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[新冠疫情大流行第二年拉丁美洲医护人员所受心理影响:横断面调查研究]

[Psychological Impact of COVID-19 on Health Workers During the Second Year of the Pandemic in Latin America: Cross-Sectional Survey Study].

作者信息

Caldichoury Nicole, García-Roncallo Paola, Saldías Carol, Zurita Boris, Castellanos Cesar, Herrera-Pino Jorge, Soto-Añari Marcio, Porto María F, Quispe-Rodríguez Indalecio, Florez Yuliana, Castillo-Tamara Edgar, Díaz Maria Cecilia, Coronado-López Juancarlos, Gaitan-Quintero Gustavo, Pabón-Moreno Alexander, Ocampo-Barba Ninoska, Martínez-Pérez Juan, Gargiulo Pascual A, Quispe-Ayala Cesar, Camposano-Córdova Alvaro, Escorcia-Villarreal Jahaira, Ripoll-Cordoba Daniela, Camargo Loida, López Norman

机构信息

Universidad de Los Lagos, Osorno, Chile.

Universidad de la Costa, Barranquilla, Colombia.

出版信息

Rev Colomb Psiquiatr. 2023 Apr 14. doi: 10.1016/j.rcp.2023.04.010.

Abstract

INTRODUCTION

The coronavirus pandemic continues to affect the mental health of healthcare personnel in Latin America (LA).

OBJECTIVE

To estimate the prevalence of psychological disturbances and associated risk factors for mental health in healthcare personnel in LA during the second year of the COVID-19 pandemic.

METHOD

This multicenter cross-sectional study included a total sample of 5437 healthcare professionals from Argentina, Bolivia, Chile, Colombia, Ecuador, and Peru. The PHQ-9, GAD-7, and a brief demographic questionnaire were used. The prevalence of anxiety and depression was estimated based on the cut-off points of the instruments. Two multivariate logistic regressions were performed.

RESULTS

A population burden of anxiety (40.1%) and depression (62.2%) was found in healthcare personnel in LA. Among professionals in Argentina (OR = 1.374; <.001), those working in state hospitals (OR = 1.536; <.003), frontline healthcare workers for COVID patients (OR = 1.848; <.001), general practitioners (OR = 1.335; <.001), and specialists (OR = 1.298; <.001), a higher risk of experiencing mental disorders was observed. Among women, younger personnel, and administrative staff, a higher probability of experiencing anxiety and depression was identified.

CONCLUSIONS

The burden of mental disorders on healthcare personnel in Latin America is alarming. Psychological support services are necessary, aimed at providing measures for professionals to develop healthy coping mechanisms that mitigate the impact of the pandemic on their well-being and facilitate post-crisis adjustment.

摘要

引言

冠状病毒大流行继续影响拉丁美洲医护人员的心理健康。

目的

估计在新冠疫情大流行的第二年,拉丁美洲医护人员心理障碍的患病率及心理健康的相关风险因素。

方法

这项多中心横断面研究纳入了来自阿根廷、玻利维亚、智利、哥伦比亚、厄瓜多尔和秘鲁的5437名医护专业人员的总样本。使用了患者健康问卷-9(PHQ-9)、广泛性焦虑障碍量表(GAD-7)和一份简短的人口统计学问卷。根据这些工具的临界值估计焦虑和抑郁的患病率。进行了两个多变量逻辑回归分析。

结果

发现拉丁美洲医护人员存在焦虑(40.1%)和抑郁(62.2%)的人群负担。在阿根廷的专业人员中(优势比[OR]=1.374;P<.001)、在公立医院工作的人员中(OR=1.536;P<.003)、新冠患者一线医护人员中(OR=1.848;P<.001)、全科医生中(OR=1.335;P<.001)以及专科医生中(OR=1.298;P<.001),观察到患精神障碍的风险更高。在女性、年轻人员和行政人员中,发现患焦虑和抑郁的可能性更高。

结论

拉丁美洲医护人员的精神障碍负担令人担忧。心理支持服务是必要的,旨在为专业人员提供措施,以发展健康的应对机制,减轻疫情对其幸福感的影响,并促进危机后的调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e92c/10103623/2fa4857bc459/gr1_lrg.jpg

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