COVID-19 大流行期间医护人员创伤后应激障碍。
Posttraumatic Stress Disorder Among Health Care Workers During the COVID-19 Pandemic.
出版信息
J Psychiatr Pract. 2022 Sep 1;28(5):354-361. doi: 10.1097/PRA.0000000000000661.
BACKGROUND
Coronavirus disease 2019 (COVID-19) has taken a significant toll on people worldwide, and in particular, on the health care workers (HCWs) who have worked on the frontlines in the fight against the pandemic. The goal of this study was to investigate the prevalence of posttraumatic stress disorder (PTSD) and related factors in HCWs in the era of COVID-19.
METHODS
This cross-sectional survey study was conducted between September 15, and October 15, 2020, among HCWs in Turkey. The survey consisted of self-administered questionnaires, which included questions about sociodemographic variables, experiences caring for patients with COVID-19, and the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), a trauma screening tool. The online survey was completed by 1833 HCWs. Univariate and multivariate logistic regression analyses were used to identify independent predictors of PTSD.
RESULTS
The mean age of the participants was 32.7±7.0 years; 81.9% were physicians, and 56.5% were female. The rates of COVID-19 history in the respondents, a family member, or a coworker were 13.6%, 32.3%, and 12.6%, respectively. Among the HCWs who participated, 39.9% met the criteria for PTSD. Compared with the physicians, the nonphysician HCWs had a higher rate of PTSD (49.5% vs. 36%) (P<0.001) and higher PCL-5 scores (53.31±19.6 vs. 42.5±20.3) (P<0.001). In addition, 9.7% of the surveyed HCWs reported having suicidal ideation during the COVID-19 pandemic. Independent predictors of PTSD in HCWs were working on a COVID-19 unit, feeling isolated, suicidal ideation, being a nonphysician HCW, fear of spreading coronavirus to family, female sex, and a history of having COVID-19.
CONCLUSIONS
HCWs were at risk for impairment in mental well-being in the era of COVID-19, with a significant number experiencing PTSD as well as suicidal ideation. Therefore, HCWs, especially those who are working on a COVID-19 unit and are female, should be monitored regularly for PTSD.
背景
2019 年冠状病毒病（COVID-19）给全世界人民带来了重大损失，尤其是在与大流行作斗争的一线工作的卫生保健工作者（HCWs）。本研究的目的是调查 COVID-19 时代 HCWs 中创伤后应激障碍（PTSD）的患病率及其相关因素。
方法
本横断面调查研究于 2020 年 9 月 15 日至 10 月 15 日在土耳其的 HCWs 中进行。该调查包括自我管理问卷，其中包括有关社会人口统计学变量，照顾 COVID-19 患者的经历以及创伤后应激障碍检查表 5 项（PCL-5），这是一种创伤筛查工具。有 1833 名 HCWs 在线完成了调查。采用单变量和多变量逻辑回归分析来确定 PTSD 的独立预测因子。
结果
参与者的平均年龄为 32.7±7.0 岁；81.9％是医生，56.5％是女性。在受访者，家庭成员或同事中，有 COVID-19 病史的分别为 13.6％，32.3％和 12.6％。在参加的 HCWs 中，有 39.9％符合 PTSD 的标准。与医生相比，非医师 HCWs 的 PTSD 发生率更高（49.5％比 36％）（P<0.001），PCL-5 评分更高（53.31±19.6 比 42.5±20.3）（P<0.001）。此外，有 9.7％的接受调查的 HCWs 在 COVID-19 大流行期间有自杀念头。HCWs 中 PTSD 的独立预测因子是在 COVID-19 病房工作，感到孤立，有自杀念头，是非医师 HCW，担心冠状病毒传播给家人，女性和曾患有 COVID-19。
结论
在 COVID-19 时代，HCWs 的心理健康受到损害的风险增加，有相当数量的人患有 PTSD 和自杀念头。因此，HCWs，特别是在 COVID-19 病房工作的女性，应定期监测 PTSD。
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