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在 COVID-19 大流行时代,工作于一线的医护人员出现心理问题的风险因素:一项荟萃分析。

Risk factors of developing psychological problems among frontline healthcare professionals working in the COVID-19 pandemic era: a meta-analysis.

机构信息

Department of Mental Health, the First Hospital of Jilin University, No.1 Xinmin Road, Changchun, 130021, China.

Department of Pain Medicine, the First Hospital of Jilin University, No.1 Xinmin Road, Changchun, 130021, China.

出版信息

BMC Public Health. 2023 Oct 12;23(1):1991. doi: 10.1186/s12889-023-16820-3.

Abstract

BACKGROUND

This study sought to evaluate the risk factors behind developing psychological problems as per specific mental health assessment instruments. This study focuses specifically on frontline healthcare professionals of the COVID-19 pandemic era, and evaluated the psychological assessment of frontline healthcare professionals.

METHODS

Studies reporting on the psychological assessment of frontline healthcare professionals were retrieved from the PubMed, Embase, Web of Science, Ovid, EBSCO, and Cochrane Library databases. The recommended method was used to assess the risk of bias of the included studies. The random-effects method was applied when significant heterogeneity was observed.

RESULTS

The combined results from the 20 included articles indicated that frontline healthcare professionals had a higher risk of developing anxiety in comparison with non-frontline healthcare workers, with similar levels of depression scoring were observed. Healthcare providers aged > 40 years had a lower probability of developing anxiety and seemed to experience minimal depression. Conversely, frontline workers had a higher incidence of anxiety than that of depression. Being single (not in a relationship) could influence the PHQ-9 scores instead of those concerning the GAD-7. The gender gap was not proven to be significantly wide between healthcare professionals with or without anxiety; however, being male was proven to be positively correlated with depression.

CONCLUSION

In general, the risk factors for susceptibility to psychological problems among frontline healthcare professionals during the COVID-19 pandemic concerned those of a lower age, being single, being male, and being engage in frontline healthcare work.

摘要

背景

本研究旨在通过特定的心理健康评估工具评估产生心理问题的风险因素。本研究专门针对 COVID-19 大流行时代的一线医护人员,并评估了一线医护人员的心理评估。

方法

从 PubMed、Embase、Web of Science、Ovid、EBSCO 和 Cochrane Library 数据库中检索报道一线医护人员心理评估的研究。使用推荐的方法评估纳入研究的偏倚风险。当观察到显著异质性时,应用随机效应方法。

结果

20 篇纳入文章的综合结果表明,与非一线医护人员相比,一线医护人员焦虑的发病风险更高,抑郁评分相似。年龄>40 岁的医护人员焦虑发生的可能性较低,似乎抑郁程度较轻。相反,一线工作人员的焦虑发生率高于抑郁发生率。单身(没有恋爱关系)可能会影响 PHQ-9 评分,而不是 GAD-7 评分。没有证据表明医护人员中是否存在焦虑的性别差异很大;然而,男性与抑郁呈正相关。

结论

一般来说,COVID-19 大流行期间一线医护人员易患心理问题的风险因素与年龄较小、单身、男性和从事一线医护工作有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7972/10571421/7bb02b6c2c26/12889_2023_16820_Fig1_HTML.jpg

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