Section of Occupational Medicine, Respiratory Diseases and Toxicology, University of Perugia, 06129 Perugia, Italy.
Prevention and Protection Service, Usl Umbria 2, 05100 Terni, Italy.
Med Lav. 2021 Dec 23;112(6):486-495. doi: 10.23749/mdl.v112i6.12525.
Depression, anxiety, psychological distress, and poor sleep quality increased in healthcare workers (HCWs) during the COVID-19 pandemic. The aim of the study was to assess levels of psychological distress in Umbrian HCWs during the COVID-19 Phase 1 lockdown along with exploring the relationship between sociodemographic/occupational factors.
Data on sociodemographic and occupational characteristics, change of job description, economic losses and emergency involvement and SARS-CoV2 infections in the workplace were collected using an anonymous online survey sent by healthcare professional associations. Data concerning psychological healthcare distress, were collected anonymously using BIAS 20 (stress balance) and Depression Anxiety Stress Scales (DASS-21).
One thousand and one healthcare workers responded to the questionnaire. Biological risk at work was perceived by all HCWs, less so from psychologists and more so from those working in hospitals. Stress symptoms (DASS21 >14) were associated with a younger age group (OR 0.98; 95% CI 0.97-0.99) and less work experience (OR 0.98; 95% CI 0.96-0.99). Younger age was also associated with anxiety symptoms (DASS 21 >7) (OR 0.98; 95% CI 0.97-0.99), as well as graduate/post graduate education level (OR 2.04; 95% CI 1.14-3.63). Working as an independent contractor was a risk factor for high stress health impact (OR 2.00; CI 1.40-2.86) and stress (OR 1.87; CI 1.20-2.92), anxiety (OR 1.89; CI 1.22-2.92) and depression (OR 1.57; CI 1.10-2.22) symptoms.
Our study showed a possible relationship between healthcare type of employment and distress symptoms during Covid19 pandemic phase 1. Results of our study should be confirmed in other Italian healthcare settings and could serve as a preliminarily baseline for multidisciplinary Italian collaboration.
在 COVID-19 大流行期间，医护人员（HCWs）的抑郁、焦虑、心理困扰和睡眠质量下降。本研究的目的是评估翁布里亚 HCWs 在 COVID-19 第一阶段封锁期间的心理困扰水平，并探讨社会人口统计学/职业因素之间的关系。
使用医疗保健专业协会发送的匿名在线调查收集社会人口统计学和职业特征、工作描述变更、经济损失和紧急参与以及工作场所 SARS-CoV2 感染的数据。使用 BIAS 20（压力平衡）和抑郁焦虑压力量表（DASS-21）匿名收集有关心理保健困扰的数据。
1011 名医护人员回答了问卷。所有 HCWs 都感受到了工作中的生物风险，心理学家的感受较少，而在医院工作的人则感受较多。应激症状（DASS21>14）与年龄较小的年龄组（OR 0.98；95%CI 0.97-0.99）和较少的工作经验（OR 0.98；95%CI 0.96-0.99）相关。年轻也是焦虑症状（DASS 21>7）（OR 0.98；95%CI 0.97-0.99）的相关因素，以及研究生/研究生教育水平（OR 2.04；95%CI 1.14-3.63）。作为独立承包商工作是高压力健康影响（OR 2.00；CI 1.40-2.86）和压力（OR 1.87；CI 1.20-2.92）、焦虑（OR 1.89；CI 1.22-2.92）和抑郁（OR 1.57；CI 1.10-2.22）症状的危险因素。
我们的研究表明，在 COVID-19 大流行第一阶段，医疗保健类型的就业与困扰症状之间可能存在关系。我们研究的结果应在意大利其他医疗保健环境中得到证实，并可作为意大利多学科合作的初步基准。
