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印度安得拉邦一线医护人员接触新冠病毒后的心理后遗症

Postexposure psychological sequelae in frontline health workers to COVID-19 in Andhra Pradesh, India.

作者信息

Das Keya, Ryali V S S R, Bhavyasree R, Sekhar C Madhu

机构信息

Department of Psychiatry, PESIMSR, Chittoor, Andhra Pradesh, India.

Department of Psychiatry, Sri Venkateswara Medical College, Tirupati, Andhra Pradesh, India.

出版信息

Ind Psychiatry J. 2021 Jan-Jun;30(1):123-130. doi: 10.4103/ipj.ipj_15_21. Epub 2021 Jun 30.

Abstract

INTRODUCTION

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 has engulfed the globe since December 2019. Healthcare workers remain at the forefront of this battle, and like prior pandemics face mental health challenges along with physical risks. We aimed to study the perceived stress and possible posttraumatic stress in the frontline workers exposed to active COVID-19 duties in the state of Andhra Pradesh, India.

METHODOLOGY

A special voluntary, anonymous, survey-based Google questionnaire was designed with mandatory consent form and queries to clarify inclusion exclusion criteria. Tools included valid, reliable self-administered scales, namely General Health Questionnaire 12, Perceived Stress Scale and Impact of Events Scales-Revised. A purposive sampling method was adopted, by posting the survey questionnaire on WhatsApp groups of doctors, interns, and nurses working on active COVID-19 duty in Andhra Pradesh.

RESULTS

About 69.7% of the frontline workers recorded higher perceived stress and definitive posttraumatic stress disorder (PTSD) was found in 34.8%, with psychological distress recorded in 53%.

CONCLUSION

The higher levels of perceived stress discovered in the vast majority with definitive PTSD features in a third of the sample indicates the need for provision of mental health support proactively among frontline workers on active COVID-19 duty.

摘要

引言

2019年12月以来,由严重急性呼吸综合征冠状病毒2引起的2019冠状病毒病(COVID-19)席卷全球。医护人员始终处于这场战斗的前沿,与以往的大流行病一样,他们在面临身体风险的同时,也面临心理健康挑战。我们旨在研究印度安得拉邦参与COVID-19一线工作的人员所感受到的压力以及可能出现的创伤后应激情况。

方法

设计了一份特殊的基于谷歌问卷的自愿、匿名调查,附有强制同意书以及用于明确纳入和排除标准的问题。工具包括有效、可靠的自我管理量表,即一般健康问卷12项、感知压力量表和事件影响量表修订版。采用目的抽样法,将调查问卷发布在安得拉邦参与COVID-19一线工作的医生、实习生和护士的WhatsApp群组中。

结果

约69.7%的一线工作人员报告感知压力较高,34.8%的人被确诊患有创伤后应激障碍(PTSD),53%的人存在心理困扰。

结论

绝大多数人感知压力水平较高,三分之一的样本有明确的PTSD特征,这表明有必要主动为参与COVID-19一线工作的人员提供心理健康支持。

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