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在韩国的四家 COVID-19 专用医院中轮班工作的医护人员的焦虑和与 COVID-19 相关的压力源。

Anxiety and COVID-19 Related Stressors Among Healthcare Workers Who Performed Shift Work at Four COVID-19 Dedicated Hospitals in Korea.

机构信息

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).

出版信息

J Occup Environ Med. 2021 Oct 1;63(10):875-880. doi: 10.1097/JOM.0000000000002250.

Abstract

OBJECTIVE

To assess the relationship between anxiety and shift work of healthcare workers (HCWs) during COVID-19 pandemic.

METHODS

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.

RESULTS

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.

CONCLUSIONS

Special attention is required for mental health of HCWs working shifts during the COVID-19 pandemic.

摘要

目的

评估 COVID-19 大流行期间医护人员(HCWs)焦虑与轮班工作的关系。

方法

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。

结果

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。

结论

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。

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