Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Department of Digital Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
J Korean Med Sci. 2024 Mar 25;39(11):e102. doi: 10.3346/jkms.2024.39.e102.
The Pandemic Grief Risk Factors (PGRFs) was developed as a self-report tool to compile a comprehensive list of unique risk factors related to grief when experiencing a coronavirus disease 2019 (COVID-19) loss. We explored the reliability and validity of the PGRF among healthcare workers who witnessed their patients' deaths during the COVID-19 pandemic. Further, we examined whether the general severity of PGRF may have been associated with work-related stress and pandemic grief reactions.
An online survey was conducted among tertiary hospital healthcare workers (doctors and nursing professionals) who had witnessed the deaths of patients they cared for. Pandemic Grief Scale for healthcare workers, the Stress and Anxiety to Viral Epidemics-3 items, the Patient Health Questionnaire-9, and the Generalized Anxiety Disorder-7 responses were collected.
In total, 267 responses were analyzed. The single-factor structure of the Korean version of the PGRF showed a good fit for the model. The scale demonstrated good internal consistency and convergent validity with other depression and anxiety rating scales. The mediation analysis revealed that work-related stress directly influenced pandemic grief reactions positively, and depression, anxiety, and general severity of grief risk factors partially mediated the association positively.
Among healthcare workers who witnessed the deaths of their patients due to COVID-19, the Korean version of the PGRF was valid and reliable for measuring the overall severity of PGRF. The PGRF can be used to identify individuals at risk for dysfunctional grief.
《大流行悲伤风险因素量表》（PGRF）是一种自我报告工具，用于编制一份与冠状病毒病 2019（COVID-19）相关死亡相关的悲伤的独特风险因素的综合清单。我们探讨了 PGRF 在见证 COVID-19 大流行期间患者死亡的医护人员中的可靠性和有效性。此外，我们还研究了一般严重程度的 PGRF 是否与与工作相关的压力和大流行悲伤反应有关。
对在三级医院工作的医护人员（医生和护理专业人员）进行了一项在线调查，这些医护人员曾目睹过他们护理的患者死亡。收集了《医护人员大流行悲伤量表》、《对病毒性传染病的应激和焦虑量表-3 项》、《患者健康问卷-9》和《广泛性焦虑障碍-7 项》的回复。
共分析了 267 份回复。PGRF 的韩国版的单因素结构显示模型拟合良好。该量表与其他抑郁和焦虑评定量表具有良好的内部一致性和收敛效度。中介分析显示，与工作相关的压力直接正向影响大流行悲伤反应，抑郁、焦虑和一般悲伤风险因素的严重程度部分正向中介了这种关系。
在因 COVID-19 而目睹患者死亡的医护人员中，PGRF 的韩国版对测量 PGRF 的总体严重程度是有效和可靠的。PGRF 可用于识别功能失调悲伤的高危个体。
