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新冠疫情期间上海市住院医师规范化培训学员创伤后应激障碍的患病率:一项横断面研究

Prevalence of post-traumatic stress disorder among residents of Shanghai standardized training programs during the COVID-19 outbreak: a cross-sectional study.

作者信息

Huang Ruiwen, Tang Chao, Luo Jianfeng, Li Tingting, Wang Li, Li Chang, Cao Lu, Wu Shiyu

机构信息

Department of Science and Education, RuiJin Hospital LuWan Branch, School of Medicine, Shanghai Jiaotong University, Shanghai, China.

Department of Psychiatry, Xuhui Mental Health Center, Shanghai, China.

出版信息

Front Public Health. 2023 Oct 5;11:1203333. doi: 10.3389/fpubh.2023.1203333. eCollection 2023.

DOI:10.3389/fpubh.2023.1203333
PMID:37869181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10585167/
Abstract

BACKGROUND

The COVID-19 pandemic may have increased the prevalence of psychiatric disorders, such as anxiety, depressive disorders, and post-traumatic stress disorder (PTSD), among healthcare workers.

PURPOSE

This study aims to investigate the prevalence of PTSD and its risk factors among residents in the standardized residency training programs (SRTPs) in Shanghai during the COVID-19 outbreak.

PARTICIPANTS AND METHODS

An online cross-sectional survey was conducted between December 17, 2021, and January 7, 2022, among SRPT residents from 15 hospitals in Shanghai, China. Questionnaires comprising general information, medical-related traumatic event experiences, the PTSD Checklist (PCL-5), and the perceived social support scale (PSSS) were distributed to the participants using the online Questionnaire Star electronic system.

RESULTS

We included 835 valid responses for the analysis. In total, 654 residents (78.3%) had experienced at least one traumatic event, and 278 residents (33.3%) were found to have PTSD symptoms. The age 26-30 years old, female sex, and increased resident working hours were identified as the risk factors for PTSD ( < 0.05), and perceived social support had a significant negative association with PTSD ( < 0.05).

CONCLUSION

During the COVID-19 pandemic, there was a high prevalence of PTSD among SRTPs residents in Shanghai. The age 26-30 years old, female sex, and increased resident working hours were identified as risk factors for PTSD, while perceived social support was identified as a protective factor against PTSD. The present findings can be applied in STRPs management and provide useful information for designing special interventions and protocols for SRTPs residents.

摘要

背景

新冠疫情可能增加了医护人员中焦虑、抑郁障碍和创伤后应激障碍(PTSD)等精神障碍的患病率。

目的

本研究旨在调查新冠疫情爆发期间上海市标准化住院医师培训项目(SRTPs)住院医师中PTSD的患病率及其危险因素。

参与者与方法

于2021年12月17日至2022年1月7日对中国上海15家医院的SRPT住院医师进行了一项在线横断面调查。使用在线问卷星电子系统向参与者发放包含一般信息、与医疗相关的创伤事件经历、PTSD检查表(PCL-5)和感知社会支持量表(PSSS)的问卷。

结果

我们纳入了835份有效回复进行分析。共有654名住院医师(78.3%)经历过至少一次创伤事件,278名住院医师(33.3%)被发现有PTSD症状。年龄26 - 30岁、女性以及住院医师工作时长增加被确定为PTSD的危险因素(<0.05),而感知社会支持与PTSD有显著负相关(<0.05)。

结论

在新冠疫情期间,上海市SRTPs住院医师中PTSD的患病率较高。年龄26 - 30岁、女性以及住院医师工作时长增加被确定为PTSD的危险因素,而感知社会支持被确定为预防PTSD的保护因素。本研究结果可应用于STRPs管理,并为设计针对SRTPs住院医师的特殊干预措施和方案提供有用信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c3b/10585167/a6c597c5a199/fpubh-11-1203333-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c3b/10585167/6e56cd2c1507/fpubh-11-1203333-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c3b/10585167/dc33ad5e1b79/fpubh-11-1203333-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c3b/10585167/a6c597c5a199/fpubh-11-1203333-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c3b/10585167/6e56cd2c1507/fpubh-11-1203333-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c3b/10585167/dc33ad5e1b79/fpubh-11-1203333-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c3b/10585167/a6c597c5a199/fpubh-11-1203333-g003.jpg

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