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新冠疫情爆发两年后全科医生和家庭医学专科医生的心理健康状况

Mental health of general practitioners and family medicine specialists 2 years into the COVID-19 pandemic.

作者信息

Zafirovska Marija, Danilenko Jelena, Zafirovski Aleksandar, Coteur Kristien, Lingner Heidrun, Frigolett Cristián Andrés, Cojić Milena, Şahin Mustafa Kürşat, Busneag Carmen Iliana, Buono Nicola, Stepanović Aleksander, Brütting Christine, Kirov Lyubomir Kirilov, Jatić Zaim, Ramasaco Liljana, Brovč Monika, Lazić Vanja, Abazaj Erjona, Šukriev Ljubin

机构信息

Association of General Practice/Family Medicine of South-East Europe (AGP/FM SEE), Skopje, North Macedonia.

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

出版信息

Front Public Health. 2025 Mar 12;13:1464639. doi: 10.3389/fpubh.2025.1464639. eCollection 2025.

Abstract

INTRODUCTION

The COVID-19 pandemic has significantly impacted general medical practice by altering work structures and increasing teamwork while also adversely affecting the mental health of general practitioners and family medicine specialists. This study assesses depression, anxiety, and fear levels among general practitioners and family medicine specialists in Europe 2 years after the COVID-19 pandemic's onset, and it explores influencing factors.

METHODS

This observational cross-sectional study included participants from 13 European countries. Data was collected from May to August 2022 with an anonymous online survey incorporating validated questionnaires for depression (PHQ-9), anxiety (GAD-7), and fear of COVID-19 (FCV-19S). Data analysis involved descriptive statistics, correlation tests, and linear regression.

RESULTS

A total of 1,723 participants completed the survey. Findings indicated an overall mild to moderate levels of anxiety (GAD-7: 5.4 ± 4.76) and depression (PHQ-9: 6.33 ± 5.43), and moderate fear of COVID-19 (FCV-19: 12.84 ± 5.29). Key determinants of anxiety, fear, and depression included country, at-risk status, patient non-compliance, and mental health history. Sex influenced anxiety and fear, losing co-workers to COVID-19 influenced anxiety and depression, while losing relatives or friends influenced fear.

CONCLUSION

Two years into the pandemic, European general practitioners and family medicine specialists showed mild to moderate levels of anxiety, depression, and fear. Country, at-risk status, mental health history, and work-related challenges significantly affected mental health. Crucial interventions are needed to support healthcare workers during pandemics, focusing on protective measures, stable work environments, and coping strategies for anxiety and depression.

摘要

引言

新冠疫情通过改变工作结构、加强团队协作,对普通医疗实践产生了重大影响,同时也对全科医生和家庭医学专家的心理健康产生了不利影响。本研究评估了新冠疫情爆发两年后欧洲全科医生和家庭医学专家的抑郁、焦虑和恐惧水平,并探讨了影响因素。

方法

这项观察性横断面研究纳入了来自13个欧洲国家的参与者。2022年5月至8月通过匿名在线调查收集数据,该调查采用了经过验证的抑郁(PHQ-9)、焦虑(GAD-7)和对新冠的恐惧(FCV-19S)问卷。数据分析包括描述性统计、相关性检验和线性回归。

结果

共有1723名参与者完成了调查。结果表明,总体焦虑水平(GAD-7:5.4±4.76)和抑郁水平(PHQ-9:6.33±5.43)为轻度至中度,对新冠的恐惧为中度(FCV-19:12.84±5.29)。焦虑、恐惧和抑郁的关键决定因素包括国家、高危状态、患者不依从以及心理健康史。性别影响焦虑和恐惧,因新冠失去同事影响焦虑和抑郁,而失去亲属或朋友影响恐惧。

结论

疫情爆发两年后,欧洲全科医生和家庭医学专家表现出轻度至中度的焦虑、抑郁和恐惧。国家、高危状态、心理健康史和与工作相关的挑战显著影响心理健康。在疫情期间需要采取关键干预措施来支持医护人员,重点是保护措施、稳定的工作环境以及应对焦虑和抑郁的策略。

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