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COVID-19 对神经外科学住院医师培训的影响:大流行期间的坚韧。

COVID-19 Impact in Neurosurgery Residency: Grit During Pandemic.

机构信息

Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

出版信息

World Neurosurg. 2021 Jul;151:e395-e398. doi: 10.1016/j.wneu.2021.04.057. Epub 2021 Apr 21.

Abstract

BACKGROUND

The coronavirus disease-19 (COVID) pandemic has presented a significant challenge to health care providers. Neurosurgical patients are often critically ill and at particularly high risk for COVID, and the pandemic has produced ever-shifting circumstances to allow their continued care. This study explores the psychologic impact of the pandemic on neurosurgical residents at a single institution.

METHODS

Residents completed the Perceived Stress Scale (PSS) and the Inventory of Depressive Symptomology 30 (IDS-30), two validated surveys, before and during the pandemic. PSS scores range from 0 to 40 with higher scores indicative of increased stress. IDS-30 ranges from 0 to 84 with higher scores indicating more severe levels of depression. Survey results were compared collectively among residents and statistically analyzed.

RESULTS

The surveys had 19 out of 28 total responders (68%). Mean score on the PSS was 16.1 prepandemic and 14.7 during the pandemic (P > 0.05). The mean score on the IDS-30 was 14.7 prepandemic and 12.0 during the pandemic (P > 0.05). Matching the survey questionnaire results by each resident revealed an average decrease of 2.3 and 2.4 for the PSS and IDS-30, respectively.

CONCLUSIONS

There were no significant changes in perceived stress or depressive symptoms among neurosurgical residents during the pandemic.

摘要

背景

新型冠状病毒病(COVID)大流行对医疗保健提供者提出了重大挑战。神经外科患者通常病情危急,感染 COVID 的风险特别高,大流行带来了不断变化的情况,以允许他们继续接受治疗。本研究探讨了单一机构的神经外科住院医师在大流行期间的心理影响。

方法

住院医师在大流行之前和期间完成了经过验证的压力感知量表(PSS)和抑郁症状学 30 项清单(IDS-30)两项调查。PSS 评分范围从 0 到 40,得分越高表示压力越大。IDS-30 的范围从 0 到 84,得分越高表示抑郁程度越严重。对居民的调查结果进行了集体比较和统计分析。

结果

28 名住院医师中有 19 名(68%)完成了调查。大流行前 PSS 的平均得分为 16.1,大流行期间为 14.7(P>0.05)。大流行前 IDS-30 的平均得分为 14.7,大流行期间为 12.0(P>0.05)。根据每位住院医师的调查问卷结果进行匹配,PSS 和 IDS-30 的平均得分分别下降了 2.3 和 2.4。

结论

在大流行期间,神经外科住院医师的感知压力或抑郁症状没有明显变化。

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