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土耳其 COVID-19 大流行期间医护人员的倦怠、抑郁、焦虑、压力和绝望的发生率。

Prevalence of Burnout, Depression, Anxiety, Stress, and Hopelessness Among Healthcare Workers in COVID-19 Pandemic in Turkey.

机构信息

Department of Public Health, Faculty of Medicine, 52954Sivas Cumhuriyet University, Sivas, Turkey.

587320Ibn Sina Community Health Center, Sivas, Turkey.

出版信息

Inquiry. 2022 Jan-Dec;59:469580221079684. doi: 10.1177/00469580221079684.

Abstract

BACKGROUND

This study's aim was to reveal the burnout, depression, anxiety, stress, and hopelessness levels of HCWs in the pandemic period.

METHODS

The cross-sectional study was carried out with 1015 HCWs, between September 1 and October 1, 2021, in Turkey. Maslach Burnout Inventory, Beck Hopelessness Scale, and Depression Anxiety Stress Scale-21 (DASS-21) were used.

RESULTS

Of the HCWs, 56.7% had moderate/high emotional exhaustion (EE), 35.8% had moderate/high depersonalization (D), 58.0% had low personal accomplishment (PA), 34.9% had high depression, 31.9% had high anxiety, 15.4% had high stress, and 33.3% had moderate/severe hopelessness. Risk factors for EE were working in a public hospital, increased workload intensity, decreased income, and difficulty in procuring personal protective equipment (PPE). Risk factors for D were having a male gender, being under the age of 40, being a physician, working in a public hospital, and difficulty in procuring PPE. Risk factors for depression were being under the age of 40, having contact with COVID-19 patients, and decreased income. Risk factors for anxiety were having a female gender, being under the age of 40, working in a public hospital, having a chronic disease, having contact with COVID-19 patients, and having individuals at high risk for COVID-19 at home. Risk factors for hopelessness were having a female gender, being a physician, and increased income.

CONCLUSION

The negative effects of the pandemic, which has been going on for over a year and a half, on the mental health of HCWs were high.

摘要

背景

本研究旨在揭示疫情期间医护人员的倦怠、抑郁、焦虑、压力和绝望水平。

方法

这是一项横断面研究,于 2021 年 9 月 1 日至 10 月 1 日在土耳其对 1015 名医护人员进行。使用了 Maslach 倦怠量表、贝克绝望量表和抑郁焦虑压力量表-21(DASS-21)。

结果

医护人员中,56.7%有中/高度情绪疲惫(EE),35.8%有中/高度去人性化(D),58.0%有低个人成就感(PA),34.9%有高度抑郁,31.9%有高度焦虑,15.4%有高度压力,33.3%有中度/重度绝望。EE 的风险因素包括在公立医院工作、工作强度增加、收入减少以及难以获得个人防护设备(PPE)。D 的风险因素包括男性、年龄在 40 岁以下、医生、在公立医院工作以及难以获得 PPE。抑郁的风险因素包括年龄在 40 岁以下、与 COVID-19 患者接触以及收入减少。焦虑的风险因素包括女性、年龄在 40 岁以下、在公立医院工作、患有慢性病、与 COVID-19 患者接触以及家中有 COVID-19 高危人员。绝望的风险因素包括女性、医生以及收入增加。

结论

持续了一年半多的疫情对医护人员的心理健康产生了巨大的负面影响。

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