Department of Neurosciences, Discipline of Psychiatry and Pediatric Psychiatry, Iuliu Hațieganu, University of Medicine and Pharmacy, 400349, Cluj-Napoca, Romania.
Clinical Hospital for Infectious Diseases, 400347, Cluj-Napoca, Romania.
Hum Resour Health. 2024 May 7;22(1):28. doi: 10.1186/s12960-024-00909-w.
The COVID-19 pandemic has presented multiple psychological challenges for healthcare workers, such as anxiety, depression, burnout, and substance use disorders. In this research, we investigate the different ways Romanian physicians dealt with the difficult period of the COVID-19 pandemic. We also analyze how positive and negative stress-reducing strategies, as well as demographic variables, affect their psychological resilience and quality of life. Our goal is to provide a comprehensive overview of how physicians coped with the unprecedented global health challenges.
We carried out a national cross-sectional study of 265 physicians in Romania between January 2021 and January 2022 using a web-based questionnaire. The study employed a web-based questionnaire to assess coping mechanisms using the COPE inventory, resilience through the Connor-Davidson Resilience Scale 25 (CD-RISC 25), and quality of life via the WHOQOL-BREF scale. The COPE inventory, consisting of 60 items across 15 subscales, categorizes coping strategies into problem-focused, emotion-focused, and dysfunctional types, with each item rated on a 4-point scale. The CD-RISC 25 measures resilience on a 5-point Likert scale, with total scores ranging from 0 to 100. WHOQOL-BREF assesses quality of life through 26 items in 4 domains: physical, mental, social relations, and environmental, scored from 1 to 5 and converted to a 0-100 scale for domain scores. Univariate and multivariate linear regression models were employed to discern the intricate relationships between coping strategies, resilience levels, quality of life dimensions, and pertinent demographic factors.
The average CD-RISC score among participants was 66.2. The mean scores for the values for the QOL subscales were 64.0 for physical well-being, 61.7 for psychological well-being, 61.2 for social relationships, and 64.7 for environment. Individuals tend to use problem-focused and emotion-focused coping more than dysfunctional mechanisms, according to the COPE inventory. Problem-focused and emotion-focused coping are positively correlated with resilience, while dysfunctional coping is negatively correlated. Resilience is significantly influenced by gender and professional status, with males and senior specialists reporting higher levels while younger physicians and residents reporting lower levels.
Our data points to specific protective characteristics and some detrimental factors on physicians' resilience and quality of life during the pandemic.
COVID-19 大流行给医护人员带来了多种心理挑战，如焦虑、抑郁、倦怠和物质使用障碍。在这项研究中，我们调查了罗马尼亚医生应对 COVID-19 大流行困难时期的不同方式。我们还分析了积极和消极的减压策略以及人口统计学变量如何影响他们的心理弹性和生活质量。我们的目标是提供一个全面的概述，说明医生如何应对前所未有的全球健康挑战。
我们在 2021 年 1 月至 2022 年 1 月期间对罗马尼亚的 265 名医生进行了一项全国性的横断面研究，使用基于网络的问卷。该研究采用基于网络的问卷，使用 COPE 库存评估应对机制，使用 Connor-Davidson 韧性量表 25 （CD-RISC 25）评估韧性，使用世界卫生组织生活质量简表（WHOQOL-BREF）评估生活质量。COPE 库存包含 60 个项目，分为 15 个子量表，将应对策略分为问题导向型、情绪导向型和功能障碍型，每个项目均按 4 分制评分。CD-RISC 25 使用 5 分李克特量表测量韧性，总分范围为 0 至 100。WHOQOL-BREF 通过 4 个领域的 26 个项目评估生活质量：身体、心理、社会关系和环境，得分从 1 到 5，并转换为 0 到 100 分的领域得分。我们采用单变量和多变量线性回归模型来辨别应对策略、韧性水平、生活质量维度以及相关人口统计学因素之间的复杂关系。
参与者的平均 CD-RISC 得分为 66.2。生活质量子量表的平均分分别为：身体幸福感 64.0，心理幸福感 61.7，社会关系 61.2，环境 64.7。根据 COPE 库存，个体更倾向于使用问题导向型和情绪导向型应对策略，而不是功能障碍型应对策略。问题导向型和情绪导向型应对策略与韧性呈正相关，而功能障碍型应对策略则呈负相关。韧性受性别和专业地位的显著影响，男性和高级专家报告的水平较高，而年轻医生和住院医生报告的水平较低。
我们的数据表明，在大流行期间，医生的韧性和生活质量存在特定的保护特征和一些不利因素。
