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新冠疫情期间北爱尔兰医护及社会护理人员心理健康纵向调查:新冠疫情期间北爱尔兰医护及社会护理人员心理健康状况纵向调查。

COVID-19 Staff Wellbeing Survey: longitudinal survey of psychological well-being among health and social care staff in Northern Ireland during the COVID-19 pandemic.

作者信息

Jordan Julie-Ann, Shannon Ciaran, Browne Dympna, Carroll Emma, Maguire Jennifer, Kerrigan Keith, Hannan Sinead, McCarthy Thomas, Tully Mark A, Mulholland Ciaran, Dyer Kevin F W

机构信息

IMPACT Research Centre, Northern Health and Social Care Trust, Northern Ireland.

Belfast Health and Social Care Trust, Northern Ireland.

出版信息

BJPsych Open. 2021 Aug 31;7(5):e159. doi: 10.1192/bjo.2021.988. eCollection 2021 Sep.

DOI:10.1192/bjo.2021.988
PMID:34493960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8410744/
Abstract

BACKGROUND

Throughout the coronavirus disease 2019 (COVID-19) pandemic, health and social care workers have faced unprecedented professional demands, all of which are likely to have placed considerable strain on their psychological well-being.

AIMS

To measure the national prevalence of mental health symptoms within healthcare staff, and identify individual and organisational predictors of well-being.

METHOD

The COVID-19 Staff Wellbeing Survey is a longitudinal online survey of psychological well-being among health and social care staff in Northern Ireland. The survey included four time points separated by 3-month intervals; time 1 (November 2020; = 3834) and time 2 (February 2021; = 2898) results are presented here. At time 2, 84% of respondents had received at least one dose of a COVID-19 vaccine. The survey included four validated psychological well-being questionnaires (depression, anxiety, post-traumatic stress and insomnia), as well as demographic and organisational measures.

RESULTS

At time 1 and 2, a high proportion of staff reported moderate-to-severe symptoms of depression (30-36%), anxiety (26-27%), post-traumatic stress (30-32%) and insomnia (27-28%); overall, significance tests and effect size data suggested psychological well-being was generally stable between November 2020 and February 2021 for health and social care staff. Multiple linear regression models indicated that perceptions of less effective communication within their organisation predicted greater levels of anxiety, depression, post-traumatic stress and insomnia.

CONCLUSIONS

This study highlights the need to offer psychological support to all health and social care staff, and to communicate with staff regularly, frequently and clearly regarding COVID-19 to help protect staff psychological well-being.

摘要

背景

在2019冠状病毒病(COVID-19)大流行期间,卫生和社会护理工作者面临着前所未有的专业需求,所有这些需求都可能给他们的心理健康带来相当大的压力。

目的

测量医护人员心理健康症状的全国患病率,并确定幸福感的个体和组织预测因素。

方法

COVID-19员工幸福感调查是对北爱尔兰卫生和社会护理人员心理健康的一项纵向在线调查。该调查包括四个时间点,间隔为3个月;这里呈现的是时间1(2020年11月;n = 3834)和时间2(2021年2月;n = 2898)的结果。在时间2时,84%的受访者至少接种了一剂COVID-19疫苗。该调查包括四份经过验证的心理健康问卷(抑郁、焦虑、创伤后应激和失眠),以及人口统计学和组织方面的测量。

结果

在时间1和时间2时,很大一部分员工报告有中度至重度的抑郁症状(30%-36%)、焦虑症状(26%-27%)、创伤后应激症状(30%-32%)和失眠症状(27%-28%);总体而言,显著性检验和效应量数据表明,2020年11月至2021年2月期间,卫生和社会护理人员的心理健康总体上较为稳定。多元线性回归模型表明,对组织内沟通效果较差的认知预示着焦虑、抑郁、创伤后应激和失眠水平会更高。

结论

本研究强调需要为所有卫生和社会护理人员提供心理支持,并就COVID-19相关事宜定期、频繁且清晰地与员工沟通,以帮助保护员工的心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9362/8410744/76ba2cc62824/S2056472421009881_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9362/8410744/76ba2cc62824/S2056472421009881_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9362/8410744/76ba2cc62824/S2056472421009881_fig1.jpg

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