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摩洛哥研究生和研究生培训阶段医生的认知与压力因素:新冠疫情背景下

Perceptions and stress factors among physicians in pre-graduate and post-graduate training in Morocco: COVID-19 pandemic context.

作者信息

Mansouri Adil, Sebbani Majda, Adarmouch Latifa, Mansoury Ouassim, Amine Mohamed

机构信息

Community Medicine and Public Health Department, Research Laboratory, Biosciences and Health, School of Medicine, Cadi Ayyad University, Marrakesh, Morocco.

Clinical Research Unit, Mohammed VI University Hospital, Marrakesh, Morocco.

出版信息

J Community Hosp Intern Med Perspect. 2021 Nov 15;11(6):753-759. doi: 10.1080/20009666.2021.1965288. eCollection 2021.

Abstract

On 30 January, 2020, WHO stated that the global COVID-19 epidemic is a public health emergency. Facing this critical situation, health-care workers were at risk of developing psychological distress and other mental health problems. This study seeks to explore the feelings, attitudes and perceptions of the COVID-19 pandemic among physicians in pre-graduate and post-graduate training from Marrakesh University Hospital Centre. We conducted a cross-sectional study with internal and resident-physicians in May 2020. Data collection was based on a self-administered electronic questionnaire. The sociodemographic informations, pandemic impact on the occupational and social fields and stress factors were evaluated. Statistical significance was set at p < 0.05. The number of participants was 74. The sex ratio was 1.4 with an average age of 26.1 ± 3.6 years. Two-thirds were directly involved in the management of patients with SARS-CoV2. The majority reported that their work puts them at high-risk of exposure to SARS-CoV2 and 66% felt stressed at work, female physicians were more stressed than men (p = 0.028). Not knowing when the pandemic will be under control and the risk of developing an infection with SARS-CoV2 were the main sources of stress. About motivators for similar situations, respondents emphasized family support (91.9%) and recognition by management and supervisors for the additional efforts they provide (83.8%). The protection of health-care workers is an important component of public health measures to combat this pandemic. Special interventions to promote health-care workers mental well-being must be implemented immediately.

摘要

2020年1月30日,世界卫生组织指出,全球新型冠状病毒肺炎疫情是一场突发公共卫生事件。面对这一严峻形势,医护人员有出现心理困扰和其他心理健康问题的风险。本研究旨在探索马拉喀什大学医院中心参与研究生前和研究生培训的医师对新型冠状病毒肺炎大流行的感受、态度和看法。2020年5月,我们对内科医师和住院医师开展了一项横断面研究。数据收集基于一份自行填写的电子问卷。评估了社会人口统计学信息、疫情对职业和社会领域的影响以及压力因素。设定统计学显著性为p<0.05。参与者人数为74人。男女比例为1.4,平均年龄为26.1±3.6岁。三分之二的人直接参与了严重急性呼吸综合征冠状病毒2患者的管理。大多数人报告称,他们的工作使他们面临接触严重急性呼吸综合征冠状病毒2的高风险,66%的人在工作中感到有压力,女医师比男医师压力更大(p=0.028)。不知道疫情何时得到控制以及感染严重急性呼吸综合征冠状病毒2的风险是主要压力来源。关于类似情况下的激励因素,受访者强调了家庭支持(91.9%)以及管理层和上级对他们付出的额外努力的认可(83.8%)。保护医护人员是抗击这一疫情的公共卫生措施的重要组成部分。必须立即实施促进医护人员心理健康的特别干预措施。

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