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都柏林医院工作人员在爱尔兰 COVID-19 大流行高峰期的心理健康状况。

Dublin hospital workers' mental health during the peak of Ireland's COVID-19 pandemic.

机构信息

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.

出版信息

Ir J Med Sci. 2023 Jun;192(3):1293-1302. doi: 10.1007/s11845-022-03056-0. Epub 2022 Jun 22.

Abstract

BACKGROUND

Hospital-based healthcare workers have experienced significant psychological stressors during the COVID-19 pandemic.

AIM

To evaluate the mental health of hospital workers during the third wave of the COVID-19 pandemic in Dublin, Ireland.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

目的

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。

方法

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。

结果

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。

结论

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。

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