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COVID-19 疫情对意大利医护人员与一般人群的影响:在线调查结果。

Impact of COVID-19 outbreak on Italian healthcare workers versus general population: Results from an online survey.

机构信息

Department of Health Sciences, University of Florence, Florence, Italy.

Department of Psychology, Sigmund Freud University, Milan, Italy.

出版信息

Clin Psychol Psychother. 2021 Nov;28(6):1334-1345. doi: 10.1002/cpp.2644. Epub 2021 Jul 21.


DOI:10.1002/cpp.2644
PMID:34255890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8426916/
Abstract

OBJECTIVE: COVID-19 pandemic has been a stressful condition. We explored life changes and health-related consequences of COVID-19 outbreak in Italian healthcare workers in comparison to the general population. METHODS: A total of 593 subjects participated to the online CoRonavIruS Health Impact Survey. Life events and changes, physical health and worries were evaluated referring to 2 weeks prior to the survey. Mood states and daily behaviour were retrospectively evaluated referring to 3 months before COVID-19 (T1) and 2 weeks prior to the survey (T2). Student t test, Mann-Whitney test and multivariate logistic regression analyses were run. RESULTS: Five hundred and twenty-one subjects were analysed (healthcare workers: n = 163, 31.84%; general population: n = 349, 68.16%). Healthcare workers were more likely to report fatigue and have spent more time outside home during the 2 weeks prior to the survey than the general population (χ  = 266.0 , p < 0.001, R  = 0.57). From T1 to T2, healthcare workers had a significant increase in negative mood, worry, restlessness, loneliness and a decrease in happiness, while subjects from the general population had a statistically significant increase in negative mood, worry, attention, concentration difficulties and a decrease in happiness, pleasure related to daily activities, time spent outdoors and alcohol use. CONCLUSION: In the framework of a growing literature on healthcare workers' status during the COVID-19 pandemic, the present study allowed to identify fatigue and loneliness as psychosomatic modifiable variables in need of being monitored and, possibly managed, to ameliorate the health status of healthcare workers.

摘要

目的:新冠疫情大流行是一种压力状况。我们比较了意大利医护人员和普通人群中新冠疫情爆发带来的生活变化和健康后果。

方法:共有 593 名受试者参加了在线 CoRonavIruS 健康影响调查。生活事件和变化、身体健康和担忧是在调查前两周内评估的。情绪状态和日常行为是回顾性评估的,分别在新冠疫情前 3 个月(T1)和调查前两周(T2)。进行了学生 t 检验、Mann-Whitney 检验和多变量逻辑回归分析。

结果:分析了 521 名受试者(医护人员:n=163,31.84%;普通人群:n=349,68.16%)。与普通人群相比,医护人员在调查前两周更有可能报告疲劳和更多时间待在户外(χ 266.0,p<0.001,R 2=0.57)。从 T1 到 T2,医护人员的负面情绪、担忧、不安、孤独感显著增加,而普通人群的幸福感显著下降,同时负面情绪、担忧、注意力、注意力集中困难显著增加,与日常活动相关的幸福感、愉悦感、户外活动时间和饮酒量显著增加。

结论:在越来越多的关于新冠疫情期间医护人员状况的文献框架内,本研究确定了疲劳和孤独感是需要监测和可能需要管理的身心可改变变量,以改善医护人员的健康状况。

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本文引用的文献

[1]
The Coronavirus Health and Impact Survey (CRISIS) reveals reproducible correlates of pandemic-related mood states across the Atlantic.

Sci Rep. 2021-4-14

[2]
Fear of COVID-19 and Depression: A Comparative Study Among the General Population and Healthcare Professionals During COVID-19 Pandemic Crisis in Bangladesh.

Int J Ment Health Addict. 2023

[3]
Mental health of medical workers in Japan during COVID-19: Relationships with loneliness, hope and self-compassion.

Curr Psychol. 2021

[4]
Experiences of healthcare providers during the coronavirus pandemic and its impact on them: protocol for a mixed-methods systematic review.

BMJ Open. 2021-2-26

[5]
What We Have Learned from Two Decades of Epidemics and Pandemics: A Systematic Review and Meta-Analysis of the Psychological Burden of Frontline Healthcare Workers.

Psychother Psychosom. 2021

[6]
The Role of Illness Behavior in the COVID-19 Pandemic.

Psychother Psychosom. 2021

[7]
Cognitive and mental health changes and their vulnerability factors related to COVID-19 lockdown in Italy.

PLoS One. 2021

[8]
Changes in Alcohol Use During the COVID-19 Pandemic: Impact of the Lockdown Conditions and Mental Health Factors.

Int J Ment Health Addict. 2022

[9]
Alcohol use and mental health during COVID-19 lockdown: A cross-sectional study in a sample of UK adults.

Drug Alcohol Depend. 2021-2-1

[10]
Factors affecting mental health of health care workers during coronavirus disease outbreaks (SARS, MERS & COVID-19): A rapid systematic review.

PLoS One. 2020-12-15

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