Dept. of Psychiatry and Trinity College Institute of Neuroscience, Trinity College Dublin, St Patrick's University Hospital, Dublin 8, Ireland.
Beaumont Hospital, Dublin 9, Royal College of Surgeons, Dublin 2, Ireland.
Ir J Med Sci. 2023 Jun;192(3):1293-1302. doi: 10.1007/s11845-022-03056-0. Epub 2022 Jun 22.
Hospital-based healthcare workers have experienced significant psychological stressors during the COVID-19 pandemic.
To evaluate the mental health of hospital workers during the third wave of the COVID-19 pandemic in Dublin, Ireland.
Cross-sectional anonymous online survey of hospital workers (n = 377; 181 doctors (48.0%), 166 nurses (44.0%), 30 radiographers (8.0%)), collecting demographic information, COVID-19 exposure history and mental health measures.
There were significant differences between profession groups in gender, experience, COVID-19 infection history, exposure to COVID-19 positive acquaintances, and work areas. Moderate-severe post-traumatic stress disorder (PTSD) symptoms were found in 45.1% (95% CI 40.1-50.1%) of all participants; significantly fewer doctors reported moderate-severe PTSD symptoms (26%; 95% CI 22-36%). A World Health Organisation-5 Wellbeing Index (WHO-5) score ≤ 32, indicating low mood, was reported by 52% (95% CI 47-57%) of participants; significantly fewer doctors reported low mood (46%; 95% CI 39-53%). One-week suicidal ideation and planning were reported respectively by 13% (95% CI 10-16%) and 5% (95% CI 3-7%) of participants with no between-group differences. Doctors reported significantly less moral injury than other groups. There were no significant between-group differences regarding coping styles. Work ability was insufficient in 39% (95% CI 34-44%) of staff; no between-group differences.
Dublin hospital workers reported high levels of PTSD symptoms, mood disturbance, and moral injury during the COVID-19 pandemic. Concerning levels of suicidal ideation and planning existed in this cohort. Differences in degrees of post-traumatic stress, moral injury, and wellbeing were found between profession groups, which should be considered when planning any supports.
在 COVID-19 大流行期间,医院的医护人员经历了巨大的心理压力。
评估爱尔兰都柏林第三次 COVID-19 大流行期间医院工作人员的心理健康状况。
对 377 名医院工作人员(181 名医生(48.0%)、166 名护士(44.0%)、30 名放射技师(8.0%))进行横断面匿名在线调查,收集人口统计学信息、COVID-19 暴露史和心理健康措施。
在专业群体之间,在性别、经验、COVID-19 感染史、接触 COVID-19 阳性熟人以及工作领域方面存在显著差异。所有参与者中有 45.1%(95%CI 40.1-50.1%)存在中度至重度创伤后应激障碍(PTSD)症状;明显较少的医生报告中度至重度 PTSD 症状(26%;95%CI 22-36%)。世界卫生组织-5 幸福感指数(WHO-5)得分 ≤ 32,表明情绪低落,52%(95%CI 47-57%)的参与者报告;明显较少的医生报告情绪低落(46%;95%CI 39-53%)。13%(95%CI 10-16%)和 5%(95%CI 3-7%)的参与者分别报告了一周内的自杀意念和计划,各组之间无差异。医生报告的道德伤害明显少于其他组。应对方式各组之间无显著差异。39%(95%CI 34-44%)的工作人员工作能力不足;各组之间无差异。
在 COVID-19 大流行期间,都柏林医院工作人员报告 PTSD 症状、情绪障碍和道德伤害程度高,该队列存在自杀意念和计划。不同专业群体之间存在创伤后应激、道德伤害和幸福感程度的差异,在规划任何支持措施时应考虑这些差异。