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土耳其在新冠肺炎大流行期间医护人员对心理健康服务需求的认知:一项多中心横断面研究。

Perceived Need for Mental Health Services Among Healthcare Workers During the Coronavirus Disease-19 Pandemic in Turkey: A Multicenter Cross-sectional Study.

机构信息

Clinic of Occupational Diseases, Ankara Gazi Mustafa Kemal Occupational and Environmental Diseases Hospital, Ankara, Turkey

Department of Chest Diseases, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey

出版信息

Balkan Med J. 2023 Jul 12;40(4):262-270. doi: 10.4274/balkanmedj.galenos.2023.2022-12-5. Epub 2023 Apr 19.

DOI:10.4274/balkanmedj.galenos.2023.2022-12-5
PMID:37073176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10339843/
Abstract

BACKGROUND

The coronavirus disease-2019 pandemic has contributed to work-related psychosocial risks in healthcare workers.

AIMS

To evaluate the perceived need for mental health services and related factors in Turkish healthcare workers practicing in pandemic hospitals.

STUDY DESIGN

Cross-sectional study.

METHODS

Data were collected from face-to-face interviews with healthcare workers at 19 pandemic hospitals in 13 provinces between September and November 2021. The study survey included the evaluation of the perceived need for and utilization of mental health services in the previous year, as well as sociodemographic, health-related, and work-related characteristics, the General Health Questionnaire-12, the World Health Organization Quality of Life-BREF (WHOQoL-BREF) questionnaire, and the Fear of coronavirus disease-2019 scale (FCV-19S).

RESULTS

Of 1,556 participants, 522 (33.5%) reported a perceived need for mental health services, but only 133 (8.5%) reported receiving these services. Multiple logistic regression analysis of the perceived need for mental health services revealed significant relationships with lower age, female sex, being a current smoker, having a chronic disease, having a mental disorder, coronavirus disease-2019 contact within the last three months in settings other than the home or workplace, a positive coronavirus disease-2019 vaccination history, being a physician, being a non-physician healthcare professional, and coronavirus disease-2019 contact within the last three months at work. After adjustment for these characteristics, higher General Health Questionnaire-12 and FCV-19S scores and lower WHOQoL-BREF domain scores were related to the perceived need for mental health services in logistic regression analyses.

CONCLUSION

The findings indicate a substantial need for mental health services amongst Turkish healthcare workers during the pandemic and outline participants’ characteristics regarding high-priority groups for the intervention. Future research may focus on developing actions and evaluating their efficiency.

摘要

背景

2019 年冠状病毒病大流行给医护人员带来了与工作相关的心理社会风险。

目的

评估在大流行医院工作的土耳其医护人员对心理健康服务的感知需求及相关因素。

研究设计

横断面研究。

方法

2021 年 9 月至 11 月,在 13 个省的 19 家大流行医院对医护人员进行面对面访谈收集数据。研究调查包括前一年对心理健康服务的感知需求和利用情况,以及社会人口统计学、健康相关和工作相关特征、一般健康问卷-12、世界卫生组织生活质量简表(WHOQoL-BREF)问卷和对 2019 年冠状病毒病的恐惧量表(FCV-19S)。

结果

在 1556 名参与者中,有 522 名(33.5%)报告了对心理健康服务的需求,但只有 133 名(8.5%)报告了接受这些服务。多因素逻辑回归分析显示,对心理健康服务的需求与年龄较小、女性、当前吸烟者、患有慢性病、患有精神障碍、过去三个月在家庭或工作场所以外的环境中接触过 2019 年冠状病毒病、有积极的 2019 年冠状病毒病疫苗接种史、是医生、是非医师医护人员以及过去三个月在工作中接触过 2019 年冠状病毒病有关。在调整这些特征后,一般健康问卷-12 和 FCV-19S 评分较高和 WHOQoL-BREF 各领域评分较低与逻辑回归分析中的对心理健康服务的需求相关。

结论

这些发现表明,在大流行期间,土耳其医护人员对心理健康服务有很大的需求,并概述了参与者在高优先级干预组方面的特征。未来的研究可能侧重于制定行动并评估其效率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff5/10339843/32f6e4fa981f/BMJ-40-262-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff5/10339843/8f0ecef09851/BMJ-40-262-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff5/10339843/32f6e4fa981f/BMJ-40-262-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff5/10339843/8f0ecef09851/BMJ-40-262-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff5/10339843/32f6e4fa981f/BMJ-40-262-g2.jpg

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