乌克兰COVID-19大流行期间医护人员的心理健康状况

V. Pishel, M. Polyvianaia, I. Pinchuk, Olha Myshakivska, G. Thornicroft, C. Hanlon
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摘要

介绍。在2019冠状病毒病大流行期间,卫生保健专业人员经历了严重的职业和心理情绪压力,这使他们面临精神障碍的高风险。该研究的目的是检查为COVID-19患者提供治疗和支持的医护人员的心理健康状况。材料和方法。在2021年4月4日至2021年5月29日期间,对乌克兰所有地区的医疗保健专业人员进行了一项在线调查,使用了一套标准化的心理诊断量表来评估抑郁(PHQ-9)、焦虑(GAD-7)、失眠(ISI)和创伤性事件对心理情绪状态的影响(IES-R)。对提供(n = 441)和不提供(n = 40) COVID-19患者的两组专家进行了社会人口学特征和心理诊断量表指标的比较研究。结果。共有500名员工应邀参加了本次调查。两组中都有相当数量的卫生工作者出现精神障碍症状,这表明COVID-19大流行对他们的精神健康产生了负面影响。然而,在为COVID-19患者提供护理的医疗专业人员组中,与不直接为COVID-19患者提供护理的专家组相比,抑郁(p = 0.010)、焦虑(p = 0.010)、睡眠障碍(p = 0.018)的症状更为明显。在IES-R量表上,“回避”(p = 0.048)、“入侵”(p = 0.021)、“过度觉醒”(p = 0.035)的子量表差异也有统计学意义。结论。照顾covid -19患者的卫生保健专业人员出现精神健康问题的风险显著增加,需要特别关注并制定心理支持和精神病学护理的特殊方案
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MENTAL HEALTH OF HEALTHCARE WORKERS DURING COVID-19 PANDEMIC IN UKRAINE
Introduction. Health care professionals experience severe occupational and psycho-emotional stress during the COVID-19 pandemic, which put them at high risk of mental disorders. The aim of the study was to examine the mental health of healthcare workers who provided treatment and support to patients with COVID-19. Materials and methods. A set of standardized psycho-diagnostic scales to assess the symptoms of depression (PHQ-9), anxiety (GAD-7), insomnia (ISI) and the impact of traumatic events on psycho-emotional state (IES-R) was used for an online survey of healthcare professionals from all regions of Ukraine during 04/04/2021 to 05/29/2021. A comparative study was conducted comparing two groups of specialists who provided (n = 441) or who did not support (n = 40) patients with COVID-19 on socio-demographic characteristics and indicators of psycho-diagnostic scales. Results. In total 500 staff were invited to take part in this survey. A signifi cant number of health workers in both groups experienced symptoms of mental disorders, indicating the negative impact of the COVID-19 pandemic on their mental health. However, in the group of medical professionals who provided care to patients with COVID-19, there were more pronounced symptoms of depression (p = 0.010), anxiety (p = 0.010), sleep disturbances (p = 0.018) compared with the group of specialists who did not provide direct care to COVID-19 patients. Statistically signifi cant diff erences were also obtained on the IES-R scale: subscales “avoidance” (p = 0.048), “intrusion” (p = 0.021), “hyperarousal” (p = 0.035). Conclusions. Healthcare professionals who care forCOVID-19 patients have a signifi cantly increased risk of mental health problems and require particular attention and the development of special programs of psychological support and psychiatric care
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