Department of Medicine, New York City Health + Hospitals, Lincoln Medical Center, Bronx, New York, New York, United States of America.
US Army Urban Augmentation Military Task Force, Bronx, New York, New York, United States of America.
PLoS One. 2022 Apr 29;17(4):e0267315. doi: 10.1371/journal.pone.0267315. eCollection 2022.
Healthcare workers (HCWs) faced a range of stressors during the coronavirus (COVID-19) pandemic, contributing to psychological stress. We use a psychological trauma framework to characterize the mental health burden for clinical and non-clinical healthcare worker occupations during the COVID-19 pandemic. The objective was to measure and characterize risk factors for trauma and anxiety-related mental health problems among HCWs at a public hospital in the epicenter of the COVID-19 pandemic in New York City (NYC). This study reports findings from a cross-sectional survey of NYC HCWs shortly after the initial 2020 infection surge. Over 800 hospital employees completed the survey that assessed professional quality of life indicators (compassion satisfaction [CS], burnout [BO], secondary traumatic stress [STS]), Coronavirus Anxiety (CS), Obsession with Coronavirus (OC), and PTSD symptoms. The survey also assessed pandemic-related work and life circumstances such as "do you have a family member or friend who tested positive for COVID". Relatively small percentages of HCWs endorsed probable Coronavirus Anxiety (6%), PTSD (13%), and Coronavirus Obsession (21%). We observed higher proportions of Burnout (29%), Moderate or High Secondary Traumatic Stress (45%), and High Compassion Satisfaction (52%). Adjusted regression models showed important implications for prior behavioral/emotional health concerns among HCWs, providing care for a patient that died from COVID-19, and other characteristics. This study supports prior studies documenting the mental health consequences for the healthcare workforce during the COVID-19 pandemic. This study builds on that base by including non-clinical staff in the sample and assessing pandemic life-stressors such as caring for sick family members.
医护人员（HCWs）在冠状病毒（COVID-19）大流行期间面临着一系列压力源，导致心理压力。我们使用心理创伤框架来描述 COVID-19 大流行期间临床和非临床医护人员职业的心理健康负担。目的是衡量和描述在 COVID-19 大流行中心纽约市（NYC）的一家公立医院的 HCWs 中与创伤和焦虑相关的心理健康问题的危险因素。本研究报告了一项针对 NYC HCWs 的横断面调查的结果，该调查是在 2020 年最初的感染高峰后不久进行的。超过 800 名医院员工完成了这项调查，该调查评估了职业生活质量指标（同情满足感[CS]、倦怠[BO]、二次创伤压力[STS]）、冠状病毒焦虑（CS）、对冠状病毒的痴迷（OC）和 PTSD 症状。该调查还评估了与大流行相关的工作和生活情况，例如“您是否有家庭成员或朋友的 COVID 检测呈阳性”。相对较小比例的 HCWs 表示可能患有冠状病毒焦虑症（6%）、创伤后应激障碍（13%）和冠状病毒痴迷症（21%）。我们观察到倦怠（29%）、中度或高度二次创伤压力（45%）和高度同情满足感（52%）的比例较高。调整后的回归模型显示了 HCWs 之前的行为/情绪健康问题、照顾死于 COVID-19 的患者以及其他特征对其的重要影响。这项研究支持了先前的研究，这些研究记录了 COVID-19 大流行期间医护人员的心理健康后果。本研究通过在样本中纳入非临床人员并评估照顾生病的家庭成员等大流行生活压力源，在此基础上进一步扩展。
