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COVID-19 大流行期间医护人员的倦怠和创伤后应激障碍。

Burnout and peritraumatic distress of healthcare workers in the COVID-19 pandemic.

机构信息

Department of Public Health Science, Graduate School of Public Health, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, 08826, South Korea.

Institute of Health and Environment, Seoul National University, Seoul, 08826, Korea.

出版信息

BMC Public Health. 2021 Nov 12;21(1):2075. doi: 10.1186/s12889-021-11978-0.

DOI:10.1186/s12889-021-11978-0
PMID:34772383
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8586834/
Abstract

BACKGROUND

To evaluate the current status of emotional exhaustion and peritraumatic distress of healthcare workers (HCWs) in the COVID-19 pandemic, and identify factors associated with their mental health status.

METHODS

An online survey involving 1068 of consented HCWs that included nurses, physicians, and public health officers was conducted in May 2020. Descriptive statistics and multivariate regression analyses were performed on the collected data.

RESULTS

Although no significant difference in peritraumatic distress was observed among the surveyed HCWs, the workers' experience of emotional exhaustion varied according to work characteristics. Respondents who were female, older, living with a spouse, and/or full-time workers reported higher levels of emotional exhaustion. Public health officers and other medical personnel who did not have direct contact with confirmed patients and full-time workers had a higher level of peritraumatic distress. Forced involvement in work related to COVID-19, worry about stigma, worry about becoming infected, and perceived sufficiency of organizational support negatively predict emotional exhaustion and peritraumatic distress.

CONCLUSIONS

Job-related and emotional stress of HCWs should not be neglected. Evidence-based interventions and supports are required to protect HCWs from mental illness and to promote mental health of those involved in the response to the COVID-19 pandemic.

摘要

背景

评估 COVID-19 大流行期间医护人员(HCWs)的情绪耗竭和创伤后应激障碍现状,并确定与心理健康状况相关的因素。

方法

2020 年 5 月,对 1068 名同意参加的 HCWs 进行了一项在线调查,包括护士、医生和公共卫生官员。对收集的数据进行了描述性统计和多变量回归分析。

结果

尽管调查的 HCWs 之间创伤后应激障碍无显著差异,但工作人员的情绪耗竭体验因工作特征而异。女性、年龄较大、与配偶同住和/或全职工作的受访者报告的情绪耗竭水平较高。没有直接接触确诊患者和全职工作者的公共卫生官员和其他医务人员创伤后应激障碍水平较高。被迫参与与 COVID-19 相关的工作、担心污名化、担心感染以及感知组织支持不足,对情绪耗竭和创伤后应激障碍有负面影响。

结论

不应忽视 HCWs 的工作相关和情绪压力。需要采取基于证据的干预措施和支持,以保护 HCWs 免受精神疾病的影响,并促进参与应对 COVID-19 大流行的人员的心理健康。

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