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应对 COVID-19 大流行带来的心理社会、组织和环境压力源及其对一线工作人员心理健康和福祉的影响:文献综述。

Addressing Psychosocial, Organizational, and Environmental Stressors Emerging From the COVID-19 Pandemic and Their Effect on Essential Workers' Mental Health and Well-being: A Literature Review.

机构信息

From the Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (E.H.W., Y.Z., M.F.D.); Institute for Health and Productivity Studies, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (E.C.R., K.B.K., R.Z.G.); Division of Infectious Diseases, Department of Molecular and Comparative Pathobiology, Johns Hopkins School of Medicine, Baltimore, Maryland (M.F.D.); Johns Hopkins P.O.E. Total Worker Health Center in Mental Health, Baltimore, Maryland (E.H.W., Y.Z., E.C.R., K.B.K., M.F.D., R.Z.G.).

出版信息

J Occup Environ Med. 2023 May 1;65(5):419-427. doi: 10.1097/JOM.0000000000002802. Epub 2023 Jan 25.

Abstract

OBJECTIVE

This study aimed to identify stressors faced by essential workers amid the coronavirus disease pandemic and effective interventions mitigating these stressors.

METHODS

We reviewed literature on psychosocial, organizational, and environmental stressors faced by essential workers during the pandemic, the consequences of those stressors, and interventions to improve worker health and well-being.

FINDINGS

Stressors included elevated risk of coronavirus disease 2019 exposure, fear of spreading the virus, lack of social and organizational supports, and financial insecurity. Negative outcomes included burnout, depression, and high turnover. Promising interventions included robust safety protocols, increased wages, childcare benefits, enhanced access to mental health services, and frequent leadership communications.

CONCLUSION

Stress has taken a heavy toll on essential workers' physical and emotional health, productivity, and job satisfaction. To effectively protect Total Worker Health, employers should adopt evidence-based interventions promoting psychosocial, organizational, and environmental health and safety.

摘要

目的

本研究旨在识别冠状病毒病大流行期间基本工作人员面临的压力源,以及减轻这些压力源的有效干预措施。

方法

我们回顾了有关基本工作人员在大流行期间面临的心理社会、组织和环境压力源、这些压力源的后果以及改善工人健康和福祉的干预措施的文献。

发现

压力源包括感染 2019 年冠状病毒病的风险增加、担心传播病毒、缺乏社会和组织支持以及经济不安全。负面结果包括倦怠、抑郁和高离职率。有希望的干预措施包括强化安全协议、增加工资、儿童保育福利、加强获得心理健康服务的机会以及频繁的领导层沟通。

结论

压力对基本工作人员的身心健康、生产力和工作满意度造成了沉重打击。为了有效保护全面工人健康,雇主应采用基于证据的干预措施,促进心理社会、组织和环境健康与安全。

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