Biber Joshua, Ranes Bethany, Lawrence Shanieek, Malpani Vishal, Trinh Trong Tony, Cyders Andrew, English Steven, Staub Charles L, McCausland Kristen L, Kosinski Mark, Baranwal Nishtha, Berg Daniel, Pop Rodica
QualityMetric Incorporated, LLC, 1301 Atwood Avenue, Suite 216E, Johnston, RI, 02919, USA.
OptumLabs, UnitedHealth Group, 5995 Opus Parkway, 5th Floor, Minnetonka, MN, 55343, USA.
J Patient Rep Outcomes. 2022 Jun 13;6(1):63. doi: 10.1186/s41687-022-00467-6.
The COVID-19 pandemic has impacted the mental health and well-being of health care workers (HCWs). This study examined mental health outcomes and COVID-related stress impacts among a diverse sample of ambulatory HCWs, including clinicians and support staff, as well as the associations between mental health outcomes and work impairments in this population. Detailing these results can help in designing interventions to alleviate this burden.
"The Health Care Worker Stress Survey" was administered to ambulatory care providers and support staff at three multispecialty care delivery organizations as part of an online, cross-sectional study conducted between June 8, 2020, and July 13, 2020.
The greatest stress impact reported by HCWs was the uncertainty regarding when the COVID-19 outbreak would be under control, while the least reported concern was about self-dying from COVID-19. Differences in COVID-19 stress impacts were observed by age, gender, and occupational risk factors. Approximately 50% of participants reported more than a minimal level of anxiety, including 22.5% who indicated moderate to severe levels of anxiety. Higher levels of anxiety were observed with younger ages and female gender, while occupational roles with increased exposure risk did not report higher levels of anxiety. Roughly two-thirds of the sample reported less than good sleep quality and one-third to one-half of the sample reported other sleep related problems that differed by age and gender. Role limitations due to emotional health correlated with COVID-19 related stress, anxiety and sleep problems.
Using established, validated measures, we quantified mental health outcomes within a diverse sample of ambulatory care HCWs during the pandemic. Younger and female HCWs reported greater anxiety burden; HCWs with higher occupational risk of COVID exposure did not report higher levels of anxiety. Notable proportions of HCWs reported sleep and work impairments. Due to the cross-sectional nature of the study, it is difficult to attribute these patterns to the pandemic. These results underscore the depth and extent of mental health outcomes in HCWs in ambulatory settings and raise important questions on new interventions to relieve that burden. Further research is needed to study specific interventions to support the mental health and wellbeing of HCWs.
2019冠状病毒病（COVID-19）大流行对医护人员的心理健康和幸福感产生了影响。本研究调查了包括临床医生和辅助人员在内的各类门诊医护人员的心理健康状况及与COVID-19相关的压力影响，以及该人群中心理健康状况与工作障碍之间的关联。详细阐述这些结果有助于设计减轻这一负担的干预措施。
作为2020年6月8日至2020年7月13日开展的一项在线横断面研究的一部分，“医护人员压力调查”被应用于三个多专科医疗服务机构的门诊护理提供者和辅助人员。
医护人员报告的最大压力影响是COVID-19疫情何时得到控制的不确定性，而报告最少担心的是自己死于COVID-19。在年龄、性别和职业风险因素方面观察到COVID-19压力影响的差异。约50%的参与者报告焦虑水平超过最低限度，其中22.5%表示焦虑程度为中度至重度。年龄较小和女性的焦虑水平较高，而暴露风险增加的职业角色并未报告更高的焦虑水平。大约三分之二的样本报告睡眠质量不佳，三分之一至二分之一的样本报告了其他与睡眠相关的问题，这些问题因年龄和性别而异。由于情绪健康导致的角色限制与COVID-19相关的压力、焦虑和睡眠问题相关。
我们使用既定的、经过验证的测量方法，对大流行期间各类门诊医护人员的心理健康状况进行了量化。年轻和女性医护人员报告的焦虑负担更大；COVID暴露职业风险较高的医护人员并未报告更高的焦虑水平。相当比例的医护人员报告存在睡眠和工作障碍。由于该研究的横断面性质，很难将这些模式归因于大流行。这些结果凸显了门诊环境中医护人员心理健康状况的深度和广度，并对减轻该负担的新干预措施提出了重要问题。需要进一步研究以探讨支持医护人员心理健康和幸福感的具体干预措施。
