Department of Medical Psychology, School of Health Humanities, Peking University, Beijing, China.
Department of Pediatrics, Columbia University Irving Medical Center-Vagelos College of Physicians and Surgeons, New York, NY, United States.
Front Public Health. 2021 Oct 18;9:705354. doi: 10.3389/fpubh.2021.705354. eCollection 2021.
Frontline health-care workers and patients with COVID-19 have been identified as high-risk groups for psychological problems. Experience of working or staying in quarantine wards generated psychological stressors for health-care workers and patients with COVID-19. The present study aimed to investigate the psychological symptoms of hospitalized patients with COVID-19 and the health-care workers treating them during the outbreak period, examine the effects of psychological stressors on mental health in both populations and perceived coping resources for both sides. Three hundred and eleven health-care workers working in a COVID-19 designated hospital in Wuhan, China, and 148 hospitalized patients with COVID-19 in the same hospital participated in this cross-sectional survey conducted in February 2020. Psychological symptoms, psychological stressors, and perceived coping resources were reported by both groups. Thirty-three percent of health-care workers and 35.2% of patients with COVID-19 had significant psychological symptoms that were indicative of a high risk for psychological disorders. Pandemic-related psychological stressors contributed to psychological symptoms for both populations. Concern about patients was one aspect of psychological stressors of frontline health-care workers and both groups perceived support from the opposite side as an important external coping resource. The results shed light on the need to provide psychological support to both frontline health-care workers and patients with COVID-19 and suggest enhancing the treatment alliance might be effective to improve mental health for both populations during the crisis.
一线医护人员和 COVID-19 患者已被确定为存在心理问题风险的高风险群体。在隔离病房工作或停留的经历给医护人员和 COVID-19 患者带来了心理压力源。本研究旨在调查 COVID-19 住院患者和在此期间为他们提供治疗的医护人员的心理症状,检验心理压力源对这两个群体心理健康的影响,以及双方感知到的应对资源。 本横断面研究于 2020 年 2 月在中国武汉的一家 COVID-19 指定医院招募了 311 名医护人员和 148 名 COVID-19 住院患者。两组人员均报告了心理症状、心理压力源和感知到的应对资源。 33%的医护人员和 35.2%的 COVID-19 患者存在显著的心理症状,表明他们存在心理障碍的高风险。与大流行相关的心理压力源导致了这两个群体的心理症状。对患者的担忧是一线医护人员心理压力源的一个方面,双方都认为来自对方的支持是重要的外部应对资源。 研究结果表明,有必要为一线医护人员和 COVID-19 患者提供心理支持,并建议在危机期间增强治疗联盟可能有助于改善这两个群体的心理健康。