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我们当中谁受到疫情的影响更大?COVID-19 疫情对土耳其设立首个隔离区省份医护人员的精神影响。

Which of us were more affected by the pandemic? The psychiatric impacts of the COVID-19 pandemic on healthcare professionals in the province where the first quarantine units were established in Turkey.

机构信息

Department of Infectious Diseases and Clinical Microbiology, Van Training and Research Hospital, Van, Turkey.

Department of Psychiatry, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey.

出版信息

Int J Clin Pract. 2021 Jul;75(7):e14235. doi: 10.1111/ijcp.14235. Epub 2021 May 4.

Abstract

INTRODUCTION

Psychiatric problems, such as stress and anxiety disorders, are encountered amongst healthcare professionals fighting epidemics. Considering that COVID-19 suddenly became a pandemic and healthcare professionals have not had access to sufficient information, it is a fact that healthcare professionals have been affected on a large scale. Heavy workloads, insufficient equipment and anxiety over families increase this impact. We aimed to investigate the extent to which healthcare professionals have been psychologically affected by COVID-19 and related factors.

METHODOLOGY

Data obtained through questionnaires completed by 348 healthcare professionals working during the COVID-19 pandemic and 350 participants who are in the control group were investigated. The Impact of Event Scale-revised (IES-R) for post-traumatic stress disorder (PTSD) and the Severity Index (ISI) for insomnia were used. Differences regarding gender, occupation, age group, marital status and sub-groups were statistically analysed.

RESULTS

Of the 348 healthcare professionals, 176 (50.6%) were women and 172 (49.4%) men, while 190 (54.6%) were doctors and 158 (45.4%) nurses. The incidence of PTSD was statistically significantly higher in the healthcare professionals group than in the control group (P < .001). The incidence of PTSD was statistically significantly higher amongst nurses (P = .001), women (P = .002) and those who were married (P = .007). Both PTSD and insomnia were found to be statistically significantly higher amongst those working in the "area of final diagnosis" (P = .016 and P = .002, respectively).

CONCLUSIONS

The determination of the groups most affected amongst professionals working in epidemics is important for the planning of in-service training and psychological support studies. If the fight against pandemics includes health teams with strong psychological grounding, it leads to qualified medical care for patients.

摘要

简介

在应对流行病的医护人员中,会遇到精神方面的问题,如压力和焦虑障碍。考虑到 COVID-19 突然成为大流行病,医护人员无法获得足够的信息,事实上,医护人员受到了很大的影响。工作量大、设备不足和对家庭的焦虑都会增加这种影响。我们旨在调查 COVID-19 对医护人员心理的影响程度以及相关因素。

方法

通过对在 COVID-19 大流行期间工作的 348 名医护人员和 350 名对照组参与者完成的问卷收集数据。使用修订后的事件影响量表(IES-R)评估创伤后应激障碍(PTSD)和失眠严重程度指数(ISI)。对性别、职业、年龄组、婚姻状况和亚组进行了统计学分析。

结果

在 348 名医护人员中,176 名(50.6%)为女性,172 名(49.4%)为男性,190 名(54.6%)为医生,158 名(45.4%)为护士。医护人员组 PTSD 的发生率明显高于对照组(P<.001)。护士(P=.001)、女性(P=.002)和已婚者(P=.007)中 PTSD 的发生率明显更高。在“最终诊断区”工作的医护人员中,PTSD 和失眠的发生率均明显更高(P=.016 和 P=.002)。

结论

确定在流行疾病中受影响最大的专业人员群体对于规划在职培训和心理支持研究很重要。如果抗击大流行病的队伍中有心理基础扎实的医疗团队,就可以为患者提供优质的医疗服务。

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