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新冠疫情期间感知到的组织支持对医护人员心理健康的作用:一项横断面研究

The Role of Perceived Organizational Support in Mental Health of Healthcare Workers During the COVID-19 Pandemic: A Cross-Sectional Study.

作者信息

Chatzittofis Andreas, Constantinidou Anastasia, Artemiadis Artemios, Michailidou Kyriaki, Karanikola Maria N K

机构信息

Medical School, University of Cyprus, Nicosia, Cyprus.

Department of Clinical Sciences and Psychiatry, Umeå University, Umeå, Sweden.

出版信息

Front Psychiatry. 2021 Nov 1;12:707293. doi: 10.3389/fpsyt.2021.707293. eCollection 2021.

Abstract

Data support the link between the coronavirus disease 2019 (COVID-19) pandemic and mental distress in healthcare workers (HCWs). Although previous studies have documented the association between organizational policies and employees' psychological and mental status, there is still scant evidence regarding the effect of perceived organizational support (POS) on mental distress in HCWs during the pandemic. The present study aimed to assess the association between POS and mental distress in HCWs during the COVID-19 pandemic. The role of POS in stress, depressive and trauma symptoms in HCWs was investigated. This was an online cross-sectional study in 424 HCWs. Data were collected during the first wave of the pandemic, and included demographics, a 7-item questionnaire assessing POS, the "Patient Health Questionnaire" assessing depressive symptoms, the "Impact of Events Scale Revised," measuring post-traumatic stress disorder (PTSD) symptoms and the "Perceived Stress Scale" assessing perceived stress. The mean POS score was 3.33 [standard deviation:1.85; range 0-7]. Younger ( < 0.001), less experienced ( < 0.001), female ( = 0.002), and non-physician HCWs ( = 0.031) were more likely to report lower self-perceived organizational support than older, male, more experienced physicians. Self-perceived organizational support was significantly and negatively associated with and self-assessed intensity of stress, depressive and traumatic symptoms, after adjusting for putative confounders ( < 0.001). Self-perceived organizational support was significantly associated with HCWs' self-assessed mental status during the pandemic. Organizational support and mental distress should be addressed simultaneously in HCWs during the COVID-19 pandemic to increase resilience among them.

摘要

数据支持2019冠状病毒病(COVID-19)大流行与医护人员心理困扰之间的联系。尽管先前的研究记录了组织政策与员工心理和精神状态之间的关联,但关于疫情期间医护人员的感知组织支持(POS)对心理困扰的影响仍缺乏证据。本研究旨在评估COVID-19大流行期间医护人员的POS与心理困扰之间的关联。研究了POS在医护人员压力、抑郁和创伤症状中的作用。这是一项针对424名医护人员的在线横断面研究。数据收集于疫情的第一波期间,包括人口统计学信息、一份评估POS的7项问卷、评估抑郁症状的“患者健康问卷”、测量创伤后应激障碍(PTSD)症状的“事件影响量表修订版”以及评估感知压力的“感知压力量表”。POS平均得分为3.33[标准差:1.85;范围0 - 7]。与年龄较大、经验更丰富的男性医生相比,年龄较小(<0.001)、经验较少(<0.001)、女性(=0.002)以及非医生医护人员(=0.031)更有可能报告较低的自我感知组织支持。在调整假定的混杂因素后(<0.001),自我感知组织支持与自评的压力、抑郁和创伤症状强度显著负相关。自我感知组织支持与大流行期间医护人员的自评心理状态显著相关。在COVID-19大流行期间,应同时关注医护人员的组织支持和心理困扰,以增强他们的心理韧性。

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