Mental Health Consequences of the COVID-19 Outbreak Among Emergency Department Healthcare Workers.

IF 2.6 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Marion Douplat,Fabien Subtil,Anne Termoz,Laurent Jacquin,Frédéric Verbois,Veronique Potinet,Romain Hernu,Verena Landel,Stéphanie Mazza,Julien Berthiller,Julie Haesebaert,Karim Tazarourte
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Abstract

Study Objective: The present study is aimed at providing an assessment of the changes in burnout, job strain, isostrain, sleepiness, and fatigue levels over time and identifying factors associated with these symptoms among healthcare workers in French emergency departments (EDs). Method: We conducted a prospective, multicenter study in four EDs and an emergency medical service. Participants completed questionnaires at inclusion and at 90 days to assess burnout, job strain, isostrain, sleepiness, and fatigue. Results: A total of 211 respondents (43.5%) completed the questionnaires at inclusion. At the beginning of the study, 84 (40.8%) participants presented symptoms of burnout, 86 (43.2%) had symptoms of job strain, and 58 (29.4%) of isostrain. Forty-two (20.1%) healthcare workers presented symptoms of sleepiness, and 8 (3.8%) had symptoms of fatigue. We found that symptoms of burnout were more frequent for healthcare workers with a previous psychiatric history (55.3% vs. 39.1%, p = 0.02) and were lower among participants who had at least one dependent child (33.1% vs. 48.3%, p = 0.013). Symptoms of job strain were higher among administrative staff compared to physicians (55.6% vs. 28.7%, p = 0.01) and among healthcare workers with managerial responsibilities compared to those without (45.6% vs. 28.8%, p = 0.015). Symptoms of isostrain were higher among administrative staff (42.3%) compared to paramedics (34.1%) and physicians (19.8%, p = 0.026). Conclusion: We identified that potential factors associated with the emergence of symptoms of burnout and job strain are suggested, underlining several areas of improvement for the prevention against mental health disorders in the specific population of ED healthcare workers. Trial Registration: ClinicalTrials.gov identifier: NCT04383886.
COVID-19 在急诊科医护人员中爆发的心理健康后果。
研究目的:本研究旨在评估法国急诊科(ED)医护人员的职业倦怠、工作压力、等效疲劳、嗜睡和疲劳程度随时间的变化,并确定与这些症状相关的因素。研究方法我们在四家急诊室和一家紧急医疗服务机构开展了一项前瞻性多中心研究。参与者在加入研究时和 90 天后填写问卷,以评估职业倦怠、工作压力、等效疲劳、嗜睡和疲劳。结果:共有 211 名受访者(43.5%)在纳入研究时填写了问卷。研究开始时,84 名受访者(40.8%)出现职业倦怠症状,86 名受访者(43.2%)出现工作压力症状,58 名受访者(29.4%)出现等效疲劳症状。42名(20.1%)医护人员有嗜睡症状,8名(3.8%)有疲劳症状。我们发现,有精神病史的医护人员出现职业倦怠症状的频率更高(55.3% 对 39.1%,P = 0.02),而至少有一个受抚养子女的参与者出现职业倦怠症状的频率较低(33.1% 对 48.3%,P = 0.013)。与医生相比,行政人员的工作压力症状更高(55.6% 对 28.7%,p = 0.01),与不承担管理责任的医护人员相比,承担管理责任的医护人员的工作压力症状更高(45.6% 对 28.8%,p = 0.015)。与护理人员(34.1%)和医生(19.8%,p = 0.026)相比,行政人员(42.3%)的同工疲劳症状更严重。结论我们发现了与职业倦怠和工作压力症状的出现相关的潜在因素,强调了在预防急诊室医护人员这一特殊人群的心理健康疾病方面需要改进的几个方面。试验注册:ClinicalTrials.gov 标识符:NCT04383886:NCT04383886。
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
BioMed Research International
BioMed Research International BIOTECHNOLOGY & APPLIED MICROBIOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL
CiteScore
6.70
自引率
0.00%
发文量
1942
审稿时长
19 weeks
期刊介绍: BioMed Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies covering a wide range of subjects in life sciences and medicine. The journal is divided into 55 subject areas.
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