在专门处理COVID-19的日本病房工作人员和支持人员中,与COVID-19相关的社会心理压力和一般心理困扰的表现差异,以及护理天数与这些症状之间的关系。

IF 2.3 4区 医学 Q2 PSYCHIATRY
Tomoe Nishihara, Kazufumi Yoshihara, Ayako Ohashi, Mika Kuroiwa, Nobuyuki Sudo
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引用次数: 0

摘要

背景:2019冠状病毒病(COVID-19)流行期间,一线医护人员在压力下经常出现心理困扰;然而,目前尚不清楚专门在COVID-19病房工作的工作人员和临时部署到COVID-19病房的支持人员所经历的压力和症状是否存在差异。本研究调查了COVID-19患者护理特有的社会心理压力以及专门处理COVID-19的病房工作人员和临时支持人员的心理困扰。方法:研究对象为在2021年2月2019冠状病毒病暴发期间在COVID-19病房或ICU工作的全职护士和医生,他们对COVID-19患者进行了面对面的护理。67名工作人员(21名专门与Covid-19患者一起工作(A组),46名在临时支持组(B组))的数据可供研究。评估了本次COVID-19疫情期间医疗保健专业人员特有的社会心理压力(东京大都会大流行困扰量表[TMDP])和一般心理困扰(K6)。结果:B组患者K6评分显著低于A组(p = 0.006),而TMDP总分及各分量表评分差异无统计学意义(p = 0.006)。B组TMDP与K6呈正相关(p = 0.011), TMDP-social护理天数也呈正相关(rs = 0.011)。456, p = .001)。结论:尽管支持工作人员的心理困扰程度低于专门处理COVID-19的工作人员,但卫生保健工作者特有的COVID-19相关心理社会压力具有可比性。在本次COVID-19疫情期间,支持人员还出现了与卫生保健专业人员特有的社会心理压力相关的心理困扰,并且随着工作日的增加,与COVID-19相关的社会压力也在增加。我们的研究结果表明,所有工作人员,不仅是专门从事COVID-19患者工作的人员,还包括其他支持人员,都应该得到关注与COVID-19相关的社会心理职业压力的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Differences in the presentation of COVID-19-related psychosocial stress and general psychological distress and the relation between the number of care days and these symptoms among Japanese ward staff working exclusively with COVID-19 and support staff.

Differences in the presentation of COVID-19-related psychosocial stress and general psychological distress and the relation between the number of care days and these symptoms among Japanese ward staff working exclusively with COVID-19 and support staff.

Differences in the presentation of COVID-19-related psychosocial stress and general psychological distress and the relation between the number of care days and these symptoms among Japanese ward staff working exclusively with COVID-19 and support staff.

Differences in the presentation of COVID-19-related psychosocial stress and general psychological distress and the relation between the number of care days and these symptoms among Japanese ward staff working exclusively with COVID-19 and support staff.

Background: Psychological distress has been frequently observed in frontline healthcare workers under stress during the coronavirus disease 2019 (COVID-19) epidemic; however, it is unclear if there are differences in the stress and symptoms experienced by staff members who work exclusively in a COVID-19 ward and support staff temporarily deployed to a COVID-19 ward. The present study investigated psychosocial stress specific to the care for patients with COVID-19 and psychological distress among ward staff working exclusively with COVID-19 and temporary support staff.

Methods: The participants were full-time nurses and doctors working in COVID-19 wards or the ICU who provided face-to-face care to patients with COVID-19 during the COVID-19 outbreak in February of 2021. The data of 67 staff members (21 exclusively working with Covid-19 patients (group A) and 46 in the temporary support group (group B)) was available for study. Psychosocial stress specific to healthcare professionals during this COVID-19 outbreak (Tokyo Metropolitan Distress Scale for Pandemic [TMDP]) and general psychological distress (K6) were assessed.

Results: The K6 score was significantly lower in group B than in group A (p = .006), but no significant difference was found in the total score of TMDP or its subscales. Positive correlations were found between TMDP and K6 for group B (p = .011), as was the number of days of care on TMDP-social (rs = .456, p = .001).

Conclusion: Even though support staff members experienced lower psychological distress than staff working exclusively with COVID-19, COVID-19-related psychosocial stress specific to HCWs was comparable. The support staff also presented psychological distress associated with psychosocial stress specific to healthcare professionals during this COVID-19 outbreak, and the COVID-19-related social stress was enhanced as the number of working days increased. Our results show that all staff, not only those working exclusively with COVID-19 patients but also other support staff should be provided with care focusing on COVID-19-related psychosocial occupational stress.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
23
审稿时长
18 weeks
期刊介绍: BioPsychoSocial Medicine is an open access, peer-reviewed online journal that encompasses all aspects of the interrelationships between the biological, psychological, social, and behavioral factors of health and illness. BioPsychoSocial Medicine is the official journal of the Japanese Society of Psychosomatic Medicine, and publishes research on psychosomatic disorders and diseases that are characterized by objective organic changes and/or functional changes that could be induced, progressed, aggravated, or exacerbated by psychological, social, and/or behavioral factors and their associated psychosomatic treatments.
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