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医护人员的心理反应与疫情管理密切相关。

Psychological Responses of Health Care Workers Are Strongly Associated With Pandemic Management.

作者信息

Pacutova Veronika, Madarasova Geckova Andrea, Kizek Peter, Novotny Martin, de Winter Andrea F, Reijneveld Sijmen A

机构信息

Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University, Kosice, Slovakia.

Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

出版信息

Front Psychol. 2022 Jul 7;13:902673. doi: 10.3389/fpsyg.2022.902673. eCollection 2022.

Abstract

BACKGROUND

Globally, governments adopted protective measures to stabilize the worsening COVID-19 pandemic situation. These measures had a large impact on health care workers (HCWs) and could make the work environment more stressful for them. Therefore, we explored the associations of the psychological responses of HCWs and pandemic management among Slovak health care workers during the second wave of the pandemic.

MATERIALS AND METHODS

We obtained data about psychological responses, COVID-19 experiences, information overload, non-adherence of the public, work stress and barriers and facilitators of health care provision from HCWs at the COVID-19-related departments of one hospital that mainly covered eastern Slovakia (215 health care professionals, 77.7% females, / = 44.4). Data were analyzed using logistic regression models adjusted for gender.

RESULTS

Pandemic management was most strongly associated with psychological responses, such as irritability, sadness, anxiety, dizziness, and back pain, in health care workers. The non-adherence of the public had the strongest associated psychological impact on HCWs, mostly affecting anxiety and irritability (odds ratios, ORs varying from 3.9 to 7.0). From the barriers and facilitators of health care provision, the use of personal protective equipment had the most impact psychologically, whereas efficient department management was most protective, with ORs around 0.3.

CONCLUSION

Pandemic management has a large impact on health care workers, and promoting resilience may seriously decrease job-related stress and associated psychological responses of HCWs.

摘要

背景

在全球范围内,各国政府采取了保护性措施来稳定日益恶化的新冠疫情形势。这些措施对医护人员产生了重大影响,可能使他们的工作环境压力更大。因此,我们探讨了在疫情第二波期间,斯洛伐克医护人员的心理反应与疫情管理之间的关联。

材料与方法

我们从一家主要覆盖斯洛伐克东部的医院的新冠相关科室的医护人员那里获取了有关心理反应、新冠经历、信息过载、公众不遵守规定情况、工作压力以及医疗保健提供的障碍和促进因素的数据(215名医疗保健专业人员,77.7%为女性,平均年龄 = 44.4岁)。使用针对性别进行调整的逻辑回归模型对数据进行分析。

结果

疫情管理与医护人员的心理反应,如易怒、悲伤、焦虑、头晕和背痛,关联最为紧密。公众不遵守规定对医护人员的心理影响最为强烈,主要影响焦虑和易怒情绪(优势比,OR值在3.9至7.0之间)。在医疗保健提供的障碍和促进因素方面,个人防护设备的使用在心理上影响最大,而高效的科室管理最具保护作用,OR值约为0.3。

结论

疫情管理对医护人员有很大影响,增强心理韧性可能会显著减轻医护人员与工作相关的压力及相关心理反应。

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