An Soo Young, Ok Jong Sun, Kim Hyeongsu
Department of Emergency Department, Konkuk University Medical Center, Seoul, Republic of Korea.
Department of Nursing, Konkuk University, Chungju-si, Republic of Korea.
Health Psychol Behav Med. 2023 Feb 24;11(1):2182306. doi: 10.1080/21642850.2023.2182306. eCollection 2023.
Due to the prolonged period of COVID-19, the uncertainty related to COVID-19 is bound to increase for healthcare workers (HCWs) in tertiary medical institutions as much as for the HCWs in dedicated hospitals.
To assess anxiety, depression, and uncertainty appraisal, and to determine the factors affecting uncertainty risk and opportunity appraisal experienced by HCWs at the forefront of COVID-19 treatment.
This was a descriptive, cross-sectional study. The participants were HCWs at a tertiary medical center in Seoul. HCWs included medical (doctors, nurses) and non-medical (nutritionists, pathologists, radiologists, office workers, etc.) personnel. Self-reported structured questionnaires (patient health questionnaire, generalized anxiety disorder scale, and uncertainty appraisal) were obtained. Finally, responses from 1337 people were used to evaluate factors affecting uncertainty risk and opportunity appraisal using a quantile regression analysis.
The average ages of medical and non-medical HCWs were 31.69 ± 7.87 and 38.66 ± 11.42 years, and the proportion of females was high. The rates of moderate to severe depression (23.23%) and anxiety (6.83%) were higher in medical HCWs. The uncertainty risk score was higher than the uncertainty opportunity score for all the HCWs. Factors that increased uncertainty opportunity were a decrease in depression in medical HCWs and a decrease in anxiety in non-medical HCWs. Increase in age was directly proportional to uncertainty opportunity in both groups.
There is a need to devise a strategy to reduce uncertainty among HCWs who inevitably face various infectious diseases that appear in the near future. In particular, since there are various types of non-medical as well as medical HCWs in medical institutions who can prepare an intervention plan that comprehensively considers the characteristics of each occupation and the distribution of risks and opportunities of uncertainty will be able to improve the quality of life of HCWs and further promote the health of the people.
由于新冠疫情持续时间较长，三级医疗机构的医护人员与专科医院的医护人员一样，必然会面临与新冠疫情相关的不确定性增加的情况。
评估焦虑、抑郁和不确定性评估，并确定影响新冠疫情治疗一线医护人员不确定性风险和机遇评估的因素。
这是一项描述性横断面研究。参与者是首尔一家三级医疗中心的医护人员。医护人员包括医疗人员（医生、护士）和非医疗人员（营养师、病理学家、放射科医生、办公室工作人员等）。采用自填式结构化问卷（患者健康问卷、广泛性焦虑障碍量表和不确定性评估）。最后，使用1337人的回复，通过分位数回归分析评估影响不确定性风险和机遇评估的因素。
医疗和非医疗医护人员的平均年龄分别为31.69±7.87岁和38.66±11.42岁，女性比例较高。医疗医护人员中中度至重度抑郁（23.23%）和焦虑（6.83%）的发生率较高。所有医护人员的不确定性风险得分高于不确定性机遇得分。增加不确定性机遇的因素包括医疗医护人员抑郁程度的降低和非医疗医护人员焦虑程度的降低。年龄的增加与两组的不确定性机遇成正比。
有必要制定一项策略，以减少不可避免地面临近期出现的各种传染病的医护人员的不确定性。特别是，由于医疗机构中有各种类型的非医疗以及医疗医护人员，制定一个全面考虑每个职业特点以及不确定性风险和机遇分布的干预计划，将能够提高医护人员的生活质量，并进一步促进民众的健康。
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