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研究 COVID-19 大流行期间医护人员创伤后应激障碍的频率。

Research on the frequency of post-traumatic stress disorder in healthcare workers during the COVID-19 pandemic.

机构信息

University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.

出版信息

Ir J Med Sci. 2022 Oct;191(5):2257-2262. doi: 10.1007/s11845-021-02871-1. Epub 2021 Dec 1.

Abstract

BACKGROUND

It is highly probable that the COVID-19 outbreak, one of the most severe pandemics to which humanity has been exposed, will promote post-traumatic stress disorder (PTSD). PTSD is a serious mental illness that decreases quality of life and functionality of healthcare workers (HCWs) during the COVID-19 pandemic.

AIMS

This study aims to research the frequency of PTSD in HCWs who are working in a central pandemic hospital, during the COVID-19 outbreak.

METHODS

In total, 300 HCWs were included in the study. Diagnosis of PTSD was made according to DSM-5 diagnostic criteria, and the severity of PTSD symptoms was evaluated using the PTSD Checklist - Civilian Version Scale.

RESULTS

In total, 21.6% (n = 65) of the HCWs were diagnosed with PTSD, 18.3% of them were female (n = 55) and 3.3% were male (n = 10) participants. The mean PCL-C score of participants diagnosed with PTSD was found to be 60.38 ± 4.81. No statistically significant difference was found between profession groups diagnosed with PTSD.

CONCLUSIONS

HCWs who are working directly with COVID-19 patients have significantly higher levels of PTSD. PTSD can lead to severe negative consequences such as lower quality of life and loss of workforce and productivity, if it is not diagnosed and treated early. Therefore, it should become a routine to continuously monitor and establish early targeted mental health interventions.

摘要

背景

COVID-19 疫情是人类所经历的最严重的大流行病之一,极有可能引发创伤后应激障碍(PTSD)。PTSD 是一种严重的精神疾病,会降低医护人员(HCWs)在 COVID-19 大流行期间的生活质量和工作能力。

目的

本研究旨在研究在 COVID-19 大流行期间,在一家中央大流行医院工作的 HCWs 中 PTSD 的发生率。

方法

共有 300 名 HCWs 纳入研究。根据 DSM-5 诊断标准诊断 PTSD,使用 PTSD 清单-平民版量表评估 PTSD 症状的严重程度。

结果

共有 21.6%(n=65)的 HCWs 被诊断为 PTSD,其中 18.3%为女性(n=55),3.3%为男性(n=10)。被诊断为 PTSD 的参与者的平均 PCL-C 得分为 60.38±4.81。被诊断为 PTSD 的职业群体之间没有统计学上的显著差异。

结论

直接接触 COVID-19 患者的 HCWs 患 PTSD 的比例明显更高。如果不早期诊断和治疗,PTSD 可能会导致严重的负面后果,如生活质量下降、劳动力和生产力丧失。因此,应将其作为常规做法,持续监测并建立早期针对性的心理健康干预措施。

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