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在第三波疫情期间,八个欧洲国家的卫生专业人员中的 COVID-19 和精神困扰:一项横断面调查。

COVID-19 and mental distress among health professionals in eight European countries during the third wave: a cross-sectional survey.

机构信息

Universität Basel, Universitäre Psychiatrische Kliniken (UPK) Basel, Basel, Switzerland.

Universitätsklinikum Heidelberg, Klinik für Allgemeine Innere Medizin und Psychosomatik, Heidelberg, Germany.

出版信息

Sci Rep. 2024 Sep 12;14(1):21333. doi: 10.1038/s41598-024-72396-x.

DOI:10.1038/s41598-024-72396-x
PMID:39266659
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11393084/
Abstract

Even during the third wave of the COVID-19 pandemic health professionals were facing mental health challenges. The aim of this study was to examine the mental health of doctors, nurses and other professional groups in Europe and to identify differences between the professional groups. We conducted a cross-sectional online survey in 8 European countries. We asked for demographic data, whether the participants were exposed to COVID-19 at work, for main information sources about the pandemic, the Depression Anxiety Stress Scales (DASS-21), and major stressors. A MANCOVA was carried out to find predictors of mental health among health care professionals. The sample (N = 1398) consisted of 237 physicians, 459 nurses, and 351 other healthcare professionals and 351 non-medical professionals with no direct involvement in patient care. The mean mental health of all groups was affected to a mild degree. Major predictors for depression and anxiety were the profession group with higher scores especially in the group of the nurses and working directly with COVID-patients. In the third wave of the COVID-19 pandemic, the psychological burden on health professionals has remained high, with being nurse and working directly with COVID19 patients being particular risk factors for mental distress. We found as a main result that nurses scored significantly higher on depression and anxiety than practitioners.

摘要

即使在 COVID-19 大流行的第三波期间,卫生专业人员也面临着心理健康挑战。本研究旨在检查欧洲医生、护士和其他专业群体的心理健康状况,并确定不同专业群体之间的差异。我们在 8 个欧洲国家进行了横断面在线调查。我们询问了人口统计学数据、参与者是否在工作中接触过 COVID-19、关于大流行的主要信息来源、抑郁焦虑压力量表 (DASS-21) 以及主要压力源。进行 MANCOVA 以确定卫生保健专业人员心理健康的预测因素。样本 (N=1398) 包括 237 名医生、459 名护士和 351 名其他医护人员以及 351 名非医疗专业人员,他们没有直接参与患者护理。所有群体的心理健康平均受到轻度影响。抑郁和焦虑的主要预测因素是职业群体,得分较高,尤其是在护士群体和直接与 COVID-19 患者一起工作的群体中。在 COVID-19 大流行的第三波中,卫生专业人员的心理负担仍然很高,护士和直接与 COVID19 患者一起工作是精神困扰的特殊危险因素。我们的主要研究结果发现,护士在抑郁和焦虑方面的得分明显高于从业者。

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本文引用的文献

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Unmet Psychosocial Needs of Health Care Professionals in Europe During the COVID-19 Pandemic: Mixed Methods Approach.欧洲 COVID-19 大流行期间医护人员未满足的心理社会需求:混合方法研究
JMIR Public Health Surveill. 2023 Sep 6;9:e45664. doi: 10.2196/45664.
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Psychological wellbeing of Australian community health service staff during the COVID-19 pandemic: a longitudinal cohort study.澳大利亚社区卫生服务人员在 COVID-19 大流行期间的心理健康状况:一项纵向队列研究。
BMC Health Serv Res. 2023 Apr 26;23(1):405. doi: 10.1186/s12913-023-09382-y.
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Depression trajectories during the COVID-19 pandemic in the high-quality health care setting of Switzerland: the COVCO-Basel cohort.在瑞士高质量医疗保健环境中 COVID-19 大流行期间的抑郁轨迹:COVCO-巴塞尔队列研究。
Public Health. 2023 Apr;217:65-73. doi: 10.1016/j.puhe.2023.01.010. Epub 2023 Jan 16.
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Longitudinal Study Comparing Mental Health Outcomes in Frontline Emergency Department Healthcare Workers through the Different Waves of the COVID-19 Pandemic.通过 COVID-19 大流行的不同波次对比急诊一线医护人员心理健康结果的纵向研究。
Int J Environ Res Public Health. 2022 Dec 15;19(24):16878. doi: 10.3390/ijerph192416878.
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Meta-analysis of the prevalence of anxiety and depression among frontline healthcare workers during the COVID-19 pandemic.新冠疫情期间一线医护人员焦虑和抑郁患病率的荟萃分析。
Front Public Health. 2022 Sep 13;10:984630. doi: 10.3389/fpubh.2022.984630. eCollection 2022.
6
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Int J Public Health. 2022 Jun 17;67:1604553. doi: 10.3389/ijph.2022.1604553. eCollection 2022.
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