Psychological outcomes amongst family medicine healthcare professionals during COVID-19 outbreak: A cross-sectional study in Croatia.

IF 2.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

European Journal of General Practice Pub Date : 2021-12-01 DOI:10.1080/13814788.2021.1954154

Sunčana Vlah Tomičević, Valerija Bralić Lang

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引用次数: 10

Abstract

Background: Healthcare professionals (HCPs) in family medicine (FM) in Croatia work in a demanding environment caused by the SARS-CoV-2 pandemic. Besides particular circumstances in healthcare, an unknown virus, social distancing, and homeschooling, the capital was hit with the earthquake during the lockdown.

Objectives: To assess the prevalence of stress, anxiety, depression, posttraumatic stress disorder (PTSD) and the influence of demographic characteristics, professional differences, medical history, and specific stressors on the psychological outcomes.

Methods: A cross-sectional study with the online questionnaire containing the Depression, Anxiety and Stress Scale (DASS-21) and the Impact of Event Scale-Revised (IES-R) was conducted from 1st to 15 May 2020 in FM.

Results: HCPs (534, 35% response rate), predominantly female (84.5%), participated in the research. High prevalence of stress (30.9%), anxiety (33.1%), depression (30.7%), and PTSD (33.0%) were found. Female participants had higher results in the anxiety subscale of DASS-21 and IES-R scores. Pre-existing conditions were associated with higher levels of stress, anxiety, depression, and PTSD. The IES-R score for PTSD showed borderline correlation (p = 0.053) with working in regions with the highest incidence of COVID-19. Having schoolchildren made a difference on a stress subscale in DASS-21 (p < 0.043), but the earthquake did not have an impact.

Conclusion: Family physicians and nurses in FM in Croatia are under a great mental load during the COVID-19 outbreak. Results suggest that HCPs of the female sex, with pre-existing chronic conditions, work in regions with a high incidence of SARS-CoV-2 or have schoolchildren at greater risk of the poor psychological outcome.

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COVID-19爆发期间家庭医学保健专业人员的心理结果:克罗地亚的一项横断面研究

背景:克罗地亚家庭医学(FM)的卫生保健专业人员(HCPs)在SARS-CoV-2大流行造成的苛刻环境中工作。除了医疗保健、未知病毒、保持社交距离和在家上学等特殊情况外，首都在封锁期间还遭受了地震的袭击。目的:评估应激、焦虑、抑郁、创伤后应激障碍(PTSD)的患病率，以及人口统计学特征、职业差异、病史和特定应激源对心理结局的影响。方法:采用包含抑郁、焦虑和压力量表(DASS-21)和事件影响量表(IES-R)的在线问卷，于2020年5月1日至15日在FM进行横断面研究。结果:HCPs(534人，应答率35%)参与研究，以女性为主(84.5%)。应激(30.9%)、焦虑(33.1%)、抑郁(30.7%)和创伤后应激障碍(33.0%)患病率较高。女性被试在DASS-21和IES-R的焦虑分量表中得分较高。先前存在的疾病与较高水平的压力、焦虑、抑郁和创伤后应激障碍有关。PTSD的IES-R评分与在COVID-19发病率最高的地区工作呈边缘相关性(p = 0.053)。结论:在2019冠状病毒病暴发期间，克罗地亚FM的家庭医生和护士承受着巨大的精神负荷。结果表明，既往患有慢性疾病的女性医务人员在SARS-CoV-2高发地区工作，或者其学童更容易出现不良心理结果。

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

European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL

CiteScore

5.10

自引率

5.90%

发文量

审稿时长

>12 weeks

期刊介绍： The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.