[Mental distress of intensive care staff in Germany during the COVID-19 pandemic. Results from the VOICE study].

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-08-07 DOI:10.1007/s00063-024-01164-6

Alexander Niecke, Michaela Henning, Martin Hellmich, Yesim Erim, Eva Morawa, Petra Beschoner, Lucia Jerg-Bretzke, Franziska Geiser, Andreas M Baranowski, Kerstin Weidner, Sabine Mogwitz, Christian Albus

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引用次数: 0

Abstract

Background: The coronavirus disease 2019 (COVID-19) pandemic posed major challenges to the healthcare system worldwide and led to particular stress among healthcare workers. The aim of this analysis was to investigate the level of global mental stress of direct healthcare workers in Germany during the COVID-19 pandemic.

Methods: In this prospective cross-sectional study with four measurement points (T1: 4-5/2020, T2:11/2020-1/2021, 5-7/2021, 2-5/2022), psychological distress symptoms were recorded in an online survey with the Patient Health Questionnaire (PHQ-4) among hospital staff working in direct patient care (N = 5408 datasets). The total dataset was exploratively analyzed according to field of activity, gender, and professional group affiliation.

Results: Clinically relevant psychological distress (PHQ-4 ≥ 5) was present in 29.3% (n = 419/1429) of intensive care staff. A comparison of the four cross-sectional surveys showed a significant increase in the rate of clinically relevant mental distress in the first pandemic year (23.2% at T1 vs. 30.6% at T2; p < 0.01), which stabilized at a high level in the second pandemic year (33.6% at T3 and 32.0% at T4). Women did not differ from men in this respect (n = 280/919, 30.4% vs. n = 139/508, 27.4%; p = 0.74). Nursing staff were significantly more often psychologically stressed than physicians (n = 339/1105, 30.7% vs. n = 80/324, 24.7%; p = 0.03). Intensive care staff did not show significantly higher stress than staff working in nonintensive care areas (n = 419/1429, 29.3% vs. n = 1149/3979, 28.7%, p = 0.21).

Conclusion: German healthcare workers reported high levels of mental distress during the pandemic, which increased during the course of the pandemic, but no significant difference was found between intensive care and nonintensive care staff in our sample. This may be due to the fact that the pandemic in Germany was comparatively moderate internationally and neither a collapse of the healthcare system in general nor a collapse of intensive care structures in particular took place.

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[德国重症监护人员在 COVID-19 大流行期间的心理压力。VOICE研究结果]。

背景：冠状病毒病 2019（COVID-19）大流行给全球医疗保健系统带来了重大挑战，并给医疗保健工作者造成了特别大的压力。本分析的目的是调查 COVID-19 大流行期间德国直接医疗工作者的全球精神压力水平：在这项有四个测量点（T1：2020 年 4 月 5 日；T2：2020 年 11 月 1 日-2021 年 1 月 5 日-2021 年 7 月 5 日；2022 年 5 月 2 日）的前瞻性横断面研究中，通过患者健康问卷（PHQ-4）在线调查记录了从事直接患者护理工作的医院员工的心理困扰症状（N = 5408 个数据集）。根据活动领域、性别和专业团体归属对所有数据集进行了探索性分析：结果：29.3%（n = 419/1429）的重症监护人员存在临床相关的心理困扰（PHQ-4 ≥ 5）。对四项横断面调查进行比较后发现，在大流行的第一年，临床相关心理困扰率显著上升（T1 为 23.2%，T2 为 30.6%；P 结论：德国医护人员报告的心理困扰率较高：德国医护人员在大流行期间报告的精神压力水平较高，并且在大流行期间有所上升，但在我们的样本中，重症监护人员和非重症监护人员之间没有发现明显的差异。这可能是由于德国的疫情在国际上相对温和，既没有出现医疗系统的整体崩溃，也没有出现重症监护机构的崩溃。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medizinische Klinik-Intensivmedizin Und Notfallmedizin MEDICINE, GENERAL & INTERNAL-

CiteScore

2.60

自引率

9.10%

发文量

审稿时长

6-12 weeks

期刊介绍： Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.