Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Barcelona.
Research Network on Health Services in Chronic Diseases, Madrid; Department of Medical Specialties and Public Health, Universidad Rey Juan Carlos, Madrid; Primary Care Research Unit (GAAP-SERMAS), Madrid Health Service, Madrid; Gregorio Marañón Health Research Institute, Madrid.
Br J Gen Pract. 2022 Jun 30;72(720):e501-e510. doi: 10.3399/BJGP.2021.0691. Print 2022 Jul.
The COVID-19 pandemic has had a major impact on the mental health of healthcare workers, yet studies in primary care workers are scarce.
To investigate the prevalence of and associated factors for psychological distress in primary care workers during the first COVID-19 outbreak.
This was a multicentre, cross-sectional, web-based survey conducted in primary healthcare workers in Spain, between May and September 2020.
Healthcare workers were invited to complete a survey to evaluate sociodemographic and work-related characteristics, COVID-19 infection status, exposure to patients with COVID-19, and resilience (using the Connor-Davidson Resilience Scale), in addition to being screened for common mental disorders (depression, anxiety disorders, post-traumatic stress disorder, panic attacks, and substance use disorder). Positive screening for any of these disorders was analysed globally using the term 'any current mental disorder'.
A total of 2928 primary care professionals participated in the survey. Of them, 43.7% (95% confidence interval [CI] = 41.9 to 45.4) tested positive for a current mental disorder. Female sex (odds ratio [OR] 1.61, 95% CI = 1.25 to 2.06), having previous mental disorders (OR 2.58, 95% CI = 2.15 to 3.10), greater occupational exposure to patients with COVID-19 (OR 2.63, 95% CI = 1.98 to 3.51), having children or dependents (OR 1.35, 95% CI = 1.04 to 1.76 and OR 1.59, 95% CI = 1.20 to 2.11, respectively), or having an administrative job (OR 2.24, 95% CI = 1.66 to 3.03) were associated with a higher risk of any current mental disorder. Personal resilience was shown to be a protective factor.
Almost half of primary care workers showed significant psychological distress. Strategies to support the mental health of primary care workers are necessary, including designing psychological support and resilience-building interventions based on risk factors identified.
COVID-19 大流行对医护人员的心理健康产生了重大影响，但初级保健工作者的相关研究却很少。
调查 COVID-19 首次爆发期间初级保健工作者心理困扰的患病率及其相关因素。
这是一项在西班牙初级保健工作者中进行的多中心、横断面、基于网络的调查，于 2020 年 5 月至 9 月进行。
邀请医护人员完成一项调查，以评估社会人口统计学和工作相关特征、COVID-19 感染状况、接触 COVID-19 患者情况以及韧性（使用 Connor-Davidson 韧性量表），此外还对常见精神障碍（抑郁、焦虑障碍、创伤后应激障碍、惊恐发作和物质使用障碍）进行筛查。使用术语“任何当前精神障碍”对这些障碍的任何阳性筛查进行全球分析。
共有 2928 名初级保健专业人员参与了调查。其中，43.7%（95%置信区间[CI] = 41.9 至 45.4）测试出当前存在精神障碍。女性（比值比[OR] 1.61，95%CI = 1.25 至 2.06）、既往存在精神障碍（OR 2.58，95%CI = 2.15 至 3.10）、更高的职业暴露于 COVID-19 患者（OR 2.63，95%CI = 1.98 至 3.51）、有子女或受抚养人（OR 1.35，95%CI = 1.04 至 1.76 和 OR 1.59，95%CI = 1.20 至 2.11）或从事行政工作（OR 2.24，95%CI = 1.66 至 3.03）与更高的任何当前精神障碍风险相关。个人韧性被证明是一个保护因素。
近一半的初级保健工作者表现出明显的心理困扰。有必要制定支持初级保健工作者心理健康的策略，包括根据确定的风险因素设计心理支持和增强韧性的干预措施。
