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剖析专业网络:了解新冠疫情后期与工作相关的因素对医护人员心理健康的影响。

Untangling the Professional Web: Understanding the Impact of Work-Related Factors on the Mental Health of Healthcare Professionals During the Late Stages of Covid-19 Pandemic.

作者信息

Laza Ruxandra, Lustrea Anca, Lazureanu Voichita Elena, Marinescu Adelina Raluca, Nicolescu Narcisa, Herlo Alexandra, Cut Talida Georgiana, Porosnicu Tamara Mirela, Papava Ion, Romosan Radu Stefan, Romosan Ana-Maria, Bondrescu Mariana, Dimeny Cristian Zoltan, Nica-Bacaiteanu Cristina Bianca, Andor Minodora, Dehelean Liana

机构信息

Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy Timisoara, Timisoara, Romania.

Department of Educational Sciences, University Clinic of Therapies and Psycho-Pedagogical Counseling, West University of Timisoara, Timisoara, Romania.

出版信息

J Multidiscip Healthc. 2023 Aug 17;16:2391-2404. doi: 10.2147/JMDH.S424563. eCollection 2023.

Abstract

PURPOSE

The COVID-19 pandemic has determined an extraordinary challenge to healthcare systems worldwide. The extraordinary circumstances, characterized by elevated stress levels, prolonged working hours, new medical procedures, media attention, and high population expectations, have created an extremely stressful situation for healthcare professionals. This period has offered a unique opportunity to examine the medical system and the responses of healthcare practitioners to stress. This research aimed to identify the work-related factors that significantly impact the mental health of healthcare professionals.

PATIENTS AND METHODS

Three mental health variables were assessed: anxiety, depression and stress. The work-related factors considered were professional degree, type of medical unit (COVID or non-COVID), the number of hours spent at work in a single shift, type of shifts, monthly on-call frequency, and number of COVID-19 treated patients per month. In the spring of 2022, three inventories and a demographic survey were distributed and completed online by 300 healthcare professionals from Timisoara's public hospitals in Romania.

RESULTS

Among the respondents, 47.7% reported mild symptoms of anxiety, 65.3% reported moderate levels of stress, and 33% of the participants reported mild symptoms of depression. The intensity of anxious, depressive, and stress symptoms varied significantly depending on the professional degree, number of on-calls per month, the type of medical unit where the participants worked, and the number of SARS CoV-2 patients treated in the previous month.

CONCLUSION

Current data underlines the urgency of implementing effective strategies to reduce the stress and anxiety of medical practitioners who work with COVID-19 patients. Possible interventions encompass a variety of approaches, such as improving working conditions, reducing working hours where possible, increasing access to mental health services, and promoting team-building activities to enhance social support among colleagues. Digital mental health interventions, including online counseling and stress management programs, have also shown promise in these challenging times. Sustaining the mental health of medical practitioners is vital to support the continued provision of first-rate care to patients and to build a resilient healthcare workforce capable of navigating future health crises.

摘要

目的

新冠疫情给全球医疗系统带来了巨大挑战。这种特殊情况的特点是压力水平升高、工作时间延长、出现新的医疗程序、受到媒体关注以及民众期望很高,给医护人员造成了极大的压力环境。这段时期为审视医疗系统以及医护人员对压力的应对方式提供了独特契机。本研究旨在确定对医护人员心理健康有显著影响的工作相关因素。

患者与方法

评估了三个心理健康变量:焦虑、抑郁和压力。所考虑的工作相关因素包括专业学位、医疗科室类型(新冠科室或非新冠科室)、单次轮班工作时长、轮班类型、每月值班频率以及每月治疗的新冠患者数量。2022年春季,向罗马尼亚蒂米什瓦拉公立医院的300名医护人员在线发放并完成了三份调查问卷和一份人口统计学调查。

结果

在受访者中,47.7%报告有轻度焦虑症状,65.3%报告有中度压力水平,33%的参与者报告有轻度抑郁症状。焦虑、抑郁和压力症状的强度因专业学位、每月值班次数、参与者工作的医疗科室类型以及前一个月治疗的新冠病毒患者数量而有显著差异。

结论

当前数据凸显了实施有效策略以减轻治疗新冠患者的医护人员压力和焦虑的紧迫性。可能的干预措施包括多种方法,如改善工作条件、尽可能减少工作时间、增加获得心理健康服务的机会以及开展团队建设活动以增强同事间的社会支持。在这些充满挑战的时期,包括在线咨询和压力管理项目在内的数字心理健康干预措施也显示出了前景。维持医护人员的心理健康对于持续为患者提供一流护理以及建立一支能够应对未来健康危机的有韧性医疗队伍至关重要。

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