School of Nursing & Midwifery, LaTrobe University, Kingsbury Drive, Bundoora, VIC 3086, Australia; General Directorate of Health Affairs, The Northern Border Region, Ministry of Health, Ar'Ar 73311, Saudi Arabia.
School of Nursing & Midwifery, LaTrobe University, Kingsbury Drive, Bundoora, VIC 3086, Australia.
Australas Emerg Care. 2022 Sep;25(3):197-212. doi: 10.1016/j.auec.2021.10.002. Epub 2021 Nov 12.
While literature on psychological consequences among frontline healthcare workers (HCWs) flourishes, understanding the psychological burden on this group is particularly crucial, as their exposure to COVID-19 makes them especially at high risk. We explored what is known about psychological effects of the COVID-19 pandemic on emergency HCWs.
We used a scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews.
The search identified 5432 articles, from which a total of 21 were included in the final review. Anxiety, burnout, depression, inadequate sleep, post-traumatic stress disorder (PTSD) symptoms, distress/stress and secondary trauma, were all reportedly experienced by emergency HCWs. Anxiety, burnout, depression and stress levels were higher among physicians and nurses compared to others. Post-traumatic stress disorder symptoms were higher among reserve medics, while Red Cross volunteers developed similar reactions of psychological stress and secondary trauma to other healthcare workers. Male HCWs reported more post-traumatic stress disorder symptoms than females, while stress was higher among females than male HCWs.
Emergency HCWs providing care during the COVID-19 pandemic are at risk from specific psychological impacts, including anxiety, burnout, depression, inadequate sleep, PTSD symptoms, psychological distress/stress and secondary trauma, and stress TWEETABLE ABSTRACT: Emergency healthcare workers are at direct risk of psychological impacts from the COVID-19 pandemic.
虽然关于一线医护人员（HCWs）心理后果的文献层出不穷，但了解这一群体的心理负担尤为重要，因为他们接触 COVID-19 使他们面临极高的风险。我们探讨了 COVID-19 大流行对急诊 HCWs 的心理影响。
我们采用了系统评价和荟萃分析扩展的首选报告项目进行范围审查。
搜索共确定了 5432 篇文章，其中共有 21 篇被纳入最终综述。焦虑、倦怠、抑郁、睡眠不足、创伤后应激障碍（PTSD）症状、痛苦/压力和二次创伤，都被报道在急诊 HCWs 中发生。与其他人员相比，医生和护士的焦虑、倦怠、抑郁和压力水平更高。后备医务人员的创伤后应激障碍症状更高，而红十字会志愿者对心理压力和二次创伤的反应与其他医护人员相似。男 HCWs 报告的创伤后应激障碍症状多于女 HCWs，而女 HCWs 的压力高于男 HCWs。
在 COVID-19 大流行期间提供护理的急诊 HCWs 面临特定的心理影响风险，包括焦虑、倦怠、抑郁、睡眠不足、PTSD 症状、心理痛苦/压力和二次创伤，以及压力。
