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比较 COVID-19 大流行期间东西方国家医生的情绪应对方式。

Comparison of emotional approaches of medical doctors against COVID-19 pandemic: Eastern and Western Mediterranean countries.

机构信息

Department of Pediatrics, University of Health Science, Kecioren Training and Research Hospital, Ankara, Turkey.

Regional Centre for Pediatric Diabetes, Department of Pediatrics, University of Campania "Luigi Vanvitelli", Naples, Italy.

出版信息

Int J Clin Pract. 2021 Dec;75(12):e14973. doi: 10.1111/ijcp.14973. Epub 2021 Oct 21.

Abstract

BACKGROUND

Pandemics are states of disease that occur worldwide and sharply increase in populations. It causes life events which trigger anxiety, depression, anger, sleep deprivation, emotional distress and stress. World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) a pandemic on March 11, pointing to the over 118,000 cases in over 110 countries. Many healthcare workers became ill during the pandemic and some among them died. In this study, we aimed to evaluate and compare level of stress against COVID-19 pandemic among doctors from Turkey and Italy.

METHODS

This research is a cross-sectional study in which Perceived Stress Scale (PSS-10) and Secondary Traumatic Stress Scale (STSS) are administered online via social networks. All data collection tools were delivered to individuals between 1 and 15 June 2020 and filled in online with Google Forms application. In total, 618 individuals were included in this study and all of them were medical doctors.

RESULTS

Higher PS and STS levels were found related to female gender, being married, working in pandemic hospital and older ages. Stress levels were found statistically higher in Turkish doctors when compared to Italian doctors for both stress scales (Turkish/Italian PSS:20.18 ± 7.90/ 19.35 ± 6.71, STSS: 44.19 ± 13.29/ 38.83 ± 13.74).

CONCLUSION

The number of doctors per 1000 of population is lower and per capita visits to a physician are higher in Turkey when compared to Italy. Besides pandemic, these heavier working conditions, increased weekly working hours can cause stress for Turkish doctors. Reporting information such this study is important and international collaborations are essential to plan future prevention strategies. We need to strengthen international ties and build more international collaborations rather than staying within our national silos. Additionally, interventions to promote mental well-being in health care professionals exposed to COVID-19 need to be immediately implemented.

摘要

背景

大流行是指在全球范围内发生并在人群中急剧增加的疾病状态。它会引发生活事件,导致焦虑、抑郁、愤怒、睡眠剥夺、情绪困扰和压力。世界卫生组织(WHO)于 2020 年 3 月 11 日宣布 2019 年冠状病毒病(COVID-19)为大流行,指出在 110 多个国家有超过 118,000 例病例。许多医护人员在大流行期间患病,其中一些人死亡。在这项研究中,我们旨在评估和比较土耳其和意大利医生对 COVID-19 大流行的压力水平。

方法

这是一项横断面研究,通过社交网络在线使用感知压力量表(PSS-10)和二次创伤应激量表(STSS)进行评估。所有数据收集工具均于 2020 年 6 月 1 日至 15 日之间分发给个人,并通过 Google 表单应用程序在线填写。共有 618 名个体参与了这项研究,他们均为医生。

结果

研究发现,女性、已婚、在大流行医院工作和年龄较大的个体的感知压力量表(PSS)和二次创伤应激量表(STSS)评分较高。与意大利医生相比,土耳其医生的压力水平在两个量表上均较高(土耳其/意大利 PSS:20.18±7.90/19.35±6.71,STSS:44.19±13.29/38.83±13.74)。

结论

与意大利相比,土耳其每千人口的医生数量较少,每千人看医生的次数较多。除了大流行之外,这些更繁重的工作条件和每周工作时间的增加也可能导致土耳其医生的压力。报告此类研究的信息很重要,国际合作对于制定未来的预防策略至关重要。我们需要加强国际联系,建立更多的国际合作,而不是停留在国内的孤立状态。此外,需要立即实施针对接触 COVID-19 的医护人员的心理健康干预措施。

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