COVID-19 大流行对 4378 名英国医护人员和辅助人员的心理社会影响：大流行第一波期间收集的队列研究的初始基线数据。

Psychosocial impact of the COVID-19 pandemic on 4378 UK healthcare workers and ancillary staff: initial baseline data from a cohort study collected during the first wave of the pandemic.

机构信息

Department of Applied Health Research, University College London, London, UK

Maudsley NHS Foundation Trust, London, UK.

出版信息

Occup Environ Med. 2021 Nov;78(11):801-808. doi: 10.1136/oemed-2020-107276. Epub 2021 Jun 28.

DOI:10.1136/oemed-2020-107276

PMID:34183447

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8245285/

Abstract

OBJECTIVES

This study reports preliminary findings on the prevalence of, and factors associated with, mental health and well-being outcomes of healthcare workers during the early months (April-June) of the COVID-19 pandemic in the UK.

METHODS

Preliminary cross-sectional data were analysed from a cohort study (n=4378). Clinical and non-clinical staff of three London-based NHS Trusts, including acute and mental health Trusts, took part in an online baseline survey. The primary outcome measure used is the presence of probable common mental disorders (CMDs), measured by the General Health Questionnaire. Secondary outcomes are probable anxiety (seven-item Generalised Anxiety Disorder), depression (nine-item Patient Health Questionnaire), post-traumatic stress disorder (PTSD) (six-item Post-Traumatic Stress Disorder checklist), suicidal ideation (Clinical Interview Schedule) and alcohol use (Alcohol Use Disorder Identification Test). Moral injury is measured using the Moray Injury Event Scale.

RESULTS

Analyses showed substantial levels of probable CMDs (58.9%, 95% CI 58.1 to 60.8) and of PTSD (30.2%, 95% CI 28.1 to 32.5) with lower levels of depression (27.3%, 95% CI 25.3 to 29.4), anxiety (23.2%, 95% CI 21.3 to 25.3) and alcohol misuse (10.5%, 95% CI 9.2 to 11.9). Women, younger staff and nurses tended to have poorer outcomes than other staff, except for alcohol misuse. Higher reported exposure to moral injury (distress resulting from violation of one's moral code) was strongly associated with increased levels of probable CMDs, anxiety, depression, PTSD symptoms and alcohol misuse.

CONCLUSIONS

Our findings suggest that mental health support for healthcare workers should consider those demographics and occupations at highest risk. Rigorous longitudinal data are needed in order to respond to the potential long-term mental health impacts of the pandemic.

摘要

目的

本研究报告了英国 COVID-19 大流行早期（4 月至 6 月）医护人员心理健康和幸福感的流行情况，以及与这些情况相关的因素。

方法

对一项队列研究（n=4378）的初步横断面数据进行了分析。来自伦敦三家 NHS 信托基金（包括急症和精神健康信托基金）的临床和非临床工作人员参与了一项在线基线调查。主要结局测量指标是普遍存在的可能常见精神障碍（CMD），采用一般健康问卷测量。次要结局是可能的焦虑症（7 项广泛性焦虑症量表）、抑郁症（9 项患者健康问卷）、创伤后应激障碍（PTSD）（6 项 PTSD 清单检查表）、自杀意念（临床访谈时间表）和酒精使用（酒精使用障碍识别测试）。道德伤害通过莫雷伤害事件量表进行测量。

结果

分析显示，存在相当数量的可能 CMD（58.9%，95%CI 58.1 至 60.8）和 PTSD（30.2%，95%CI 28.1 至 32.5），而抑郁症（27.3%，95%CI 25.3 至 29.4）、焦虑症（23.2%，95%CI 21.3 至 25.3）和酒精滥用（10.5%，95%CI 9.2 至 11.9）的比例较低。女性、年轻员工和护士的结果往往比其他员工差，但酒精滥用除外。较高的报告道德伤害暴露（违反自己的道德准则而导致的痛苦）与较高的可能 CMD、焦虑、抑郁、PTSD 症状和酒精滥用水平强烈相关。