Schneider Juliane Nora, Hiebel Nina, Kriegsmann-Rabe Milena, Schmuck Jonas, Erim Yesim, Morawa Eva, Jerg-Bretzke Lucia, Beschoner Petra, Albus Christian, Hannemann Julian, Weidner Kerstin, Steudte-Schmiedgen Susann, Radbruch Lukas, Brunsch Holger, Geiser Franziska
Department of Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Medical Faculty, Bonn, Germany.
Department of Psychosomatic Medicine and Psychotherapy, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Front Psychol. 2021 Nov 18;12:775204. doi: 10.3389/fpsyg.2021.775204. eCollection 2021.
: The present study aimed to investigate the correlation between moral distress and mental health symptoms, socio-demographic, occupational, and COVID-19-related variables, and to determine differences in healthcare workers' (HCW) moral distress during the first wave of the COVID-19 pandemic. : Data from 3,293 HCW from a web-based survey conducted between the 20th of April and the 5th of July 2020 were analyzed. We focused on moral distress (Moral Distress Thermometer, MDT), depressive symptoms (Patient Health Questionnaire-2, PHQ-2), anxiety symptoms (Generalized Anxiety Disorder-2, GAD-2), and increased general distress of nurses, physicians, medical-technical assistants (MTA), psychologists/psychotherapists, and pastoral counselors working in German hospitals. : The strongest correlations for moral distress were found with depressive symptoms, anxiety symptoms, occupancy rate at current work section, and contact with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Nurses and MTA experienced significantly higher moral distress than physicians, psychologists/psychotherapists, and pastoral counselors. The average level of moral distress reported by nurses from all work areas was similar to levels which before the pandemic were only experienced by nurses in intensive or critical care units. : Results indicate that moral distress is a relevant phenomenon among HCW in hospitals during the COVID-19 pandemic, regardless of whether they work at the frontline or not and requires urgent attention.
本研究旨在调查道德困扰与心理健康症状、社会人口统计学、职业及与2019冠状病毒病（COVID-19）相关变量之间的相关性，并确定在COVID-19疫情第一波期间医护人员道德困扰的差异。分析了2020年4月20日至7月5日期间通过网络调查收集的3293名医护人员的数据。我们重点关注道德困扰（道德困扰温度计，MDT）、抑郁症状（患者健康问卷-2，PHQ-2）、焦虑症状（广泛性焦虑障碍-2，GAD-2），以及在德国医院工作的护士、医生、医学技术助理（MTA）、心理学家/心理治疗师和牧师顾问的总体困扰增加情况。道德困扰与抑郁症状、焦虑症状、当前工作科室的占用率以及与严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的接触之间的相关性最强。护士和MTA经历的道德困扰明显高于医生、心理学家/心理治疗师和牧师顾问。所有工作领域的护士报告的道德困扰平均水平与疫情前只有重症监护病房或危重症监护病房的护士才会经历的水平相似。结果表明，在COVID-19疫情期间，道德困扰是医院医护人员中的一个相关现象，无论他们是否在一线工作，都需要紧急关注。
