Department of Occupational and Environmental Medicine, Cheonan Medical Center, Cheonan, Republic of Korea (Dr Park); Department of Preventive Medicine, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Republic of Korea (Dr Lee and Dr Jung); Department of Emergency Medicine, Cheonan Medical Center, Cheonan, Republic of Korea (Dr Kim); Department of Emergency Medicine, College of Medicine, Dankook University, Cheonan, Republic of Korea (Dr Kim); Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts (Dr Jung).
J Occup Environ Med. 2021 Oct 1;63(10):875-880. doi: 10.1097/JOM.0000000000002250.
To assess the relationship between anxiety and shift work of healthcare workers (HCWs) during COVID-19 pandemic.
From four COVID-19-dedicated hospitals in Korea, 381 HCWs were analyzed to estimate anxiety in relation to four COVID-19 job stressors and the impact of shift work on this relationship. Anxiety was measured with a generalized anxiety disorder 7-item scale. Multiple logistic regression models were utilized after stratification by sex, occupation, and shift work, after adjusting for a number of variables.
Anxiety prevalence was 32%. Among female nurses or nursing assistants who performed shift work, anxiety risk was significantly associated with three COVID-19 related job stressors: contact with confirmed cases or patients, dealing with unpleasant patients, and discomfort from wearing protective equipment.
Special attention is required for mental health of HCWs working shifts during the COVID-19 pandemic.
评估 COVID-19 大流行期间医护人员(HCWs)焦虑与轮班工作的关系。
从韩国的四家 COVID-19 专用医院中,分析了 381 名 HCWs,以评估与 COVID-19 四种工作压力源相关的焦虑症,并评估轮班工作对这种关系的影响。焦虑症采用广泛性焦虑障碍 7 项量表进行测量。在按性别、职业和轮班工作分层后,调整了多个变量,利用多因素逻辑回归模型进行分析。
焦虑症的患病率为 32%。在从事轮班工作的女性护士或护理助理中,与 COVID-19 相关的三种工作压力源与焦虑风险显著相关:与确诊病例或患者接触、与不配合的患者打交道以及因穿着防护装备而感到不适。
在 COVID-19 大流行期间,需要特别关注轮班工作的 HCWs 的心理健康。