Occupational Health Unit, CHU Brest, Brest, France
Orphy Laboratory, Bretagne Occidentale University, Brest, France.
BMJ Open. 2022 Jan 4;12(1):e053638. doi: 10.1136/bmjopen-2021-053638.
To compare global health, mental health impact of work stressors and psychosocial perception of healthcare workers (HCWs) and non-HCWs in a hospital after the first peak of the COVID-19 outbreak in France.
A validated version of the SATIN (Santé Au Travail Inrs université Nancy 2)questionnaire with adapted scoring was used to collect data on health and impact of work stressors. This questionnaire was sent to all workers at a hospital in July 2020 and was self-administered online. In a multinomial regression model, we included HCW status, age, gender and front-line worker status as covariates.
Data from a total of 1405 participants were included. We found that being an HCW, male and front-line worker was a risk factor for negative perception of work demand (OR 7.35, 95% CI 4.2 to 11.47; OR 2.55, 95% CI 1.11 to 5.89; OR 1.78, 95% CI 1.04 to 3.06). Being an HCW was a predictive factor for stress (OR 1.47, 95% CI 1.04 to 2.08), poor global health (OR 1.71, 95% CI 1.14 to 2.55) and negative perception of work activity environment (OR 1.9, 95% CI 1.3 to 2.8).
We have shown that all HCWs suffered from some health impact shortly after the first peak of the COVID-19 outbreak. We underline some stressors with high impact, including work demand, work abilities and organisational context, and emphasise the need for risk management.
比较 COVID-19 大流行在法国首次高峰后医院内医护人员(HCWs)和非 HCWs 的全球健康状况、工作压力对心理健康的影响以及他们对职业心理社会环境的认知。
采用经过验证的 SATIN(Nancy 2 大学 INRS 工作健康)问卷的简化版本,该问卷包含了工作压力源对健康的影响及相关评分,于 2020 年 7 月向该医院的所有工作人员发放,并通过在线进行自我管理的方式收集数据。在多变量回归模型中,我们将 HCW 身份、年龄、性别和一线工作者身份作为协变量。
共纳入了 1405 名参与者的数据。我们发现,作为 HCW、男性和一线工作者是对工作需求的负面认知的危险因素(OR7.35,95%CI4.2 至 11.47;OR2.55,95%CI1.11 至 5.89;OR1.78,95%CI1.04 至 3.06)。作为 HCW 是压力(OR1.47,95%CI1.04 至 2.08)、整体健康状况不佳(OR1.71,95%CI1.14 至 2.55)和对工作活动环境的负面认知(OR1.9,95%CI1.3 至 2.8)的预测因素。
我们表明,在 COVID-19 大流行首次高峰后不久,所有 HCWs 都受到了一些健康影响。我们强调了一些具有高影响的压力源,包括工作需求、工作能力和组织环境,并强调了风险管理的必要性。