Postgraduate School of Occupational Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Department of Woman, Child and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
Int J Environ Res Public Health. 2022 May 12;19(10):5889. doi: 10.3390/ijerph19105889.
The Prospective Study of Intensivists and COVID-19 (PSIC) is a longitudinal study that besides investigating a cohort of intensivists from one of the two COVID-19 hub hospitals in Central Italy since the beginning of the pandemic (first wave, April 2020), has conducted a new survey at each successive wave. In addition to the variables investigated in previous surveys (job changes due to the pandemic, justice of safety procedures, job stress, sleep quality, satisfaction, happiness, anxiety, depression, burnout, and intention to quit), the latest fourth wave (December 2021) study has evaluated discomfort in caring for anti-vax patients. A multivariate logistic regression model confirmed that high levels of occupational stress (distressed 75.8%) were associated with isolation, monotony, lack of time for meditation, and poor relationships with anti-vaccination patients. Compared to the first phase, there was a reduction in levels of insomnia and anxiety, but the percentage of intensivists manifesting symptoms of depression remained high (58.9%). The study underlined the efficacy of organizational interventions and psychological support.
《危重病医师与 COVID-19 的前瞻性研究（PSIC）》是一项纵向研究，除了自疫情开始以来（第一波，2020 年 4 月）对意大利中部两个 COVID-19 中心医院之一的一组重症监护医师进行调查外，还在每一波疫情中进行了新的调查。除了之前调查中调查的变量（因疫情而改变的工作、安全程序的公正性、工作压力、睡眠质量、满意度、幸福感、焦虑、抑郁、倦怠和辞职意向）之外，最新的第四波（2021 年 12 月）研究评估了照顾反疫苗接种患者的不适。多变量逻辑回归模型证实，职业压力水平高（苦恼 75.8%）与隔离、单调、缺乏冥想时间以及与反疫苗接种患者的关系不佳有关。与第一阶段相比，失眠和焦虑的水平有所降低，但表现出抑郁症状的重症监护医师比例仍然很高（58.9%）。该研究强调了组织干预和心理支持的效果。
