Harada Larissa, Branco Renata de Melo, Barbosa Thamires Ferreira, Ballester Dinarte, Cavalcanti Maria Tavares, da Silva Andrea Tenorio Correia
Faculdade de Medicina de Jundiaí (FMJ), Jundiaí, SP, Brazil.
Faculdade Santa Marcelina, São Paulo, SP, Brazil.
Rev Bras Med Trab. 2024 Sep 24;22(2):e20231152. doi: 10.47626/1679-4435-2023-1152. eCollection 2024 Apr-Jun.
The COVID-19 pandemic introduced a new set ofwork-related stressors for health care workers.
This study aimed to investigate the associations between exposure to violence and common mental disorders among health care workers in emergency care settings during COVID-19 in the city of São Paulo, Brazil.
We randomly selected two emergency care units. The 12-item General Health Questionnaire was used to assess common mental disorders among emergency health care workers (n = 100). We examined the relationships between common mental disorders and COVID-19 pandemic-related variables, including availability of personal protective equipment, exposure to violence, discrimination, harassment, and confidence in the workplace to handle the pandemic. We used multivariate Poisson regression with robust variance to estimate prevalence ratios for common mental disorders.
Overall, 50% (95%CI 39.8-60.1) of participants had a common mental disorder. In addition, 71% reported being victims of at least one type of violence during the COVID-19 pandemic. Higher risks ofcommon mental disorders were found among those who reported lacking personal protective equipment, being victims of discrimination, violence, or harassment, and reporting less confidence in the workplace to handle the pandemic. Participants exposed to two types of violence and three types of violence had higher prevalence ratios, with prevalence ratios of 2.28 (95%CI 1.23-4.21) and 3.14 (95%CI 1.62-6.08), respectively.
Promoting access to personal protective equipment, addressing mistreatment of health workers as well as promoting their well-being at work, and building confidence in the workplace to deal with the pandemic are critical.
新冠疫情给医护人员带来了一系列新的工作相关压力源。
本研究旨在调查巴西圣保罗市新冠疫情期间，急诊环境中医护人员遭受暴力与常见精神障碍之间的关联。
我们随机选取了两个急诊科室。采用12项一般健康问卷对急诊医护人员（n = 100）的常见精神障碍进行评估。我们研究了常见精神障碍与新冠疫情相关变量之间的关系，包括个人防护装备的可用性、遭受暴力、歧视、骚扰以及对工作场所应对疫情的信心。我们使用具有稳健方差的多变量泊松回归来估计常见精神障碍的患病率比。
总体而言，50%（95%CI 39.8 - 60.1）的参与者患有常见精神障碍。此外，71%的人报告在新冠疫情期间至少遭受过一种类型的暴力。在那些报告缺乏个人防护装备、遭受歧视、暴力或骚扰以及对工作场所应对疫情信心较低的人中，发现常见精神障碍的风险更高。遭受两种类型暴力和三种类型暴力的参与者患病率比更高，分别为2.28（95%CI 1.23 - 4.21）和3.14（95%CI 1.62 - 6.08）。
促进个人防护装备的获取、解决对医护人员的不当对待并促进他们的工作福祉，以及增强工作场所应对疫情的信心至关重要。
