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埃及新冠疫情期间三级儿科护理医院新生儿重症监护病房医护人员的压力

Stress among health care providers in NICU department, tertiary pediatric care hospital during COVID-19 pandemic in Egypt.

作者信息

Hegazy Amira Aly, Abdel Hamid Tamer A, Zein Marwa M, Aboushady Ahmed Taha, Akmal Dina M

机构信息

Public Health and Community Medicine Department, Kasr Alainy School of Medicine, Cairo University, Cairo, Egypt.

Pediatrics Department, Kasr Alainy School of Medicine, Cairo University, Cairo, Egypt.

出版信息

J Public Health Res. 2023 Jan 20;12(1):22799036221147095. doi: 10.1177/22799036221147095. eCollection 2023 Jan.

Abstract

BACKGROUND

Many of the pediatric health care workers (HCWs) suffered from sleep disturbance, anxiety, and potential stress disorder during the COVID-19 pandemic. Work-related stress is a potential cause of concern in HCWs and is associated with decreased job satisfaction, anxiety, depression, medical errors, and near misses. This study aims to investigate the various psychological consequences on medical personnel working in the neonatal intensive care unit (NICU) in the context of the COVID-19 pandemic.

DESIGN AND METHODS

A cross-sectional analytical study was conducted on a convenient sample of doctors and nurses working in NICU in pediatric hospitals at Cairo University teaching hospitals, Egypt. Two anonymous self-administered validated questionnaires were used to assess the level of stress, and the COVID-19 Rapid Quantitative Assessment Tool to assess the knowledge, attitude, and perception about COVID-19.

RESULTS

Among 96 participants, 66.7% were nurses, and 33.3% were physicians, 79.2% of the participants showed a reasonably safe level of stress. The mean work stress score was 43.89 ± 5.77. The mean score for commonly experienced stress symptoms was 7.53 ± 4.54, median 7, IQR (4, 10). Females and physicians were found to be with a statistically significantly higher median score of commonly experienced stress symptoms than males (-value < 0.001 and 0.028 simultaneously).

CONCLUSION

While such descriptive research provides valuable information on the scope of the problem, a strong theoretical framework is required to interpret these findings appropriately and develop preventive and therapeutic strategies. Particular attention should be warranted to the mental health well-being of women treating patients with COVID-19.

摘要

背景

在新冠疫情期间,许多儿科医护人员都遭受了睡眠障碍、焦虑和潜在的应激障碍。工作相关压力是医护人员潜在的担忧原因,与工作满意度下降、焦虑、抑郁、医疗差错及险些发生的差错有关。本研究旨在调查在新冠疫情背景下,新生儿重症监护病房(NICU)工作的医务人员所面临的各种心理影响。

设计与方法

对埃及开罗大学教学医院儿科医院NICU工作的医生和护士进行了一项横断面分析研究,选取了一个方便样本。使用两份匿名的自我管理有效问卷来评估压力水平,并使用新冠快速定量评估工具来评估对新冠的知识、态度和认知。

结果

在96名参与者中,66.7%是护士,33.3%是医生,79.2%的参与者表现出合理的安全压力水平。工作压力平均得分为43.89±5.77。常见压力症状的平均得分为7.53±4.54,中位数为7,四分位间距为(4,10)。发现女性和医生常见压力症状的中位数得分在统计学上显著高于男性(P值同时<0.001和0.028)。

结论

虽然此类描述性研究提供了有关问题范围的有价值信息,但需要一个强大的理论框架来恰当地解释这些发现并制定预防和治疗策略。应特别关注治疗新冠患者的女性的心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/9869206/989f50f5b3b6/10.1177_22799036221147095-fig1.jpg

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