Romero Carolina Soledad, Otero Maria, Lozano Manuel, Delgado Carlos, Benito Ana, Catala Juan, Iftimi Adina, De Andres Jose, Luedi Markus M
Anesthesia, Critical Care and Pain Department, Hospital General Universitario de Valencia, Valencia, Spain.
Research Methodology Department, Universidad Europea de Valencia, Valencia, Spain.
Front Med (Lausanne). 2023 Jan 11;9:969734. doi: 10.3389/fmed.2022.969734. eCollection 2022.
The pandemic caused by a coronavirus (COVID-19) has shocked healthcare systems worldwide. However, the psychological stressors remain unclear. The objective of this study was to assess the impact of a major pandemic on healthcare workers. We hypothesized that exposure to the virus would be the primary cause of psychological stress perceived by healthcare workers.
A national cross-sectional study conducted an online questionnaire was distributed between April 9 and April 19, 2020 with a non-probabilistic sample technique. A structural equation model (SEM) was built with the variable "exposure to the virus" and the Psychological Stress and Adaptation at work Score (PSAS). "Exposure to the virus" was defined as the combined factors of 'personal-sphere', "work-related stress" and "hospital characteristics." A generalized linear model (GLM) was also tested.
A total of 2,197 participants filled in the questionnaire and were analyzed. The exploratory factor analysis showed statistically significant variables related to the personal-sphere, work-related stress and the hospital's characteristics, although the confirmatory factor analysis showed only the work-related stress factors to be significant. The GLM showed that personal-sphere-related variables ( < .001), stress at work ( < 0.001) and age ( < 0.001) were statistically significant.
Physical exposure to the virus is an essential factor that contributes to the psychological impact perceived during the pandemic by healthcare professionals. A combination of personal-sphere variables, work-related stress and hospital characteristics is a significant factor correlating with the degree of stress measured by PSAS, a new and fast instrument to assess stress in healthcare workers.
由冠状病毒引起的大流行（COVID-19）震惊了全球医疗系统。然而，心理压力源仍不明确。本研究的目的是评估重大疫情对医护人员的影响。我们假设接触病毒是医护人员感知到心理压力的主要原因。
一项全国性横断面研究采用非概率抽样技术，于2020年4月9日至4月19日期间发放在线问卷。构建了一个结构方程模型（SEM），变量为“接触病毒”和工作中的心理压力与适应得分（PSAS）。“接触病毒”被定义为“个人领域”、“工作相关压力”和“医院特征”的综合因素。还测试了广义线性模型（GLM）。
共有2197名参与者填写了问卷并进行了分析。探索性因素分析显示与个人领域、工作相关压力和医院特征相关的变量具有统计学意义，尽管验证性因素分析仅显示工作相关压力因素具有显著性。广义线性模型显示，与个人领域相关的变量（<0.001）、工作压力（<0.001）和年龄（<0.001）具有统计学意义。
接触病毒是导致医护人员在疫情期间感受到心理影响的一个重要因素。个人领域变量、工作相关压力和医院特征的综合是与PSAS测量的压力程度相关的一个重要因素，PSAS是一种评估医护人员压力的新型快速工具。
