School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia.
Alfred Health, Melbourne, VIC 3004, Australia.
Int J Environ Res Public Health. 2022 Apr 19;19(9):4951. doi: 10.3390/ijerph19094951.
the COVID-19 pandemic has incurred psychological risks for healthcare workers (HCWs). We established a Victorian HCW cohort (the Coronavirus in Victorian Healthcare and Aged-Care Workers (COVIC-HA) cohort study) to examine COVID-19 impacts on HCWs and assess organisational responses over time.
mixed-methods cohort study, with baseline data collected via an online survey (7 May-18 July 2021) across four healthcare settings: ambulance, hospitals, primary care, and residential aged-care. Outcomes included self-reported symptoms of depression, anxiety, post-traumatic stress (PTS), wellbeing, burnout, and resilience, measured using validated tools. Work and home-related COVID-19 impacts and perceptions of workplace responses were also captured.
among 984 HCWs, symptoms of clinically significant depression, anxiety, and PTS were reported by 22.5%, 14.0%, and 20.4%, respectively, highest among paramedics and nurses. Emotional exhaustion reflecting moderate-severe burnout was reported by 65.1%. Concerns about contracting COVID-19 at work and transmitting COVID-19 were common, but 91.2% felt well-informed on workplace changes and 78.3% reported that support services were available.
Australian HCWs employed during 2021 experienced adverse mental health outcomes, with prevalence differences observed according to occupation. Longitudinal evidence is needed to inform workplace strategies that support the physical and mental wellbeing of HCWs at organisational and state policy levels.
新冠疫情给医护人员带来了心理风险。我们建立了一个维多利亚州医护人员队列（冠状病毒在维多利亚州医护人员和老年护理人员中的研究（COVIC-HA）队列研究），以研究新冠疫情对医护人员的影响，并评估随着时间的推移组织的应对措施。
混合方法队列研究，基线数据通过在线调查收集（2021 年 5 月 7 日至 7 月 18 日），涉及四个医疗保健环境：救护车、医院、初级保健和养老院。结果包括使用经过验证的工具测量的自我报告的抑郁、焦虑、创伤后应激（PTS）症状、幸福感、倦怠和韧性。还记录了与工作和家庭相关的新冠疫情影响以及对工作场所反应的看法。
在 984 名医护人员中，分别有 22.5%、14.0%和 20.4%报告出现临床显著的抑郁、焦虑和 PTS 症状，其中护理人员和护士的比例最高。反映中度至重度倦怠的情绪疲惫报告率为 65.1%。对在工作中感染新冠病毒和传播新冠病毒的担忧很普遍，但 91.2%的人认为对工作场所变化有充分了解，78.3%的人报告说有支持服务。
2021 年期间澳大利亚的医护人员经历了不良的心理健康结果，根据职业观察到了差异。需要进行纵向研究，为组织和州政策层面支持医护人员身心健康的工作场所策略提供信息。
