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新冠疫情大流行期间中国大陆医护人员创伤后应激障碍症状的患病率及其影响因素:一项 2022 年 12 月以来疫情高峰期间的多中心横断面研究。

Prevalence and influencing factors of PTSD symptoms among healthcare workers: A multicenter cross-sectional study during the surge period of the COVID-19 pandemic since December 2022 in the Chinese mainland.

机构信息

School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

School of Nursing, Jining Medical University, Jining, Shandong, China.

出版信息

J Affect Disord. 2024 Mar 1;348:70-77. doi: 10.1016/j.jad.2023.12.008. Epub 2023 Dec 6.

Abstract

BACKGROUND

China has experienced a surge period of COVID-19 pandemic since December 2022. Healthcare workers (HCWs) were exposed to huge workload under high risk of being infected, and significant levels of trauma, which might cause Post-traumatic Stress Disorders (PTSD) symptoms in HCWs.

OBJECTIVES

To identify the prevalence of PTSD symptoms among HCWs in the Chinese mainland during the surge period of the COVID-19 pandemic; to explore their psycho-social factors of PTSD symptoms.

METHODS

A multicenter cross-sectional study was conducted among HCWs in Chinese mainland from January 5 to February 9, 2023, covering seven geographical regions. 6552 participants were recruited by convenience sampling. Data were collected on demographic characteristics, work-related factors, and psychological factors by online questionnaires. Univariate analysis and binary logistic regression were used to determine the influencing factors of PTSD symptoms.

RESULTS

The prevalence of PTSD symptoms among HCWs was 37.49 %. A higher level of mindfulness, resilience, and perceived social support were protective factors. Female gender, nurses, higher educational attainment, married status, more working years, higher perceived risk of contracting COVID-19 due to work, and higher perceived work intensity were risk factors.

CONCLUSION

High prevalence of PTSD symptoms among HCWs necessitates psychological interventions. Tailored interventions, designed by professional psychiatrists, should be tailored to address the stressors. A comprehensive approach, incorporating mindfulness, resilience-building, and perceived social support enhancement, is vital to bolster the mental well-being of HCWs exposed to traumatic events, thus mitigating the impact of PTSD effectively. Additionally, it is essential to provide support to HCWs with other potential risk factors.

摘要

背景

自 2022 年 12 月以来,中国经历了一波 COVID-19 疫情高峰。医护人员(HCWs)在感染风险高的情况下承担着巨大的工作负荷,经历了重大创伤,这可能导致医护人员出现创伤后应激障碍(PTSD)症状。

目的

确定 COVID-19 疫情高峰期间中国大陆医护人员 PTSD 症状的患病率;探讨其 PTSD 症状的心理社会因素。

方法

2023 年 1 月 5 日至 2 月 9 日,采用多中心横断面研究方法,在中国内地七个地理区域进行。通过便利抽样招募了 6552 名参与者。通过在线问卷收集人口统计学特征、与工作相关的因素和心理因素的数据。采用单因素分析和二项逻辑回归确定 PTSD 症状的影响因素。

结果

医护人员 PTSD 症状的患病率为 37.49%。较高的正念水平、韧性和感知社会支持是保护因素。女性、护士、较高的教育程度、已婚、更多的工作年限、因工作而感知到更高的感染 COVID-19 的风险、感知到更高的工作强度是危险因素。

结论

医护人员 PTSD 症状的高患病率需要进行心理干预。由专业精神科医生设计的针对性干预措施应针对压力源进行定制。综合方法,包括正念、韧性建设和感知社会支持增强,对于增强暴露于创伤事件的医护人员的心理健康至关重要,从而有效减轻 PTSD 的影响。此外,为具有其他潜在风险因素的医护人员提供支持也很重要。

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