Lohela-Karlsson Malin, Condén Mellgren Emelie
Department of Public Health and Caring Sciences-Health Services Research, Uppsala University, P.O. Box 564, SE-751 22 Uppsala, Sweden.
Centre for Clinical Research, Region Västmanland-Uppsala University, Hospital of Västmanland, SE-721 89 Vasteras, Sweden.
Healthcare (Basel). 2022 Dec 15;10(12):2540. doi: 10.3390/healthcare10122540.
Health consequences have been reported among health-care workers (HCWs) exposed to COVID-19. Sweden chose to manage the pandemic with a lower and more equal long-lasting work strain and shorter periods of recovery than in other countries. Few studies have examined the health consequences among HCWs working in such conditions. This study compared the health consequences after the first wave of the COVID-19 pandemic between HCWs involved in the care of COVID-19 patients and other HCWs and between occupational groups working in COVID-19 care. Multinomial logistic regression and univariate general linear models were used to identify differences. The levels of depression, emotional and physical fatigue, sleep quality, and general health were measured 6 months after the onset of the pandemic in 3495 HCW employed in Sweden. HCWs directly involved in COVID-19 care reported significantly poorer sleep quality and higher scores on emotional and physical exhaustion than those not involved in such care. Health consequences did not differ significantly between different occupational groups involved in COVID-19 care except for specialist nurses/midwives. HCWs more frequently involved in COVID-19 care reported higher levels of emotional and physical fatigue and poorer sleep but less severe than those reported in more severely affected countries.
据报道，接触新冠病毒的医护人员出现了健康问题。与其他国家相比，瑞典选择以更低且更均衡的长期工作压力以及更短的恢复期来应对疫情。很少有研究考察在这种条件下工作的医护人员的健康后果。本研究比较了在新冠疫情第一波期间，参与新冠患者护理的医护人员与其他医护人员之间，以及从事新冠护理工作的不同职业群体之间的健康后果。使用多项逻辑回归和单变量一般线性模型来确定差异。在瑞典受雇的3495名医护人员中，在疫情爆发6个月后测量了他们的抑郁水平、情绪和身体疲劳程度、睡眠质量以及总体健康状况。直接参与新冠护理的医护人员报告称，其睡眠质量明显较差，情绪和身体疲惫得分更高，而未参与此类护理的医护人员则不然。除专科护士/助产士外，参与新冠护理的不同职业群体之间的健康后果没有显著差异。更频繁参与新冠护理的医护人员报告称情绪和身体疲劳程度更高、睡眠更差，但比受影响更严重国家报告的情况要轻。
