San Giovanni di Dio e Ruggi D'Aragona University Hospital, Cava de' Tirreni, Italy.
School of Nursing, S. Paolo Teaching Hospital, University of Milan, Italy.
Ann Ig. 2022 Jan-Feb;34(1):27-44. doi: 10.7416/ai.2021.2445. Epub 2021 Mar 30.
The Coronavirus pandemic (Covid-19) was first identified in December 2019 in the city of Wuhan, China, and later caused a severe health crisis, causing massive disruptions to most healthcare sy-stems worldwide. The Covid-19 health emergency has seen healthcare workers in the front line facing all the difficulties related to the care burden. One of the most significant and probably underinvestigated aspects is the psychological stress of the healthcare staff managing the emergency. The aim of the paper is to analyze the literature on the impact of the Covid-19 crisis on the psychological well-being of health professionals.
We conducted a systematic review of articles published on this topic during the months from January 2020 to December 2020, searching on Pub Med, Scopus and Web of Science databases.
Most of the issues can be summarized into five conceptual categories: Stress, Depression and Infec-tion Anxiety, Anguish, Insomnia, Post Traumatic Stress Disorder, and Suicide. The literature identifies many factors contributing to the onset of anxiety, depression, and stress, like the fear of contracting the disease and transmitting it to family members and friends, stressful shifts, and little rest among several others. The literature highlights the needs for adequate measures, including proper psychological support.
The conducted review suggests that the behaviours of healthcare professionals during the emer-gency phase of the Covid-19 pandemic show psychological disorders that can compromise mental health. Therefore, there is a call for those in chief like hospital managers and policymakers to take action, promoting measures like surveillance, monitoring, and psychological support among others, to increase the resilience of healthcare workers, limiting stress and anxiety and allowing them to keep their performance at work.
2019 年 12 月，冠状病毒（COVID-19）首次在中国武汉市被发现，随后引发了严重的卫生危机，对全球大多数医疗保健系统造成了严重干扰。COVID-19 卫生紧急情况导致一线医护人员面临与护理负担相关的所有困难。其中一个最重要且可能研究不足的方面是管理紧急情况的医护人员的心理压力。本文的目的是分析关于 COVID-19 危机对卫生专业人员心理健康影响的文献。
我们对 2020 年 1 月至 12 月期间发表的关于该主题的文章进行了系统回顾，在 Pub Med、Scopus 和 Web of Science 数据库中进行了搜索。
大多数问题可以归纳为五个概念类别：压力、抑郁和感染焦虑、痛苦、失眠、创伤后应激障碍和自杀。文献确定了许多导致焦虑、抑郁和压力的因素，例如担心感染疾病并将其传染给家人和朋友、紧张的轮班和休息不足等。文献强调需要采取适当措施，包括适当的心理支持。
进行的综述表明，医护人员在 COVID-19 大流行紧急阶段的行为表现出心理障碍，可能会影响心理健康。因此，呼吁像医院管理者和政策制定者这样的负责人采取行动，通过监测、监控和心理支持等措施，提高医护人员的韧性，减轻压力和焦虑，使他们能够保持工作绩效。
