Unidad de Neuropsicofarmacología. Dirección de Docencia e Investigación. Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
Departamento de Cirugía. Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
Arch Argent Pediatr. 2021 Oct;119(5):317-324. doi: 10.5546/aap.2021.eng.317.
Health care workers experience a tremendous strain while performing their activities, very frequently leading to stress, burnout syndrome, and psychopathological impact. The COVID-19 pandemic may cause physicians to suffer these effects even to a greater extent. Our objective was to describe the frequency of stress, burnout syndrome, anxiety, and depression during the pandemic, and analyze the associations with different independent outcome measures.
Observational, cross-sectional study conducted 2 months after the lockdown was established in Argentina. Clinical specialists, surgeons, emergency physicians, and those with no direct contact with patients were surveyed using a sociodemographic questionnaire and 3 self-administered inventories: Health Professions Stress Inventory, Maslach Burnout Inventory, and Hospital Anxiety and Depression Scale.
The prevalence of stress was 93.7 % (95 % confidence interval [CI]: 90.33-96.2), burnout syndrome 73.5 % (95 % CI: 68.2-78.4), anxiety 44 % (95 % CI: 38.4-49.8), and depression 21.9 % (95 % CI: 17.3-26.9). No association was observed between the frequency and medical specialty. The frequency of burnout syndrome, anxiety, and depression was significantly higher among residents and physicians working in the emergency department.
Residents and emergency physicians working 24-hour shifts showed significantly higher percentages of burnout syndrome, anxiety, and depression compared to staff and head physicians. These findings may be associated with a higher workload and less experience. It is compulsory to take preventive and therapeutic measures to protect those in the pandemic front line.
医护人员在工作时承受着巨大的压力，这常常导致他们产生压力、倦怠综合征和心理病理影响。COVID-19 大流行可能会使医生受到更大程度的影响。我们的目的是描述大流行期间的压力、倦怠综合征、焦虑和抑郁的频率，并分析它们与不同的独立结果测量之间的关联。
这是一项在阿根廷封锁实施两个月后进行的观察性、横断面研究。使用社会人口学问卷和 3 份自我管理的问卷对临床专家、外科医生、急诊医生和那些没有直接接触患者的医生进行调查：职业压力量表、马斯拉赫倦怠量表和医院焦虑抑郁量表。
压力的患病率为 93.7%（95%置信区间[CI]：90.33-96.2），倦怠综合征为 73.5%（95%CI：68.2-78.4），焦虑为 44%（95%CI：38.4-49.8），抑郁为 21.9%（95%CI：17.3-26.9）。频率与医疗专业之间没有观察到相关性。在轮班工作 24 小时的住院医师和急诊医生中，倦怠综合征、焦虑和抑郁的频率明显更高。
与主治医生和科室主任相比，轮班工作 24 小时的住院医师和急诊医生中，倦怠综合征、焦虑和抑郁的比例明显更高。这些发现可能与工作量增加和经验不足有关。必须采取预防和治疗措施来保护处于大流行前线的人员。
