Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, No. 88 Jiefang Road, Shangcheng District, Hangzhou, 310009, Zhejiang Province, China.
BMC Public Health. 2024 Feb 14;24(1):460. doi: 10.1186/s12889-023-17591-7.
The COVID-19 pandemic has imposed unprecedented stress and challenges upon medical staff, potentially resulting in posttraumatic growth (PTG). This scoping review aims to synthesize the existing knowledge on PTG among medical staff during the pandemic by identifying its current status and potential influencing factors. The findings may provide a foundation for future research and interventions to enhance the medical staff's psychological resilience and well-being.
Literature was systematically searched on PTG among medical staff during the COVID-19 pandemic from 01 January 2020 to 31 December 2022. The following databases were searched: PubMed, Web of Science, Embase, CINAHL, PsycINFO, Cochrane Library, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Service System (SinoMed), and Wanfang Data. Eligibility criteria included: (1) medical staff as research subjects; (2) a focus on "posttraumatic growth" or "alternative posttraumatic growth" related to the COVID-19 outbreak and pandemic; (3) discussion of the situation and influencing factors of PTG; and (4) study types, such as qualitative, quantitative, and mixed methods. Two researchers independently selected and extracted study characteristics (study design, study population, region, measurement instruments, and primary outcomes) from the included literature. The data were synthesized qualitatively and descriptively.
Thirty-six papers from 12 countries met the inclusion criteria. Moderate PTG levels were observed among healthcare workers during the COVID-19 pandemic, with emphasis on "interpersonal relationships," "changes in life philosophy," and "growth in personal competence." Influencing factors included trauma exposure, sociodemographics, psychological characteristics (resilience and positive qualities), coping, and social support.
This review discovered moderate PTG levels among medical staff during the COVID-19 pandemic, with critical areas in interpersonal relationships, life philosophy, and personal competence. The identified influencing factors can inform future research and interventions to enhance healthcare workers' psychological resilience and well-being.
COVID-19 大流行给医务人员带来了前所未有的压力和挑战，可能导致创伤后成长（PTG）。本综述旨在通过确定 COVID-19 大流行期间医务人员 PTG 的现状和潜在影响因素，综合现有知识。研究结果可能为未来研究和干预措施提供基础，以增强医务人员的心理韧性和幸福感。
从 2020 年 1 月 1 日至 2022 年 12 月 31 日，系统检索 COVID-19 大流行期间医务人员 PTG 的文献。检索了以下数据库：PubMed、Web of Science、Embase、CINAHL、PsycINFO、Cochrane 图书馆、中国国家知识基础设施（CNKI）、中国生物医学文献服务系统（SinoMed）和万方数据。纳入标准包括：（1）医务人员作为研究对象；（2）关注与 COVID-19 爆发和大流行相关的“创伤后成长”或“替代创伤后成长”；（3）讨论 PTG 的情况和影响因素；（4）研究类型，如定性、定量和混合方法。两名研究人员独立从纳入文献中选择和提取研究特征（研究设计、研究人群、地区、测量工具和主要结果）。对数据进行定性和描述性综合。
来自 12 个国家的 36 篇论文符合纳入标准。在 COVID-19 大流行期间，医护人员的 PTG 水平中等，重点是“人际关系”、“生活哲学的变化”和“个人能力的增长”。影响因素包括创伤暴露、社会人口统计学、心理特征（韧性和积极品质）、应对方式和社会支持。
本综述发现 COVID-19 大流行期间医务人员的 PTG 水平中等，人际关系、生活哲学和个人能力是关键领域。确定的影响因素可以为未来的研究和干预措施提供信息，以增强医护人员的心理韧性和幸福感。
