新冠疫情时代波兰医护人员的创伤后应激障碍
Post-Traumatic Stress Disorder among Polish Healthcare Staff in the Era of the COVID-19 Pandemic.
作者信息
Kobelski Grzegorz, Naylor Katarzyna, Ślusarz Robert, Wysokiński Mariusz
机构信息
Institute of Medical Sciences, University College of Applied Sciences in Chelm, Pocztowa 54, 22-100 Chełm, Poland.
Chair and Department of Didactics and Medical Simulation, Faculty of Medical Sciences, Medical University of Lublin Poland, Chodźki 7, 20-093 Lublin, Poland.
出版信息
J Clin Med. 2023 Jun 15;12(12):4072. doi: 10.3390/jcm12124072.
INTRODUCTION
The COVID-19 pandemic has brought many adverse phenomena, particularly in the area of health for both individuals and society as a whole. Healthcare staff also suffered dire consequences.
AIM
The aim of this study was to assess whether the COVID-19 pandemic increased the risk of post-traumatic stress disorder among healthcare professionals in Poland.
MATERIAL AND METHOD
The survey was conducted between 4 April 2022 and 4 May 2022. The study applied the Computer Assisted Web Interview (CAWI) technique using the standardised Peritraumatic Distress Inventory (PDI) questionnaire.
RESULTS
The average score obtained by the respondents on the PDI was 21.24 ± 8.97. There was a statistically significant difference between the average PDI score obtained based on the gender of the subject (Z = 3.873, = 0.0001.) The score obtained amongst nurses was statistically significantly higher compared to the paramedic group (H = 6.998, = 0.030). There was no statistically significant difference between the average PDI score obtained based on the age of the participants (F = 1.282, = 0.281), nor with their length of service (F = 0.934, = 0.424). A total of 82.44% of the respondents received 14 PDI points, the cut-off point indicating the risk of PTSD that was adopted in the study. It was concluded that 6.12% of respondents did not require intervention (<7 PDI score); 74.28% of respondents needed further follow-up for PTSD and a reassessment of the PDI approximately 6 weeks after the initial testing; and 19.59% required coverage for PTSD prevention and mitigation (>28 PDI score).
CONCLUSIONS
The study has shown a high risk of post-traumatic stress disorder among healthcare professionals in Poland. This risk is related to the gender of the respondents, with an indication of a higher risk of PTSD among women. The results have also shown a correlation between increased risk of post-traumatic stress disorder and occupation, with nurses being the most affected group. In contrast, no association has been found in terms of age and length of service for an increase in the risk of PTSD, following exposure to trauma in relation to healthcare services during the COVID-19 pandemic.
引言
新冠疫情带来了许多不良现象，尤其是在个人和整个社会的健康领域。医护人员也遭受了严重后果。
目的
本研究的目的是评估新冠疫情是否增加了波兰医护人员患创伤后应激障碍的风险。
材料与方法
调查于2022年4月4日至2022年5月4日进行。该研究采用计算机辅助网络访谈（CAWI）技术，使用标准化的创伤时苦恼量表（PDI）问卷。
结果
受访者在PDI上获得的平均分数为21.24±8.97。根据受试者性别获得的平均PDI分数之间存在统计学显著差异（Z = 3.873，P = 0.0001）。护士获得的分数与护理人员组相比在统计学上显著更高（H = 6.998，P = 0.030）。根据参与者年龄获得的平均PDI分数之间没有统计学显著差异（F = 1.282，P = 0.281），与他们的服务年限也没有差异（F = 0.934，P = 0.424）。共有82.44%的受访者获得了14分的PDI分数，该分数是本研究中采用的表明创伤后应激障碍风险的临界点。得出的结论是，6.12%的受访者不需要干预（PDI分数<7）；74.28%的受访者需要对创伤后应激障碍进行进一步随访，并在初次测试后约6周重新评估PDI；19.59%的受访者需要进行创伤后应激障碍的预防和缓解（PDI分数>28）。
结论
该研究表明波兰医护人员患创伤后应激障碍的风险很高。这种风险与受访者的性别有关，表明女性患创伤后应激障碍的风险更高。结果还显示创伤后应激障碍风险增加与职业之间存在相关性，护士是受影响最大的群体。相比之下，在新冠疫情期间接触与医疗服务相关的创伤后，未发现创伤后应激障碍风险增加与年龄和服务年限之间存在关联。
Zotero 插件