Del Piccolo Lidia, Donisi Valeria, Raffaelli Ricciarda, Garzon Simone, Perlini Cinzia, Rimondini Michela, Uccella Stefano, Cromi Antonella, Ghezzi Fabio, Ginami Maddalena, Sartori Enrico, Ciccarone Francesca, Scambia Giovanni, Franchi Massimo
Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Department of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.
Front Psychol. 2021 Apr 9;12:632999. doi: 10.3389/fpsyg.2021.632999. eCollection 2021.
To assess the psychological distress of healthcare providers (HCPs) working in the field of obstetrics during the coronavirus disease 2019 (COVID-19) pandemic and to identify factors associated with psychological distress at the individual, interpersonal, and organizational level. Cross-sectional survey study. Four University hospitals in Italy. HCPs working in obstetrics, including gynecologists, residents in gynecology and obstetrics, and midwives. The 104-item survey Impatto PSIcologico COVID-19 in Ostetricia (IPSICO) was created by a multidisciplinary expert panel and administered to HCPs in obstetrics in May 2020 a web-based platform. Psychological distress assessed by the General Health Questionnaire-12 (GHQ-12) included in the IPSICO survey. The response rate to the IPSICO survey was 88.2% (503/570), and that for GHQ-12 was 84.4% (481/570). Just over half (51.1%; 246/481) of the GHQ-12 respondents reported a clinically significant level of psychological distress (GHQ-12 ≥3). Psychological distress was associated with either individual (i.e., female gender, stressful experience related to COVID-19, exhaustion, and the use of dysfunctional coping strategies), interpersonal (i.e., lower family support, limitations in interactions with colleagues), and organizational (i.e., reduced perception of protection by personal protective equipment, perceived delays on updates and gaps in information on the pandemic) factors in dealing with the pandemic. Results confirm the need for monitoring and assessing the psychological distress for HCPs in obstetrics. Interventions at the individual, interpersonal, and organizational level may relieve the psychological distress during the COVID-19 pandemic and foster resilience skills in facing emotional distress.
评估在2019年冠状病毒病（COVID-19）大流行期间从事产科工作的医护人员（HCPs）的心理困扰，并确定在个人、人际和组织层面与心理困扰相关的因素。横断面调查研究。意大利的四家大学医院。从事产科工作的医护人员，包括妇科医生、妇产科住院医师和助产士。104项的《产科COVID-19心理影响调查问卷》（IPSICO）由一个多学科专家小组编制，并于2020年5月通过一个基于网络的平台发放给产科医护人员。通过IPSICO调查中包含的一般健康问卷-12（GHQ-12）评估心理困扰。IPSICO调查的回复率为88.2%（503/570），GHQ-12的回复率为84.4%（481/570）。在GHQ-12的受访者中，略超过一半（51.1%；246/481）报告有临床显著水平的心理困扰（GHQ-12≥3）。心理困扰与应对大流行时的个人因素（即女性、与COVID-19相关的压力经历、疲惫以及使用功能失调的应对策略）、人际因素（即家庭支持较低、与同事互动受限）和组织因素（即对个人防护装备的保护感知降低、对大流行更新的感知延迟和信息差距）相关。结果证实有必要对产科医护人员的心理困扰进行监测和评估。在个人、人际和组织层面的干预可能会缓解COVID-19大流行期间的心理困扰，并培养面对情绪困扰的复原力技能。
