Goniewicz Mariusz, Włoszczak-Szubzda Anna, Al-Wathinani Ahmed M, Goniewicz Krzysztof
Department of Emergency Medicine, Medical University of Lublin, 20-081 Lublin, Poland.
Faculty of Human Sciences, WSEI Academy, 20-209 Lublin, Poland.
Healthcare (Basel). 2024 Nov 25;12(23):2360. doi: 10.3390/healthcare12232360.
: The COVID-19 pandemic has significantly impacted the mental health of healthcare professionals, particularly nurses and paramedics. This study investigates the prevalence of Post-Traumatic Stress Disorder (PTSD) and the impact of social ostracism on psychological distress among healthcare workers (HCWs) in Poland, with a focus on exploring the interplay between professional and social factors contributing to their stress. : A cross-sectional survey was conducted between March 2021 and February 2022 with 852 HCWs from four Polish provinces. PTSD symptoms were measured using the PTSD Checklist-Civilian Version (PCL-C), and social ostracism was assessed through a custom-designed questionnaire. : Of the participants, 14.1% reported experiencing social ostracism, and 4.9% observed such experiences among colleagues. Those who experienced or witnessed ostracism reported significantly higher PTSD symptoms ( < 0.001). Concerns about personal health and the well-being of older individuals were strongly associated with increased PTSD severity, while concerns for household members were not. : Social ostracism exacerbates the psychological burden on healthcare workers, contributing to higher levels of PTSD. This study highlights the need for targeted mental health interventions and support systems, including resilience training and stigma reduction initiatives, to address these challenges. Future research should explore cross-national comparisons and long-term psychological effects among diverse healthcare populations.
新冠疫情对医护人员，尤其是护士和护理人员的心理健康产生了重大影响。本研究调查了波兰医护人员中创伤后应激障碍（PTSD）的患病率以及社会排斥对心理困扰的影响，重点探讨导致其压力的专业因素和社会因素之间的相互作用。：2021年3月至2022年2月期间，对来自波兰四个省份的852名医护人员进行了横断面调查。使用创伤后应激障碍检查表平民版（PCL-C）测量PTSD症状，并通过一份定制问卷评估社会排斥情况。：在参与者中，14.1%的人报告经历过社会排斥，4.9%的人观察到同事有此类经历。经历或目睹排斥的人报告的PTSD症状明显更高（<0.001）。对个人健康和老年人福祉的担忧与PTSD严重程度增加密切相关，而对家庭成员的担忧则不然。：社会排斥加剧了医护人员的心理负担，导致更高水平的PTSD。本研究强调需要有针对性的心理健康干预措施和支持系统，包括恢复力培训和减少污名化倡议，以应对这些挑战。未来的研究应探索不同医护人群之间的跨国比较和长期心理影响。
