Department of Psychology "Renzo Canestrari", University of Bologna, 40127 Bologna, Italy.
Occupational Health Unit, Bologna University Hospital Authority St. Orsola Malpighi Polyclinic IRCCS, 40138 Bologna, Italy.
Int J Environ Res Public Health. 2023 Dec 7;20(24):7153. doi: 10.3390/ijerph20247153.
This retrospective observational study on hospital staff requesting an "application visit" (from 2017 to 2022) at the Occupational Medicine department aimed at comparing a "pre-COVID group" (2017-2019) with a "COVID group" (2020-2022) regarding (a) sociodemographic data (i.e., age, sex, occupation, years of employment at the hospital), (b) rate and type of psychiatric diagnoses in both groups and rate of psychiatric diagnoses per subject, and (c) rate of drug/psychotherapeutic prescriptions. Two hundred and five healthcare workers (F = 73.7%; mean age = 50.7 ± 10.33) were visited. Compared with the pre-COVID group, healthcare workers evaluated during COVID-19 were significantly younger and reported fewer years of employment at the hospital. Although rates of primary psychiatric diagnoses were similar in both samples, an increased number of psychopathologies per subject and associated treatment prescriptions in the COVID group was observed. In the COVID group, 61% had one psychiatric diagnosis, and 28% had 2+ psychiatric diagnoses, compared with 83.8% and 6.7% of pre-COVID. Furthermore, 56.2%/1.9% in pre-COVID and 73%/6% in the COVID group were prescribed drugs/psychotherapy, respectively. The findings of the present study highlighted an increase in both younger workers' requests and psychiatric comorbidities during the pandemic, representing a burden on the Italian healthcare system. It is thus relevant to address the mental health challenges of healthcare workers accordingly.
这项针对医院工作人员在职业医学部门要求进行“就诊预约”（2017 年至 2022 年）的回顾性观察研究旨在比较“新冠前组”（2017-2019 年）与“新冠组”（2020-2022 年）之间的差异：（a）社会人口统计学数据（即年龄、性别、职业、在医院的工作年限）；（b）两组的精神科诊断率和类型以及每个受试者的精神科诊断率；（c）药物/心理治疗处方率。共对 205 名医护人员进行了就诊。与新冠前组相比，新冠期间评估的医护人员明显更年轻，在医院的工作年限也更短。尽管两组的主要精神科诊断率相似，但新冠组每个受试者的精神病理数量增加，且接受的治疗处方也更多。在新冠组中，61%的人有一个精神科诊断，28%的人有 2 个或以上的精神科诊断，而新冠前组的比例分别为 83.8%和 6.7%。此外，新冠前组的 56.2%/1.9%和新冠组的 73%/6%分别接受了药物/心理治疗。本研究的结果表明，大流行期间年轻工作人员的就诊请求和精神共病率都有所增加，这给意大利的医疗保健系统带来了负担。因此，有必要相应地解决医护人员的心理健康挑战。
