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拉丁美洲国家医护人员的心理健康:对新冠疫情第一年期间发表的研究的综述

Mental health of healthcare workers of Latin American countries: a review of studies published during the first year of COVID-19 pandemic.

作者信息

Rosales Vaca Kimberly Massiel, Cruz Barrientos Oscar Ivan, Girón López Samara, Noriega Sayra, More Árias Adriana, Guariente Suzana Maria Menezes, Zazula Robson

机构信息

School of Medicine, Federal University of Latin American Integration, Foz do Iguacu, Brazil.

Londrina State University, Londrina, Brazil.

出版信息

Psychiatry Res. 2022 May;311:114501. doi: 10.1016/j.psychres.2022.114501. Epub 2022 Mar 7.

Abstract

OBJECTIVE

Identify and review articles that evaluated mental health of HCW of Latin American countries (except Brazil), published during the first year of COVID-19 pandemic.

METHOD

We systematically searched EMBASE, PsycINFO, Scopus, PUBMED/ Medline, Web of Science, PePSIC, and Scielo for articles published during the first year of the COVID-19 pandemic. Two independent researchers reviewed titles and abstracts and then, for eligible studies, extracted data from full texts. Outcomes included mental health variables, country where the study was conducted, period of data collection, healthcare professional categories, study design, mental health measurements and main outcomes. The quality and risk assessment was also performed.

RESULTS

Out of 248 records identified, 24 initially were assessed for eligibility. From those, 17 studies matched eligibility criteria and were included in the review. Higher scores of anxiety were reported in different studies, as well as an increased level of depression among HCW. Being a female, younger age, and closer distance of the epicenter of the outbreak increased the likelihood to develop mental health disorder. Concerns and fear related to COVID-19 have a greater impact on stress, anxiety, and depression symptoms.

CONCLUSION

Our findings highlight that COVID-19 pandemic had been worse for HCW from Latin America, showing the harmful effects of burnout on their health. Greater psychological distress, as well as anxiety and depression had been experienced by HCW from Latin America in their fight against COVID-19, demonstrating the importance of psychological well-being policies for them during and post- the pandemic.

摘要

目的

识别并综述在新冠疫情第一年发表的、评估拉丁美洲国家(巴西除外)医护人员心理健康状况的文章。

方法

我们系统检索了EMBASE、PsycINFO、Scopus、PUBMED/Medline、Web of Science、PePSIC和Scielo,以查找在新冠疫情第一年发表的文章。两名独立研究人员对标题和摘要进行了审查,然后对符合条件的研究从全文中提取数据。结果包括心理健康变量、开展研究的国家、数据收集时间段、医护人员类别、研究设计、心理健康测量方法和主要结果。还进行了质量和风险评估。

结果

在识别出的248条记录中,最初有24条被评估是否符合纳入标准。其中,17项研究符合纳入标准并被纳入综述。不同研究报告了较高的焦虑得分,以及医护人员中抑郁水平的上升。女性、较年轻以及距离疫情爆发中心较近会增加出现心理健康障碍的可能性。与新冠疫情相关的担忧和恐惧对压力、焦虑和抑郁症状有更大影响。

结论

我们的研究结果突出表明,新冠疫情对拉丁美洲的医护人员影响更严重,显示了职业倦怠对他们健康的有害影响。拉丁美洲的医护人员在抗击新冠疫情过程中经历了更大的心理困扰以及焦虑和抑郁,这表明在疫情期间及之后为他们制定心理健康政策的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e31/8900936/df7acfba3969/gr1_lrg.jpg

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