Psychological well-being of Australian hospital clinical staff during the COVID-19 pandemic
Psychological well-being of Australian hospital clinical staff during the COVID-19 pandemic
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DOI：
10.1071/ah20203
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发表时间：
2020-10-09
影响因子：
1.8
通讯作者：
Rasmussen, Bodil
中科院分区：
文献类型：
--
作者：
Holton, Sara;Wynter, Karen;Rasmussen, Bodil
Objective.本研究评估了澳大利亚医院临床工作人员在COVID-19大流行期间的心理健康状况。在澳大利亚墨尔本的一个大都市三级卫生服务机构进行了一项匿名在线横断面调查。调查由护士、助产士、医生和专职医疗人员于2020年5月15日至6月10日期间完成。采用抑郁、焦虑和压力量表（DASS-21）评定被调查者前一周的心理健康状况。总共有668人对调查作出了答复（护士/助产士，n = 391;医生，n = 138; AH工作人员，n = 139）。其中，108人（16.2%）与确诊为COVID-19的人有过直接接触。大约四分之一的受访者报告了心理困扰的症状。11%（AH工作人员）和29%（护士/助产士）之间的焦虑评分在轻度至极重度范围内。护士和助产士的焦虑得分显著高于医生（P < 0.001）和AH工作人员（P < 0.001）。与确诊为COVID-19的人直接接触（P < 0.001）以及作为护士或助产士（P < 0.001）与较高的焦虑评分相关。卫生服务的大流行应对和工作人员支持策略的较高评分对抑郁（P < 0.001）、焦虑（P < 0.05）和压力（P < 0.001）有保护作用。COVID-19疫情对医院临床员工（尤其是护士及助产士）的心理健康产生重大影响。在目前和今后爆发传染病期间，工作人员将受益于（额外的）有针对性的支助性干预措施。
Objective. This study assessed the psychological well-being of Australian hospital clinical staff during the COVID-19 pandemic.Methods. An anonymous online cross-sectional survey was conducted in a large metropolitan tertiary health service located in Melbourne, Australia. The survey was completed by nurses, midwives, doctors and allied health (AH) staff between 15 May and 10 June 2020. The Depression, Anxiety and Stress Scale - 21 items (DASS-21) assessed the psychological well-being of respondents in the previous week.Results. In all, 668 people responded to the survey (nurses/midwives,n = 391; doctors,n = 138; AH staff,n = 139). Of these, 108 (16.2%) had direct contact with people with a COVID-19 diagnosis. Approximately one-quarter of respondents reported symptoms of psychological distress. Between 11% (AH staff) and 29% (nurses/midwives) had anxiety scores in the mild to extremely severe ranges. Nurses and midwives had significantly higher anxiety scores than doctors (P < 0.001) and AH staff (P < 0.001). Direct contact with people with a COVID-19 diagnosis (P < 0.001) and being a nurse or midwife (P < 0.001) were associated with higher anxiety scores. Higher ratings of the health service's pandemic response and staff support strategies were protective against depression (P < 0.001), anxiety (P < 0.05) and stress (P < 0.001).Conclusions. The COVID-19 pandemic had a significant effect on the psychological well-being of hospital clinical staff, particularly nurses and midwives. Staff would benefit from (additional) targeted supportive interventions during the current and future outbreaks of infectious diseases.