新冠疫情相关困扰在医护人员中不可避免：封锁下低病例国家的发现。
The inevitability of Covid-19 related distress among healthcare workers: Findings from a low caseload country under lockdown.
机构信息
Section of Pulmonary and Critical Care, Department of Internal Medicine, King Hussein Cancer Center and University of Jordan, Amman, Jordan.
Cancer Control Office, King Hussein Cancer Center, Amman, Jordan.
出版信息
PLoS One. 2021 Apr 1;16(4):e0248741. doi: 10.1371/journal.pone.0248741. eCollection 2021.
OBJECTIVES
To characterize psychological distress and factors associated with distress in healthcare practitioners working during a stringent lockdown in a country (Jordan) that had exhibited one of the lowest incidence rates of Covid-19 globally at the time of the survey.
METHODS
A cross-sectional online survey sent to healthcare practitioners working in various hospitals and community pharmacies. Demographic, professional and psychological characteristics (distress using Kessler-6 questionnaire, anxiety, depression, burnout, sleep issues, exhaustion) were measured as were sources of fear. Descriptive and multivariable statistics were performed using level of distress as the outcome.
RESULTS
We surveyed 937 practitioners (56.1% females). Approximately 68%, 14%, and 18% were nurses/technicians, physicians, and pharmacists (respectively). 32% suffered from high distress while 20% suffered from severe distress. Exhaustion, anxiety, depression, and sleep disturbances were reported (in past seven days) by approximately 34%, 34%, 19%, and 29% of subjects (respectively). Being older or male, a positive perception of communications with peers, and being satisfied at work, were significantly associated with lower distress. Conversely, suffering burnout; reporting sleep-related functional problems; exhaustion; being a pharmacist (relative to a physician); working in a cancer center; harboring fear about virus spreading; fear that the virus threatened life; fear of alienation from family/friends; and fear of workload increases, were significantly associated with higher distress.
CONCLUSION
Despite low caseloads, Jordanian practitioners still experienced high levels of distress. Identified demographic, professional and psychological factors influencing distress should inform interventions to improve medical professionals' resilience and distress likelihood, regardless of the variable Covid-19 situation.
目的
描述在一个国家（约旦）实施严格封锁期间工作的医疗保健从业者的心理困扰特征和与困扰相关的因素，该国在调查时的全球新冠病毒发病率最低。
方法
对在不同医院和社区药房工作的医疗保健从业者进行横断面在线调查。测量人口统计学、职业和心理特征（使用 Kessler-6 问卷评估困扰、焦虑、抑郁、倦怠、睡眠问题、疲惫）以及恐惧的来源。使用困扰程度作为结果进行描述性和多变量统计分析。
结果
我们调查了 937 名从业者（56.1%为女性）。护士/技术员、医生和药剂师（分别）分别占约 68%、14%和 18%。32%的人患有高度困扰，20%的人患有严重困扰。大约 34%、34%、19%和 29%的受试者（分别）报告了过去七天内的疲惫、焦虑、抑郁和睡眠障碍。年龄较大或男性、与同事沟通的正面看法以及对工作的满意度与较低的困扰显著相关。相反，倦怠、睡眠相关功能问题、疲惫、药师（相对于医生）、在癌症中心工作、担心病毒传播、担心病毒威胁生命、担心与家人/朋友疏远、担心工作量增加与较高的困扰显著相关。
结论
尽管病例数较低，但约旦从业者仍经历了较高水平的困扰。确定影响困扰的人口统计学、职业和心理因素应告知干预措施，以提高医疗专业人员的适应力和困扰可能性，无论新冠病毒情况如何。
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