Wojnar-Gruszka Katarzyna, Miernik Magdalena, Cichoń Jakub, Liberacka-Lenart Donata, Płaszewska-Żywko Lucyna, Potocka Marcelina
Department of Specialised Nursing, Faculty of Health Sciences, Jagiellonian University - Medical College, Cracow, Poland.
Department of Anesthesiology and Intensive Care, District Hospital in Bochnia, Bochnia, Poland.
Psychol Health Med. 2025 Apr;30(4):770-781. doi: 10.1080/13548506.2025.2455468. Epub 2025 Jan 22.
Pandemic COronaVIrus Disease-19 (COVID-19) was a traumatic event that had a significant impact on the mental health of healthcare workers (HCWs), especially intensive care units (ICUs). Months of exposure and the threat of death can lead to post-traumatic stress disorder (PTSD), and high physical and emotional strain can lead to burnout syndrome (BOS). The purpose of this study was to assess the prevalence of PTSD and BOS among ICU HCWs during the COVID-19 pandemic. A case-control study was conducted in 2022 using a diagnostic survey method with 148 hCWs from two intensive care units: a temporary intensive care unit (tICU, = 93) and a general intensive care unit (gICU, = 55) in Cracow, Poland. The Impact of Events Scale (IES-R), Oldenburg Burnout Inventory (OLBI) and a proprietary questionnaire were used. The results obtained indicate that 46.62% (69) of HCWs had pronounced PTSD symptoms. In the tICU HCWs, 47.31% (44) had severe symptoms of PTSD, and in the gICU HCWs, 45.45% (25) were affected. HCWs in the tICU reported the highest score in the Hyperarousal domain ( = 1.52; SD = 0.87), while HCWs from the gICU reported higher scores in the Avoidance domain (x = 1.45 SD = 0.81). HCWs presented moderate levels of job BOS in the domains of exhaustion (50.68%; 75) and lack of commitment (64.86%; 96). It was shown that lack of commitment to work was significantly more frequent in the tICU group than in the gICU group ( = 0.022). It was shown that the greater the level of exhaustion or withdrawal, the greater the severity of each PTSD symptom. Activity responsibility and fatigue were found to be the most stressful in the workplace. PTSD symptoms co-occurred with BOS. It is necessary to provide employees with targeted psychological support in dealing with the post-pandemic emotional crisis and support the retention of nurses in the profession.
新型冠状病毒肺炎(COVID-19)大流行是一场创伤性事件,对医护人员尤其是重症监护病房(ICU)医护人员的心理健康产生了重大影响。数月的接触以及死亡威胁可能导致创伤后应激障碍(PTSD),而高度的身体和情绪压力可能导致职业倦怠综合征(BOS)。本研究的目的是评估COVID-19大流行期间ICU医护人员中PTSD和BOS的患病率。2022年采用诊断性调查方法进行了一项病例对照研究,研究对象为来自波兰克拉科夫两个重症监护病房的148名医护人员:一个临时重症监护病房(tICU,n = 93)和一个普通重症监护病房(gICU,n = 55)。使用了事件影响量表(IES-R)、奥尔登堡职业倦怠量表(OLBI)和一份自编问卷。所得结果表明,46.62%(69名)医护人员有明显的PTSD症状。在tICU医护人员中,47.31%(44名)有严重的PTSD症状,在gICU医护人员中,45.45%(25名)受到影响。tICU的医护人员在过度警觉领域得分最高(M = 1.52;SD = 0.87),而gICU的医护人员在回避领域得分更高(x = 1.45 SD = 0.81)。医护人员在疲惫(50.68%;75名)和缺乏奉献精神(64.86%;96名)领域呈现出中度的职业倦怠水平。结果显示,tICU组医护人员工作缺乏奉献精神的情况明显比gICU组更频繁(p = 0.022)。结果表明,疲惫或退缩程度越高,每种PTSD症状的严重程度就越高。发现工作责任和疲劳是工作场所压力最大的因素。PTSD症状与职业倦怠综合征同时出现。有必要为员工提供针对性的心理支持,以应对大流行后的情绪危机,并支持护士留在该行业。