Karlafti Eleni, Benioudakis Emmanouil S, Barouxi Eirini, Kaiafa Georgia, Didangelos Triantafyllos, Fountoulakis Konstantinos N, Pagoni Stamatina, Savopoulos Christos
First Propeadeutic Internal Medicine Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Department of Psychology, University of Crete, Rethimno, Greece.
Psychiatriki. 2022 Mar 28;33(1):21-30. doi: 10.22365/jpsych.2022.067. Epub 2022 Feb 21.
The COVID-19 pandemic has rapidly changed everyday life around the world. The situation created by the COVID-19 pandemic has been shown to be associated with severe mental health problems in frontline medical and nursing staff. The aim of this study was to investigate exhaustion, disengagement, secondary traumatic stress, compassion satisfaction, burnout, as well as depression, anxiety and stress among internists in Greece, during the second lockdown period. Internists were approached through the Internal Medicine Society of Greece and a total of 117 participated in the study (response rate: 15.3%). The participants responded through a Google form on the Depression, Anxiety and Stress Scale - 21, the Oldenburg Burnout Inventory (OLBI) and the Professional Quality of Life Scale version 5 (ProQOL-5). Exhaustion was found in the majority of the participants (88%), 65.8% met the criteria for at least moderate levels of compassion satisfaction and 71.8% presented moderate levels of burnout. Furthermore, about half of the participants met the criteria for moderate to extremely severe levels of depression, anxiety and stress. Finally, regression analyses showed that depression was associated with both the OLBI and ProQOL-5 scales. The majority of the internists, during the lockdown period in Greece, were evaluated as "exhausted", with high rates of negative psychological symptoms. The present study, despite the limitations, highlights the impact of the COVID-19 pandemic on internists, which triggered a shift in attention onto the treatment, and especially the prevention, of stressful situations for health professionals.
新冠疫情迅速改变了世界各地的日常生活。事实证明，新冠疫情所造成的状况与一线医护人员的严重心理健康问题有关。本研究的目的是调查希腊内科医生在第二次封锁期间的疲惫感、工作投入度降低、继发性创伤压力、同情心满足感、职业倦怠，以及抑郁、焦虑和压力情况。通过希腊内科医学会联系内科医生，共有117人参与了研究（回复率：15.3%）。参与者通过谷歌表单对抑郁、焦虑和压力量表-21、奥尔登堡倦怠量表（OLBI）和职业生活质量量表第5版（ProQOL-5）进行了回答。大多数参与者（88%）存在疲惫感，65.8%的人至少达到中度同情心满足感标准，71.8%的人表现出中度职业倦怠。此外，约一半的参与者达到中度至极其严重程度的抑郁、焦虑和压力标准。最后，回归分析表明，抑郁与OLBI量表和ProQOL-5量表均有关联。在希腊封锁期间，大多数内科医生被评估为“疲惫不堪”，出现负面心理症状的比例很高。本研究尽管存在局限性，但突出了新冠疫情对内科医生的影响，这引发了对医护人员压力状况的治疗，尤其是预防的关注转变。
