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新冠疫情首次封锁期间医护人员与非医护人员焦虑、抑郁及创伤后应激障碍情况的比较

A comparison between healthcare workers and non-healthcare workers' anxiety, depression and PTSD during the initial COVID -19 lockdown.

作者信息

Schou-Bredal Inger, Bonsaksen Tore, Ekeberg Øivind, Skogstad Laila, Grimholt Tine K, Heir Trond

机构信息

Faculty of Medicine, University of Oslo, Oslo, Norway.

Department of Health and Nursing Sciences, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.

出版信息

Public Health Pract (Oxf). 2022 Jun;3:100267. doi: 10.1016/j.puhip.2022.100267. Epub 2022 May 5.

Abstract

OBJECTIVE

Several studies have found that Healthcare workers are vulnerable to mental health problems during the COVID-19 pandemic. However, few studies have made comparisons of healthcare workers (HCWs) and non-HCWs. The current study aimed to compare mental health problems among HCWs with non-HCWs during the initial lockdown of COVID 19.

STUDY DESIGN

A population-based cross-sectional survey.

METHODS

The survey was conducted by means of an open web link between April and May 2020. Data were collected by self-report. The PTSD Checklist for DSM-5 (PCL-5) was used to assess posttraumatic stress.

RESULTS

A total of 4527 citizens answered the questionnaire and 32.1% were HCWs. The majority were female, under 60 years of age, and lived in urban areas. Among the HCWs, the majority were registered nurses working in hospitals. The prevalence were 12.8% vs 19.1% for anxiety, 8.5% vs 14.5% for depression and 13.6% vs 20.9% for PTSD among HCWs and non-HCWs respectively. The highest prevalence's for anxiety and PTSD among HCWs were found for those under 40 years of age and having low education level (<12 years).

CONCLUSION

Mental health problems was significantly lower among HCWs compared to non-HCWs. However, the COVID-19 poses a challenge for HCWs, especially young HCWs and those with low level of education. Providing support, appropriate education, training, and authoritative information to the different members of the HCWs could be effective ways to minimize the psychological effect.

摘要

目的

多项研究发现,在新冠疫情期间医护人员易出现心理健康问题。然而,很少有研究对医护人员和非医护人员进行比较。本研究旨在比较新冠疫情首次封锁期间医护人员与非医护人员的心理健康问题。

研究设计

基于人群的横断面调查。

方法

2020年4月至5月通过开放网络链接进行调查。数据通过自我报告收集。使用《精神疾病诊断与统计手册》第5版创伤后应激障碍检查表(PCL-5)评估创伤后应激。

结果

共有4527名市民回答了问卷,其中32.1%为医护人员。大多数为女性,年龄在60岁以下,居住在城市地区。在医护人员中,大多数是在医院工作的注册护士。医护人员和非医护人员的焦虑患病率分别为12.8%和19.1%,抑郁患病率分别为8.5%和14.5%,创伤后应激障碍患病率分别为13.6%和20.9%。医护人员中焦虑和创伤后应激障碍患病率最高的是年龄在40岁以下且教育水平低(<12年)的人群。

结论

与非医护人员相比,医护人员的心理健康问题明显较少。然而,新冠疫情给医护人员带来了挑战,尤其是年轻医护人员和教育水平低的医护人员。为医护人员的不同成员提供支持、适当的教育、培训和权威信息可能是将心理影响降至最低的有效方法。

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