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非医师医护人员在 COVID-19 大流行期间的工作相关因素、感知压力、抑郁症状和疲劳之间的关系。

Non-Physician Healthcare Workers During COVID-19 Pandemic and Association Between Work-Related Factors, Perceived Stress, Depressive Symptoms, and Fatigue.

机构信息

Department of Psychiatry, Texas Tech, Lubbock, TX, USA.

Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, USA.

出版信息

Disaster Med Public Health Prep. 2024 Oct 30;18:e242. doi: 10.1017/dmp.2024.131.

DOI:10.1017/dmp.2024.131
PMID:39473386
Abstract

OBJECTIVE

The purpose of this study is to examine the national impact of workplace factors during the SARS-CoV-2 pandemic on mental health experienced by non-physician healthcare workers (HCWs).

METHODS

This study consisted of an online sample of non-physician HCWs across the United States, including nurses, medical assistants, and physician assistants. The survey consisted of 93 questions, which included the Perceived Stress Scale, the Center for Epidemiological Studies-Depression (CESD-10) scale, questions about COVID-19 vaccination, sources of trusted information, and questions about work environment and training during the COVID-19 pandemic. Descriptive statistics were used to evaluate associations.

RESULTS

In the final sample ( = 220), (81.8%) reported receiving at least one dose of a COVID vaccine. Most respondents trusted the CDC's information on the SARS-CoV-2 virus and COVID-19 disease. Several workplace-related factors that occurred during the pandemic were associated with moderate to high levels of perceived stress, fatigue, and higher risk of developing depression. In particular, concerns about exposing others, experiencing discrimination related to their jobs, and caring for patients who died from COVID-19 were associated with increased perceived stress, depression, and fatigue.

CONCLUSIONS

The importance of planning by healthcare facilities should include planning for workplace factors associated with poor mental health among all HCWs.

摘要

目的

本研究旨在探讨 SARS-CoV-2 大流行期间工作场所因素对非医师医护人员(HCWs)心理健康的影响。

方法

本研究包括全美范围内的非医师 HCWs 的在线样本,包括护士、医疗助理和医师助理。该调查包括 93 个问题,包括感知压力量表、流行病学研究中心抑郁量表(CESD-10)、关于 COVID-19 疫苗接种的问题、信任信息的来源,以及关于 COVID-19 大流行期间工作环境和培训的问题。采用描述性统计方法评估相关性。

结果

在最终样本(n=220)中,(81.8%)报告至少接种了一剂 COVID 疫苗。大多数受访者信任疾病预防控制中心关于 SARS-CoV-2 病毒和 COVID-19 疾病的信息。大流行期间发生的一些与工作场所相关的因素与中度至高度的感知压力、疲劳和更高的抑郁风险有关。特别是,担心感染他人、因工作而遭受歧视以及照顾因 COVID-19 而死亡的患者与感知压力、抑郁和疲劳增加有关。

结论

医疗机构的规划应包括与所有 HCWs 的心理健康不良相关的工作场所因素的规划。

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