越南 COVID-19 大流行期间一线医护人员的创伤后应激症状与复原力之间的关系

Linh Thi Phuong Nguyen, Khoa Le Duc, Khanh Do nam, Hao Tran Thi, Huong Dang Thi, Giang Le Minh, Van Hoang Thi Hai
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引用次数: 0

摘要

COVID-19 大流行给一线医护人员(HCWs)带来了相当大的负担,从而增加了他们患创伤后应激障碍(PTSD)的可能性。我们的研究旨在探讨可能出现的创伤后应激障碍症状与复原力之间的关系,并找出 2021 年 COVID-19 大流行期间越南一线医护人员中可能出现创伤后应激障碍症状的相关因素。我们在越南医疗服务和管理系统的省级、县级和乡级三个行政级别的医疗机构中进行了横断面研究。我们使用事件项目量表修订版(IES-R)和简明复原力量表(BRS)来测量可能出现的创伤后应激障碍症状和相应的心理复原力。在 763 名医护人员样本中,三分之二为女性,年龄中位数为 34 岁,近一半为护士。15.9%的医护人员表示可能有创伤后应激障碍症状。包括对 COVID-19 的担忧(担心感染 COVID-19、缺乏个人防护设备(PPE)、担心大流行无法控制、因与家人隔绝而感到孤独)和恢复能力在内的几个变量与可能的创伤后应激障碍症状有显著的统计学关系。多元逻辑回归显示,重复使用个人防护设备、对缺乏个人防护设备的担忧和复原能力低与可能出现创伤后应激障碍症状的可能性增加有显著相关性。建议应更优先考虑改进医疗保健计划,以减轻医护人员的创伤后应激障碍症状,并提高他们的复原力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between Posttraumatic Stress Symptoms and Resilience in Frontline Healthcare Workers during the COVID-19 Pandemic in Vietnam
The COVID-19 pandemic has placed a considerable burden on frontline healthcare workers (HCWs), thus increasing their vulnerability to developing posttraumatic stress disorder (PTSD). Our study aimed to examine the relationship between possible PTSD symptoms and resilience and identify associated factors with possible PTSD symptoms among Vietnamese frontline HCWs during the COVID-19 pandemic in 2021. We conducted a cross-sectional study across medical facilities at three administrative levels: provincial, district, and commune levels of Vietnam's healthcare service and management systems. The Item of Event Scale-Revised (IES-R) and Brief Resilience Scale (BRS) were used to measure possible PTSD symptoms and psychological resilience accordingly. In the sample of 763 HCWs, two-thirds were women, their median age was 34, and nearly half were nurses. 15.9% of HCWs reported having possible PTSD symptoms. Several variables, including COVID-19 concerns: worried about being infected with COVID-19, lacking personal protective equipment (PPE), about an uncontrollable pandemic, feeling lonely about being isolated from family, and resilience capacity were statistically significant with having possible PTSD symptoms. Multiple logistic regression showed that reused PPE, concerns about lacking PPE, and low levels of resilience were significantly associated with an increased likelihood of possible PTSD symptoms. It is suggested that greater priority should be given to improving healthcare plans to mitigate HCWs' PTSD symptoms and improve their resilience trait.
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