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新冠疫情期间医护人员面临的心理社会健康风险的范围综述

A Scoping Review of Psychosocial Risks to Health Workers during the Covid-19 Pandemic.

作者信息

Franklin Paula, Gkiouleka Anna

机构信息

Occupational Safety & Health and Working Conditions Unit, European Trade Union Institute (ETUI), Boulevard du Roi Albert II, 1210 Brussels, Belgium.

Department of Public Health & Primary Care, University of Cambridge, Cambridge CB1 8RN, UK.

出版信息

Int J Environ Res Public Health. 2021 Mar 2;18(5):2453. doi: 10.3390/ijerph18052453.

Abstract

The Covid-19 pandemic has exposed health workers to a diverse set of hazards impacting their physical, psychological and social wellbeing. This review aims to provide an overview of the categories of the psychosocial risk factors and hazards affecting HCWs during the Covid-19 pandemic and the recommendations for prevention. We used the scoping review methodology to collate categories of psychosocial risks, the related health outcomes, interventions, and data gaps. The review was conducted on global peer-reviewed academic and authoritative grey literature, published between 1. January-26. October 2020; in total, 220 articles were included into the review and the subsequent analysis. Analysis of the extracted data found PSRs related to four sources: personal protective equipment (PPE), job content, work organisation, and social context. is. Women health workers and nurses reported worst health outcomes. Majority of the research to date concerns health workers in secondary care, while data on psychosocial risks at primary and community-based settings are scarce. However, the emerging research implies that the pandemic creates psychosocial risks also to non-clinical health workers. The intervention and mitigation measures address individual and organisational levels. Preventative and mitigating measures for social and societal risks-such as staff shortages, intersecting inequalities, and financial stressors require further research.

摘要

新冠疫情使医护人员面临一系列影响其身心健康和社会福祉的危害。本综述旨在概述新冠疫情期间影响医护人员的心理社会风险因素和危害类别以及预防建议。我们采用范围综述方法来整理心理社会风险类别、相关健康结果、干预措施和数据缺口。该综述针对2020年1月1日至10月26日期间发表的全球同行评审学术文献和权威灰色文献进行;总共220篇文章被纳入综述及后续分析。对提取数据的分析发现心理社会风险与四个来源相关:个人防护装备(PPE)、工作内容、工作组织和社会环境。女性医护人员和护士报告的健康结果最差。迄今为止,大多数研究关注二级护理中的医护人员,而关于基层和社区环境中心理社会风险的数据稀缺。然而,新出现的研究表明,疫情也给非临床医护人员带来心理社会风险。干预和缓解措施涉及个人和组织层面。针对社会和社会风险的预防和缓解措施,如人员短缺、交叉不平等和财务压力源,需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a15d/7967576/4e242df7458a/ijerph-18-02453-g001.jpg

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