Psycho-Oncology Departmental Unit, Sant' Andrea Hospital, Rome, Italy.
Department of Clinical and Molecular Medicine, Sapienza University of Rome, Italy.
Riv Psichiatr. 2022 Sep-Oct;57(5):212-223. doi: 10.1708/3893.38744.
The aim of this study has been to measure the distress of workers at a large hospital in Rome, immediately after the lockdown with relaxed national restrictions except the indication to wear masks FP2 and to maintain the interpersonal distance of at least one meter.
A web-based anonymous survey has been conducted. Of the 324 responders (23-69 years; 78.09% females), 41.05% was nurse, 31.17% medical doctor, 7.72% employee with administrative function, 3.09% psychologist, 1.54% biologist, 13.58% grouped in the "other" category. 60.49% worked in a no-covid-19 ward, 20.37% in the covid-19 ward, 13.58% in outpatient clinics, and 5.56% outside the hospital. 45.06% have been exposed to covid-19 and 7.72% tested positive for covid-19. 66.67% were satisfied with the safety measures taken by the hospital. Post-traumatic stress disorder (PTSD) symptoms, as measured by IES-R, and peritraumatic distress, measured by CPDI, were frequently reported (41.05% and 43.21%, respectively). PTSD resulted independently associated with peritraumatic distress (Adjusted Odds Ratio, AOR 49.83), perception of being avoided by family and/or friends due to work performed (AOR= 4.05), low hope for the future (AOR= 2.25) and female gender (AOR= 2.90). Age and profession were considered confounding variables.
These results showed that even in times of reduced restrictions, the prevalence of peritraumatic distress and PTSD is high, regardless of work and professional specialization, length of service, more or less direct contact with covid-19 patients.
Since the biological damage resulting from a PTSD is known, it is important to activate screening programs followed by specific interventions to reduce long-term risks to mental health.
本研究旨在测量罗马一家大医院的工作人员在国家限制放宽后的封锁后的困扰，除了佩戴 FP2 口罩和保持至少一米的人际距离的指示外，其他限制都已放宽。
进行了一项基于网络的匿名调查。在 324 名应答者（23-69 岁；78.09%为女性）中，41.05%为护士，31.17%为医生，7.72%为行政职能员工，3.09%为心理学家，1.54%为生物学家，13.58%归入“其他”类别。60.49%在无新冠病房工作，20.37%在新冠病房工作，13.58%在门诊，5.56%在医院外工作。45.06%接触过新冠，7.72%新冠检测呈阳性。66.67%对医院采取的安全措施感到满意。创伤后应激障碍（PTSD）症状，用 IES-R 测量，创伤后痛苦，用 CPDI 测量，报告频率较高（分别为 41.05%和 43.21%）。PTSD 与创伤后痛苦独立相关（调整后的优势比，AOR 49.83），因工作而被家人和/或朋友回避的感知（AOR=4.05），对未来的低期望（AOR=2.25）和女性性别（AOR=2.90）。年龄和职业被认为是混杂因素。
这些结果表明，即使在限制放宽的时期，创伤后痛苦和 PTSD 的患病率仍然很高，与工作和专业专业化、服务年限、与新冠患者的直接接触或多或少无关。
由于已知 PTSD 造成的生物损伤，因此重要的是要启动筛查计划，然后进行特定的干预措施，以降低长期心理健康风险。
