University of Helsinki, Helsinki, Finland (Faculty of Medicine).
Helsinki University Hospital (HUS), Helsinki, Finland (Clinical Research Institute HUCH).
Int J Occup Med Environ Health. 2022 Dec 15;35(6):707-718. doi: 10.13075/ijomeh.1896.01940. Epub 2022 Oct 13.
The COVID-19 pandemic has caused unseen pressure on healthcare systems in many countries, jeopardizing the mental well-being of healthcare workers. The authors aimed to assess the mental well-being of Finnish healthcare workers from 2 hospital districts (Helsinki University Hospital [HUS] and Social and Health Services in Kymenlaakso [Kymsote]) with differing COVID-19 incidence rates during the first wave of the COVID-19 pandemic in spring 2020.
A total number of 996 healthcare workers (HUS N = 862, Kymsote N = 134) participated in this prospectively conducted survey study during summer 2020. Symptom criteria of self-reported mental health symptoms followed ICD-10 classification, excluding duration criteria. Participants were divided into symptom categories "often/sometimes", and "rarely/never". These groups were compared to sociodemographic factors and factors related to work, workload, and well-being.
The degree of mental health symptoms did not differ between the 2 healthcare districts despite differing COVID-19 incidences (p = 1). The authors observed a significant relationship between self-reported diagnostic mental health symptoms and experiences of insufficient instructions for protection against COVID-19 (in HUS cohort p < 0.001), insufficient recovery from work (p < 0.001), and subjective increased workload (p < 0.001).
The authors' results show the importance of well-planned and sufficient instructions for protection from SARS-CoV-2 for healthcare workers, indicating their need to feel safe and protected at work. The workload of healthcare workers should be carefully monitored to keep it moderate and ensure sufficient recovery. Sufficient control of the epidemic to keep the burden of the healthcare system low is vital for healthcare workers' well-being. Int J Occup Med Environ Health. 2022;35(6):708-18.
COVID-19 大流行给许多国家的医疗系统带来了前所未有的压力，危及医护人员的心理健康。作者旨在评估 2020 年春季 COVID-19 大流行第一波期间，来自具有不同 COVID-19 发病率的两个医院区（赫尔辛基大学医院[HUS]和社会与健康服务在 Kymenlaakso [Kymsote]）的芬兰医护人员的心理健康状况。
共有 996 名医护人员（HUS N = 862，Kymsote N = 134）参加了这项前瞻性调查研究，研究时间为 2020 年夏季。自我报告的心理健康症状的症状标准遵循 ICD-10 分类，不包括持续时间标准。参与者被分为“经常/有时”和“很少/从不”症状类别。将这些组与社会人口统计学因素以及与工作、工作量和幸福感相关的因素进行比较。
尽管 COVID-19 发病率不同，但两个医疗区的心理健康症状程度没有差异（p = 1）。作者观察到自我报告的诊断心理健康症状与对 COVID-19 保护的指令不足（在 HUS 队列中 p < 0.001）、工作恢复不足（p < 0.001）和主观增加工作量（p < 0.001）之间存在显著关系。
作者的结果表明，为医护人员制定周密且充分的 SARS-CoV-2 防护措施非常重要，这表明他们在工作中需要感到安全和受到保护。应仔细监测医护人员的工作量，以保持适度并确保有足够的恢复时间。充分控制疫情以减轻医疗系统的负担对医护人员的福祉至关重要。国际职业医学与环境卫生杂志。2022 年；35（6）：708-18。
