Patil Ketankumar Hitendra, Tawar Nitin Sanjay, Kudale Abhay Machindra
Department of Health Sciences, Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, Maharashtra, India.
J Family Med Prim Care. 2024 Apr;13(4):1460-1466. doi: 10.4103/jfmpc.jfmpc_947_23. Epub 2024 Apr 22.
To assess the resilience of primary healthcare workers (HCWs) by determining the factors associated with developing resilience post-coronavirus disease 2019 (COVID-19).
A cross-sectional study in selected municipal hospitals.
Connor-Davidson Resilience Scale was used to assess the resilience of the 245 HCWs, including the nurses and paramedics working in Pune Municipal Corporation (PMC) hospitals in Pune City. Data were analysed using the Chi-square test, one-way analysis of variance (ANOVA), independent-samples -test and correlational analysis using the Statistical Package for the Social Sciences (SPSS) version 28.
The mean resilience score of the HCWs in PMC hospitals post-COVID-19 was 75.09 (±9.25). The score for hardiness, optimism, resourcefulness and purpose was 20.15 (±3.87), 21.22 (±3.39), 17.24 (±2.76) and 16.40 (±2.17), respectively. Seven factors were significantly associated with the resilience of nurses and paramedics, namely age ( < 0.001), work experience ( < 0.001), monthly income ( < 0.001), having faced financial problems during COVID-19 ( < 0.001), hospital setting ( < 0.05), marital status ( < 0.01) and professional category ( < 0.001). In addition, 60% of the participants reported mental health issues due to routine workloads such as irritation/anger, frustration and tension/worry, fatigue and work-related stress, and sadness and anxiety. Suggestions for improvement were mainly increasing human resources, proper management, skilled staff, improved facilities and funding, and cooperation among staff.
The resilience of primary HCWs in Pune post-COVID-19 was higher than HCWs in other countries assessed during COVID-19. Further, resilience was found more among nurses than paramedics. Modifiable factors affecting resilience must be addressed to improve the resilience of HCWs to build everyday resilience and strengthen health systems for public health emergencies.
通过确定与2019冠状病毒病（COVID-19）后恢复力发展相关的因素，评估初级医疗保健工作者（HCW）的恢复力。
在选定的市立医院进行的横断面研究。
使用康纳-戴维森恢复力量表评估245名HCW的恢复力，其中包括在普纳市普纳市政公司（PMC）医院工作的护士和护理人员。使用卡方检验、单因素方差分析（ANOVA）、独立样本t检验以及使用社会科学统计软件包（SPSS）28版进行相关分析对数据进行分析。
COVID-19后PMC医院HCW的平均恢复力得分为75.09（±9.25）。坚韧、乐观、足智多谋和目标感的得分分别为20.15（± 3.87）、21.22（± 3.39）、17.24（± 2.76）和16.40（± 2.17）。七个因素与护士和护理人员的恢复力显著相关，即年龄（<0.001）、工作经验（<0.001）、月收入（<0.001）、在COVID-19期间面临财务问题（<0.001）、医院环境（<0.05）、婚姻状况（<0.01）和专业类别（<0.001）。此外，60%的参与者报告因日常工作量出现心理健康问题，如易怒/愤怒、沮丧和紧张/担忧、疲劳和工作相关压力以及悲伤和焦虑。改进建议主要是增加人力资源、合理管理、熟练员工、改善设施和资金以及员工之间的合作。
COVID-19后普纳市初级HCW的恢复力高于COVID-19期间评估的其他国家的HCW。此外，发现护士的恢复力比护理人员更强。必须解决影响恢复力的可改变因素，以提高HCW的恢复力，建立日常恢复力并加强应对突发公共卫生事件的卫生系统。
