Division of Neuropsychiatry, Medical Science Center, Universidade Federal de Pernambuco, 1235 Moraes Rego Av, Cidade Universitária, Recife, 50670-901, Brazil.
Medical School, Uninassau, Recife, Brazil.
Hum Resour Health. 2023 Feb 14;21(1):10. doi: 10.1186/s12960-022-00790-5.
The reorganization of healthcare systems to face the COVID-19 pandemic has led to concerns regarding psychological distress of healthcare workers, and training requirements of physician residents.
To assess the influence of COVID-19 pandemic on depression, anxiety, burnout and training schedules of residents.
Two independent cross-sectional studies (the first in November 2019 [control], the second in June 2020, during the first wave of COVID-19 pandemic) enrolling physician residents from Brazil, using online surveys. In each of them, we collected demographic and training program data, and assessed depression, anxiety and burnout through PHQ-2, GAD-2 and MBI (2-item version) scales, respectively. We controlled confounding variables with logistic regression analysis.
The COVID-19 cohort (n = 524) presented a briefer workload and had at least 1 day off per week more frequently, in relation to the control cohort (n = 1 419). The majority of residents (464/524, 89.5%) had a reduction in their duty hours, and believed they would need an extra training period after the end of the pandemic (399/524, 76.2%). The frequency of depression increased (46.0% vs. 58.8%, aOR = 1.64, 95% CI = 1.32-2.05), anxiety did not change (56.5% vs. 56.5%, aOR = 1.24, 95% CI = 0.99-1.55) and burnout decreased (37.0% vs. 26.1%, aOR = 0.77, 95% CI = 0.60-0.99). Sensitivity analysis did not change these results.
Mental distress is frequent among residents and associated with both training program and social environments. The consequences of the COVID-19 pandemic on training requirements should be specifically addressed by supervisors and policymakers, in a case-by-case basis. Psychological support must be provided to healthcare workers.
为应对 COVID-19 大流行而对医疗保健系统进行的重组，引发了人们对医护人员心理困扰和住院医师培训需求的关注。
评估 COVID-19 大流行对住院医师抑郁、焦虑、倦怠和培训计划的影响。
两项独立的横断面研究（第一项于 2019 年 11 月[对照]进行，第二项于 2020 年 6 月进行，正值 COVID-19 大流行的第一波），招募来自巴西的住院医师，使用在线调查。在每一项研究中，我们收集了人口统计学和培训计划数据，并分别通过 PHQ-2、GAD-2 和 MBI（2 项版本）量表评估抑郁、焦虑和倦怠。我们使用逻辑回归分析控制混杂变量。
COVID-19 队列（n=524）的工作量较短，每周至少有 1 天休息的频率较对照队列（n=1419）更高。大多数住院医师（464/524，89.5%）减少了工作时间，并认为他们在大流行结束后需要额外的培训期（399/524，76.2%）。抑郁的频率增加（46.0%比 58.8%，aOR=1.64，95%CI=1.32-2.05），焦虑没有变化（56.5%比 56.5%，aOR=1.24，95%CI=0.99-1.55），倦怠程度降低（37.0%比 26.1%，aOR=0.77，95%CI=0.60-0.99）。敏感性分析没有改变这些结果。
住院医师中精神困扰很常见，与培训计划和社会环境都有关。监管者和决策者应根据具体情况专门解决 COVID-19 大流行对培训需求的影响。必须为医护人员提供心理支持。
