health contexts. These findings may boost follow-up of this crisis among health professionals to prevent them from long-term consequences.

摘要

当前的新冠疫情危机可能会对一线工作人员的心理健康产生影响,尤其是医护人员,因为职业心理社会风险有所增加,如情绪耗竭和继发性创伤压力(STS)。本研究探讨了新冠疫情危机期间的工作需求和资源对卫生专业人员情绪耗竭和继发性创伤压力的预测作用。本研究采用描述性和相关性横断面设计,在西班牙的不同医院和健康中心开展。样本包括221名直接参与治疗新冠患者的卫生专业人员。于3月20日至4月15日在全国范围内开展了一项在线调查,评估内容包括:社会人口统计学和职业数据、对感染的恐惧、接触死亡/痛苦的情况、缺乏物质和人力保护资源(MHRP)、挑战、情绪耗竭和继发性创伤压力。描述性结果显示,工作量、接触死亡/痛苦的情况、缺乏物质和人力保护资源以及挑战程度都很高,对感染的恐惧、情绪耗竭和继发性创伤压力处于中等偏高程度。我们发现,缺乏物质和人力保护资源在预测(1)通过工作量导致的情绪耗竭以及(2)通过对感染的恐惧、接触死亡/痛苦的情况和工作量导致的继发性创伤压力方面存在间接显著影响。总之,本研究考察了危机对西班牙卫生专业人员幸福感的直接影响,强调了卫生专业人员面临的与新冠疫情相关的工作需求以及这些卫生环境中可用的资源。这些发现可能会推动对卫生专业人员中这场危机的后续跟进,以防止他们出现长期后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f442/7985327/d3875d1bf920/fpsyg-12-564036-g0001.jpg

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