公共安全网医院在新冠疫情危机期间住院医师和护士的经历
Inpatient Physician and Nurse Experience During the COVID-19 Crisis at a Public Safety Net Hospital.
作者信息
Nayak Satyam, Waters Ami, Warsi Maryam, Hegde Anita, Chu Eugene S
机构信息
Department of Internal Medicine University of Texas Southwestern School of Medicine, Dallas, TX, USA.
Division of Hospital Medicine Parkland Health, Dallas, TX, USA.
出版信息
Brown J Hosp Med. 2022 Dec 26;2(1):57694. doi: 10.56305/001c.57694. eCollection 2023.
BACKGROUND
The COVID-19 pandemic has been associated with front line health care provider burnout, depression, and post-traumatic stress disorder. We sought to better understand how nurses and physicians of differing genders may have been affected differently by the COVID-19 crisis.
METHODS
Between July 17, 2020, and October 31, 2020, we surveyed nurses and physicians caring for COVID-19 patients at a large, academic, public safety net hospital in the southern United States. Survey questions were adapted from validated questionnaires used to determine quality of life, assess levels of anxiety, and determine how COVID-19 may have affected our nurses' and physicians' work, home and social lives.
RESULTS
Overall, 120 (41.7%) providers responded, including 39 (50%) physicians and 81 (38.6%) nurses. 69.3% reported disruption to their home/family, 76.3% to their social lives, and 29.8% worried about financial strain. More nurses than physicians worried about being excluded from social gatherings (59.7% v 35.1%, p=0.01). Similarly, 70.1% of nurses and 46.0% of physicians expressed concern of exposing others to COVID-19 (p=0.01). Nurses also expressed greater concern about being treated differently by others when compared to physicians (64.5% v 37.8%, p= 0.01). Female physicians reported greater difficulty separating their personal lives from their professional lives than male physicians and either male or female nurses (84.6%% vs 35% vs 33.3% vs 35.9%, p <0.05). Most physicians (89.7%) and nurses (93.8%) reported some level of anxiety, with 31.5% of respondents experiencing moderate or severe anxiety.
CONCLUSION
Healthcare workers on the frontline of COVID-19 pandemic, regardless of profession, reported increased anxiety that extended beyond the hospital into their homes and social lives. Physicians and nurses, as well as men and women, reported different sources and degrees of stress and disruption to their work, home and social lives.
背景
新冠疫情与一线医护人员的职业倦怠、抑郁和创伤后应激障碍有关。我们试图更好地了解不同性别的护士和医生可能如何受到新冠危机的不同影响。
方法
在2020年7月17日至2020年10月31日期间，我们对美国南部一家大型学术性公共安全网医院中照顾新冠患者的护士和医生进行了调查。调查问卷改编自用于确定生活质量、评估焦虑水平以及确定新冠疫情可能如何影响我们的护士和医生的工作、家庭和社交生活的经过验证的问卷。
结果
总体而言，120名（41.7%）医护人员做出了回应，其中包括39名（50%）医生和81名（38.6%）护士。69.3%的人报告家庭/家人受到干扰，76.3%的人报告社交生活受到干扰，29.8%的人担心经济压力。担心被排除在社交聚会之外的护士比医生更多（59.7%对35.1%，p=0.01）。同样，70.1%的护士和46.0%的医生表示担心将新冠病毒传染给他人（p=0.01）。与医生相比，护士也更担心被他人区别对待（64.5%对37.8%，p = 0.01）。与男医生以及男护士或女护士相比，女医生报告在将个人生活与职业生活区分开来方面困难更大（84.6%对35%对33.3%对35.9%，p<0.05）。大多数医生（89.7%）和护士（93.8%）报告有一定程度的焦虑，31.5%的受访者经历中度或重度焦虑。
结论
新冠疫情前线的医护人员，无论职业如何，都报告焦虑情绪增加，这种焦虑情绪不仅延伸到医院，还影响到他们的家庭和社交生活。医生和护士，以及男性和女性，报告了工作、家庭和社交生活中不同的压力来源和程度以及干扰情况。
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