From the Department of Psychiatry, Columbia University, New York State Psychiatric Institute (Cheslack-Postava, Bresnahan, Ryan, Musa, Amsel, Andrews, Susser, Hoven); Department of Epidemiology, Columbia University Mailman School of Public Health (Bresnahan, Susser, Li, Hoven); Departments of Surgery and Population Health Science, New York University Langone Medical Center (DiMaggio); Department of Biostatistics, Columbia University Mailman School of Public Health (Andrews); Department of Anesthesiology, Columbia University Vagelos College of Physicians and Surgeons (Li, Lang); and Department of Social and Behavioral Sciences, School of Global Public Health, New York University (Abramson), New York, New York.
J Occup Environ Med. 2022 Jul 1;64(7):e417-e423. doi: 10.1097/JOM.0000000000002566. Epub 2022 Jun 16.
The aim of this study was to assess occupational circumstances associated with adverse mental health among health care workers during the COVID-19 pandemic.
A cross-sectional study examined responses to an on-line survey conducted among 2076 licensed health care workers during the first pandemic peak. Mental health (depression, anxiety, stress, and anger) was examined as a multivariate outcome for association with COVID-related occupational experiences.
Odds of negative mental health were increased among those who worked directly with patients while sick themselves (adjusted odds ratio, 2.29; 95% confidence interval, 1.71-3.08) and were independently associated with working more hours than usual in the past 2 weeks, having family/friends who died due to COVID-19, having COVID-19 symptoms, and facing insufficiencies in personal protective equipment/other shortages.
Occupational circumstances were associated with adverse mental health outcomes among health care workers during the COVID-19 pandemic, and some are potentially modifiable.
本研究旨在评估 COVID-19 大流行期间医护人员不良心理健康相关的职业情况。
采用横断面研究,对 COVID-19 大流行期间首次高峰期间,对 2076 名持照医护人员进行的在线调查的应答情况进行了分析。将心理健康(抑郁、焦虑、压力和愤怒)作为多变量结果,与 COVID 相关的职业经历相关联。
与自身患病时直接接触患者的医护人员相比,出现负面心理健康的可能性更高(调整后的优势比,2.29;95%置信区间,1.71-3.08),并且与过去 2 周内工作时间超过平时、有因 COVID-19 而死亡的家人/朋友、出现 COVID-19 症状以及面临个人防护设备不足/其他短缺独立相关。
在 COVID-19 大流行期间,医护人员的职业情况与不良心理健康结果相关,其中一些情况可能是可以改变的。