Psychiatry, Tan Tock Seng Hospital, Singapore
Psychiatry, Tan Tock Seng Hospital, Singapore.
BMJ Open. 2021 Nov 30;11(11):e051895. doi: 10.1136/bmjopen-2021-051895.
To measure the psychological well-being of healthcare workers (HCWs) during this COVID-19 pandemic and examine the experiences of the subgroup of participants who were also HCWs during the 2003 SARS epidemic.
Anonymous online survey adapted from a similar study conducted during the SARS epidemic, disseminated from July 2020 to August 2020.
Nine healthcare institutions across Singapore ranging from primary care, community care, tertiary care and specialised referral centres.
Employees working in the participating healthcare institutions.
Of 3828 survey returns, 3616 had at least one completed item on the questionnaire. Majority were female (74.7%), nurses (51.7%), foreign-born (53.2%) and not working in the tertiary care setting (52.1%). The median score on the Impact of Events Scale (IES) was 15 (IQR 23) and 28.2% of the sample scored in the moderate/severe range. 22.7% of the participants were also HCWs during SARS and more than half of them felt safer and better equipped in the current pandemic. 25.2% of SARS HCWs and 25.9% of non-SARS HCWs had moderate/severe IES scores (p=0.904). After adjusting for age, marital status, parity and length of work experience, racial minority groups and living apart from family were independent predictors of high IES regardless of prior SARS epidemic experience. Daily exposure to confirmed or suspect COVID-19 cases increased the odds of high IES for non-SARS HCWs only.
Overall, while 28% of HCWs in our study suffered from significant trauma-related psychological symptoms regardless of prior experience with the SARS epidemic, those with prior experience reported feeling safer and better equipped, finding the workload easier to manage, as well as having more confidence in their healthcare leaders. We recommend for more trauma-informed support strategies for our HCWs especially those from racial minority groups, who are foreign-born and isolated from their families.
在 COVID-19 大流行期间测量医护人员 (HCW) 的心理健康状况，并研究曾在 2003 年 SARS 疫情期间担任 HCW 的参与者亚组的经历。
匿名在线调查，改编自 SARS 疫情期间进行的一项类似研究，于 2020 年 7 月至 8 月传播。
新加坡的 9 家医疗机构，涵盖初级保健、社区保健、三级保健和专门转诊中心。
在参与医疗机构工作的员工。
在 3828 份调查回复中，有 3616 份至少有一份问卷上的完整项目。大多数是女性（74.7%）、护士（51.7%）、外国出生（53.2%）和不在三级保健机构工作（52.1%）。事件影响量表（IES）的中位数得分为 15（IQR 23），有 28.2%的样本得分处于中度/重度范围。有 22.7%的参与者曾在 SARS 期间担任 HCW，他们中的一半以上在当前的大流行中感到更安全和更有准备。25.2%的 SARS HCW 和 25.9%的非 SARS HCW 有中度/重度 IES 评分（p=0.904）。调整年龄、婚姻状况、生育次数和工作经验长短后，少数族裔和与家人分开居住是独立的高 IES 预测因素，无论是否经历过 SARS 疫情。每天接触确诊或疑似 COVID-19 病例只会增加非 SARS HCW 发生高 IES 的几率。
总的来说，尽管我们研究中的 28%的 HCW 患有明显的创伤相关心理症状，无论他们之前是否经历过 SARS 疫情，但那些有过经历的人表示感到更安全、更有准备，发现工作量更容易管理，对他们的医疗保健领导者更有信心。我们建议为我们的 HCW 提供更多的创伤知情支持策略，特别是那些来自少数民族群体、外国出生和与家人隔离的 HCW。
