COVID-19 大流行对加拿大医护人员的心理影响：三项横断面调查的病例对照比较。
Psychological Impacts of the COVID-19 Pandemic on Canadian Healthcare Workers: A Case Control Comparison From Three Cross Sectional Surveys.
机构信息
From the Department of Psychology, University of Victoria, Victoria, Canada (B.J.T., B.E.W., N.K.L., T.S.E.P.); Southern Health NHS Foundation Trust, Southampton, United Kingdom (P.P., S.R.); School of Primary Care, Population Sciences, and Medical Education, Faculty of Medicine, University of Southampton, Southampton, United Kingdom (P.P.); and Faculty of Science, University of Portsmouth, Portsmouth, United Kingdom (S.R.).
出版信息
J Occup Environ Med. 2023 Sep 1;65(9):e580-e586. doi: 10.1097/JOM.0000000000002913. Epub 2023 Jun 19.
OBJECTIVE
The aim of the study is to describe mental health impacts of the COVID-19 pandemic and identify roles that predict distress among Canadian healthcare workers (HCWs).
METHODS
Using data from three cross-sectional Canadian surveys, we compared 799 HCWs to demographically matched controls and compared HCWs with and without COVID-19 patient contact. Participants completed validated measures of depression, anxiety, trauma-related stress, alcohol problems, coping self-efficacy, and sleep quality.
RESULTS
Non-HCWs reported more depression and anxiety in Fall 2020 and more alcohol problems in Fall/Winter 2021 than HCWs. In Winter 2020-2021, HCWs reported more trauma-related stress than non-HCWs. As of early 2021, HCWs with direct patient contact reported worse symptoms across nearly all measures than HCWs without.
CONCLUSIONS
Although Canadian HCWs did not report worse mental health than demographically similar peers, mental health supports are needed for HCWs providing direct patient care.
目的
本研究旨在描述 COVID-19 大流行对心理健康的影响，并确定哪些因素会导致加拿大医护人员（HCWs）出现困扰。
方法
本研究使用了来自三个加拿大横断面调查的数据，将 799 名 HCWs 与人口统计学匹配的对照组进行了比较，并比较了有和没有 COVID-19 患者接触的 HCWs。参与者完成了抑郁、焦虑、创伤相关压力、酒精问题、应对自我效能感和睡眠质量的有效测量。
结果
2020 年秋季，非 HCWs 比 HCWs 报告了更多的抑郁和焦虑，而 2020 年秋季/冬季，非 HCWs 比 HCWs 报告了更多的酒精问题。在 2020-2021 年冬季，HCWs 比非 HCWs 报告了更多的创伤相关压力。截至 2021 年初，与直接接触患者的 HCWs 相比，没有直接接触患者的 HCWs 在几乎所有指标上的症状都更差。
结论
尽管加拿大 HCWs 的心理健康状况并不比人口统计学上相似的同龄人差，但需要为提供直接患者护理的 HCWs 提供心理健康支持。
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