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评估 COVID-19 大流行初期重症监护病房医护人员的心理健康状况。

Evaluation of the mental health status of intensive care unit healthcare workers at the beginning of COVID-19 pandemic.

机构信息

Adıyaman University Research and Training Hospital, Psychiatry Department, Adıyaman, Türkiye.

Adıyaman University Research and Training Hospital, Department of Anesthesiology and Reanimation, Adıyaman, Türkiye.

出版信息

Front Public Health. 2024 Oct 8;12:1475107. doi: 10.3389/fpubh.2024.1475107. eCollection 2024.

Abstract

OBJECTIVE

During pandemic periods, mental health issues are highly prevalent, particularly among healthcare workers who are at a higher risk of developing psychiatric disorders. The aim of this study is to evaluate the mental health status of the intensive care unit (ICU) healthcare workers, who play a vital role in managing the COVID-19 pandemic, in terms of the quality of sleep, levels of depressive and anxiety symptoms, stress and to determine the factors that affect their mental health.

METHODS

The research was conducted in April 2020 and incorporated a total of 79 participants working in an university hospital ICUs in Turkey. Pittsburgh Sleep Quality Index (PSQI), Depression Anxiety Stress Scale 42 (DASS-42), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) were applied.

RESULTS

Among the participants, 58 individuals comprising 73.4% of the cohort were working in the ICUs, managing patients infected with COVID-19. Those working in ICUs with COVID-19 patients had significantly higher DASS-S, BAI, and BDI scores. Doctors' BDI scores were significantly lower compared to both nurses and other healthcare workers. Participants exhibiting COVID-19 symptoms manifested significantly higher BAI scores in compared to those without such symptoms.

CONCLUSION

Healthcare workers involved in ICUs with COVID-19 patients were more significantly affected psychologically, doctors had lower depressive symptoms as compared to other healthcare workers. In addition, individuals with COVID-19 symptoms demonstrated significantly higher levels of anxiety. The findings of our study emphasize the significance of providing psychological support to healthcare workers throughout pandemics.

摘要

目的

在大流行期间,心理健康问题非常普遍,尤其是在感染新冠病毒风险较高的医护人员中。本研究旨在评估在管理 COVID-19 大流行方面发挥重要作用的重症监护病房(ICU)医护人员的心理健康状况,包括睡眠质量、抑郁和焦虑症状水平、压力,并确定影响他们心理健康的因素。

方法

该研究于 2020 年 4 月进行,共纳入了土耳其一所大学医院 ICU 的 79 名参与者。使用了匹兹堡睡眠质量指数(PSQI)、抑郁焦虑压力量表 42 项(DASS-42)、贝克抑郁量表(BDI)和贝克焦虑量表(BAI)进行评估。

结果

在参与者中,58 人(73.4%)在 ICU 工作,管理感染 COVID-19 的患者。与管理 COVID-19 患者的 ICU 工作者相比,DASS-S、BAI 和 BDI 评分显著更高。与护士和其他医护人员相比,医生的 BDI 评分显著更低。出现 COVID-19 症状的参与者的 BAI 评分明显高于无症状的参与者。

结论

与管理 COVID-19 患者的 ICU 工作者相比,医护人员的心理受到更大的影响,与其他医护人员相比,医生的抑郁症状较低。此外,出现 COVID-19 症状的个体表现出明显更高的焦虑水平。我们的研究结果强调了在大流行期间为医护人员提供心理支持的重要性。

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本文引用的文献

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The Psychosocial Impact of COVID-19 on health care workers.COVID-19 对医护人员的心理社会影响。
Int Braz J Urol. 2020 Jul;46(suppl.1):195-200. doi: 10.1590/S1677-5538.IBJU.2020.S124.

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