Physician Wellness During a Pandemic.
Physician Wellness During a Pandemic.
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DOI：
10.5811/westjem.2020.7.48472
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发表时间：
2020-09-24
期刊：
影响因子：
--
通讯作者：
Stankewicz H
中科院分区：
文献类型：
--
作者：
Fitzpatrick K;Patterson R;Morley K;Stoltzfus J;Stankewicz H
我们目前正处于冠状病毒病2019年(新冠肺炎)大流行之中。对以往传染病爆发的研究表明，在这些可怕的时期，医护人员职业倦怠的风险增加，而那些在第一线的人风险最大。这项前瞻性研究的目的是确定新冠肺炎大流行对急诊医生(EP)健康状况的影响。宾夕法尼亚州东部一家多医院网络的137名儿科医生接受了一项调查。我们比较了10个主要问题和两个补充问题，这些问题基于医生在之前2-3周(新冠肺炎期间)的感觉，以及同样的问题，基于他们在之前4-6个月(新冠肺炎期间之前)的感觉。我们收到了55份对调查的回复(回复率为40.1%)。研究发现，在流感大流行期间，EPs感觉不那么受控制(p值=0.001)；在工作时感到幸福感降低(p值=0.001)；更难以入睡(p值=0.001)；当想到需要做的工作时，恐惧感增加(p值=0.04)；在不工作的日子感到更大的压力(p值和0.0001)；更关心自己的健康(p值和0.0001)以及家人和亲人的健康(p值和lt；0.0001)。这项研究表明，与大流行前相比，新冠肺炎大流行期间EP健康状况在统计上显著下降。我们需要意识到循证建议，以帮助降低风险和防止医生职业倦怠。
We are currently in the midst of the coronavirus disease 2019 (COVID-19) pandemic. Research into previous infectious disease outbreaks has shown that healthcare workers are at increased risk for burnout during these dire times, with those on the front lines at greatest risk. The purpose of this prospective study was to determine the effect that the COVID-19 pandemic has had on the wellness of emergency physicians (EP). A survey was sent to 137 EPs in a multi-hospital network in eastern Pennsylvania. We compared 10 primary and two supplemental questions based on how the physicians had been feeling in the prior 2–3 weeks (COVID-19 period) to the same questions based on how they were feeling in the prior 4–6 months (pre-COVID-19 period). We received 55 responses to the survey (40.1% response rate). The study found that during the pandemic, EPs felt less in control (p-value = 0.001); felt decreased happiness while at work (p-value 0.001); had more trouble falling asleep (p-value = 0.001); had an increased sense of dread when thinking of work needing to be done (p-value = 0.04); felt more stress on days not at work (p-value <0.0001); and were more concerned about their own health (p-value <0.0001) and the health of their families and loved ones (p-value <0.0001). This study showed a statistically significant decrease in EP wellness during the COVID-19 pandemic when compared to the pre-pandemic period. We need to be aware of evidence-based recommendations to help mitigate the risks and prevent physician burnout.
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