Emergency Department, Hospices Civils of Lyon, Lyon Sud Hospital, Lyon, France.
Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM, Lyon, France.
Stress Health. 2024 Oct;40(5):e3478. doi: 10.1002/smi.3478. Epub 2024 Sep 7.
Assess the changes in post-traumatic stress disorder (PTSD), burnout, anxiety, depression, jobstrain, and isostrain levels over time among healthcare workers in emergency departments (EDs) after successive outbreaks of COVID-19. A prospective, multicenter study was conducted in 3 EDs and an emergency medical service. Healthcare workers who participated in our previous study were invited to participate in a follow-up 16 and 18 months and completed the questionnaires to assess symptoms of PTSD, burnout, anxiety, depression, jobstrain, and isostrain. Among the 485 healthcare workers asked to participate, 211 (43.5%) completed the survey at inclusion (122 were followed up at 3 months) and 59 participate to the follow-up study. At 16 months, 10.9% of healthcare workers had symptoms of PTSD and 17.4% at 18 months. At inclusion, 33.5% and 11.7% of healthcare workers had symptoms of anxiety and depression, respectively. A decrease in anxiety between inclusion and 16 months (p = 0.02) and an increase between 16 and 18 months (p = 0.009) was observed. At inclusion, 40.8% of all healthcare workers had symptoms of burnout. There was an increase in symptoms of burnout between inclusion and 18 months (p = 0.006). At inclusion, 43.2% and 29.5% of healthcare workers were exposed to jobstrain and isostrain, respectively. Jobstrain were higher among paramedics and administrative staff compared to physicians (p = 0.001 and p = 0.026, respectively). Successive outbreaks of COVID-19 led to long-term mental health consequences among ED healthcare workers that differed according to occupation. This must be taken into account to rethink the management of teams.
评估 COVID-19 连续爆发后急诊科（ED）医护人员创伤后应激障碍（PTSD）、倦怠、焦虑、抑郁、工作压力和同应压力水平的变化。这是一项前瞻性、多中心研究，在 3 个 ED 和一个急救医疗服务中心进行。邀请参加我们之前研究的医护人员参加后续的 16 个月和 18 个月的随访，并完成评估 PTSD、倦怠、焦虑、抑郁、工作压力和同应压力症状的问卷。在被要求参加的 485 名医护人员中，有 211 名（43.5%）在纳入时完成了调查（122 名在 3 个月时进行了随访），有 59 名参加了随访研究。在 16 个月时，有 10.9%的医护人员出现 PTSD 症状，18 个月时为 17.4%。纳入时，分别有 33.5%和 11.7%的医护人员出现焦虑和抑郁症状。观察到纳入时和 16 个月之间焦虑症状有所下降（p=0.02），16 个月和 18 个月之间焦虑症状有所增加（p=0.009）。纳入时，所有医护人员中有 40.8%出现倦怠症状。纳入时和 18 个月之间倦怠症状有所增加（p=0.006）。纳入时，分别有 43.2%和 29.5%的医护人员承受工作压力和同应压力，急救人员和行政人员的工作压力高于医生（p=0.001 和 p=0.026）。COVID-19 的连续爆发给 ED 医护人员带来了长期的心理健康后果，这些后果因职业而异。这必须引起重视，重新思考团队的管理。
