COVID-19大流行期间卫生专业人员的职业压力和生活质量

Pub Date : 2022-08-12 eCollection Date: 2022-07-01 DOI:10.2478/jccm-2022-0012
Efstratios Vamvakas, Ioanna Kontogeorgou, Aggeliki Ntaountaki, Georgia Karkouli, Eleni Pisimisi, Eirini Karampekiou, Efstathios Politis, Iordana Moskofi, Dimitrios Konitopoulos, Eleni Dokoutsidou, Maria Grigoropoulou, Maria Theodorakopoulou, Apostolos Armaganidis
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引用次数: 3

摘要

导言:由于医护人员的工作性质,他们一直面临着职业压力、抑郁和低生活质量的问题,在新冠肺炎大流行期间,这些问题进一步加剧。目的:开展大规模横断面描述性相关研究,探讨新冠肺炎疫情对希腊医护人员心理状态和生活质量的影响。材料和方法:本研究在希腊雅典“Attikon”综合大学医院和第二卫生区进行。采用Zung焦虑抑郁自评量表(SAS/SDS)进行焦虑和抑郁评估。为了评估参与者的生活质量(QoL),使用了简短形式调查-36 (SF-36)。结果:147名医护人员参与了研究。70.7%处于正常应激水平,23.8%为轻度应激,4.8%为中度应激,0.7%为重度应激。轻度抑郁占34.7%,中度抑郁占10.2%,重度抑郁占1.4%,无抑郁症状占53.7%。女性经历了更高水平的焦虑和抑郁(p分别=0.001和0.001),并且发生焦虑的风险是5.4倍[优势比(OR) 5.357, 95%置信区间(CI), 1.95-14.72: p=0.001]和3.4倍抑郁(OR, 3.365, 95% CI, 1.59- 7.12: p=0.002)。护士和其他专业人员的压力和抑郁水平高于医生(p分别=0.004和0.040)。报告更多疲惫的参与者表现出更高的焦虑和抑郁水平(p=0.001)。与COVID-19之前相比,女性(p=0.001)、其他卫生专业人员(p=0.001)和那些在COVID-19期间经历更多身体倦怠的人(p=0.005)报告的身体健康状况更差。焦虑和抑郁与SF-36除社会功能和躯体疼痛外的大部分子量表呈负相关(p=0.001)。结论:2019冠状病毒病大流行影响了医护人员的生活质量,他们的焦虑和抑郁程度更高。有必要制定战略,解决这一流行病对卫生保健专业人员的负面心理影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Occupational Stress and Quality of Life among Health Professionals During the COVID-19 Pandemic.

Occupational Stress and Quality of Life among Health Professionals During the COVID-19 Pandemic.

Occupational Stress and Quality of Life among Health Professionals During the COVID-19 Pandemic.

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Occupational Stress and Quality of Life among Health Professionals During the COVID-19 Pandemic.

Introduction: Healthcare professionals, due to the nature of their work, have always experienced occupational stress, depression and low quality of life, which have been aggravated during the COVID-19 pandemic.

Aim: A large-scale cross-sectional descriptive correlational study aimed to investigate the impact of the COVID-19 pandemic on Greek healthcare professionals' psychological status and quality of life.

Material and methods: The study was conducted at "Attikon" General University Hospital and the 2nd Health Region in Athens, Greece. An assessment of anxiety and depression was carried out using the Zung's Self-Rating Anxiety and Depression Scale (SAS/SDS). To assess the participants' Quality of Life (QoL) the Short Form Survey-36 (SF-36) was used.

Results: 147 healthcare professionals were enrolled in the study. 70.7% experienced normal stress levels, 23.8% mild, 4.8% moderate and 0.7% severe. Mild depression was experienced by 34.7%, moderate by 10.2% and severe by 1.4%, with a 53.7% showing no depressive symptoms. Women experienced higher levels of anxiety and depression (p=0.001 & 0.001 respectively), and were 5.4 times more at risk to develop anxiety [Odds Ratio (OR) 5.357, 95% Confidence Interval (CI), 1.95-14.72: p=0.001] and 3.4 depression (OR, 3.365, 95% CI, 1.59- 7.12: p=0.002). Nurses and other professionals experienced higher stress and depression levels (p=0.004 & 0.040 respectively) than doctors. Participants reporting more exhaustion exhibited higher anxiety and depression levels (p=0.001). Compared to the pre-COVID-19 era, women (p=0.001), other health professionals (p=0.001) and those experiencing more physical burnout during COVID-19 (p=0.005) reported worse physical health. Anxiety and depression were negatively correlated with most sub scales of SF-36 except social functioning and bodily pain (p=0.001).

Conclusions: Healthcare professionals' QoL has been affected by the COVID-19 pandemic and they experience higher levels of anxiety and depression. There is a need to develop strategies to address the negative psychological impact of this pandemic on healthcare professionals.

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