Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers' infection and psychological distress during the COVID-19 pandemic in the USA.
Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers' infection and psychological distress during the COVID-19 pandemic in the USA.
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DOI：
10.1136/bmjopen-2020-042752
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发表时间：
2020-10-21
期刊：
影响因子：
2.9
通讯作者：
Chang BP
中科院分区：
文献类型：
--
作者：
Firew T;Sano ED;Lee JW;Flores S;Lang K;Salman K;Greene MC;Chang BP
COVID-19大流行为前线医护人员带来重大职业压力及挑战，包括COVID-19暴露风险。我们的研究旨在评估美国COVID-19大流行期间导致HCW感染和心理困扰的因素。我们在2020年5月对HCW（医生、护士、紧急医疗技术人员（EMT）、非临床工作人员）进行了一项横断面调查。参与者完成了一项42项调查，评估疾病传播风险（临床角色，工作环境，个人防护设备的可用性）和心理健康（焦虑，抑郁和倦怠）。调查问卷通过各种社交媒体平台传播。来自48个州、哥伦比亚特区和美国领土的3083名受访者参与了调查。使用在大流行期间工作的HCW的便利样本，3083名受访者访问了调查，2040名参与者完成了至少80%的调查。自我报告的COVID-19感染的患病率，以及倦怠、抑郁和焦虑症状。参与者主要来自美国东北部和南部，主治医生（31.12%），护士（26.80%），EMT（13.04%），急诊科（38.30%）是最常见的部门和专业代表。由于报告的COVID-19症状或阳性检测，29%的受访者符合可能病例的标准。急诊科医护人员（31.64%）比ICU医护人员（23.17%）和住院医护人员（25.53%）更容易感染COVID-19。感染COVID-19的HCW也报告了更高水平的抑郁症状（平均差异= 1.2%）。0.31; 95%CI 0.16至0.47），焦虑症状（平均差异= 0.31; 95%CI 0.16至0.47），0.34; 95% CI 0.17至0.52）和燃尽（平均差异= 0.34）0.54; 95% CI 0.36至0.71）。医护人员在COVID-19疫情期间工作时经历了重大的身体和心理风险。这些发现强调迫切需要增加对提供者身心健康的支持。
The COVID-19 pandemic has been associated with significant occupational stressors and challenges for front-line healthcare workers (HCWs), including COVID-19 exposure risk. Our study sought to assess factors contributing to HCW infection and psychological distress during the COVID-19 pandemic in the USA. We conducted a cross sectional survey of HCWs (physicians, nurses, emergency medical technicians (EMTs), non-clinical staff) during May 2020. Participants completed a 42-item survey assessing disease transmission risk (clinical role, work environment, availability of personal protective equipment) and mental health (anxiety, depression and burn-out). The questionnaire was disseminated over various social media platforms. 3083 respondents from 48 states, the District of Columbia and US territories accessed the survey. Using a convenience sample of HCWs who worked during the pandemic, 3083 respondents accessed the survey and 2040 participants completed at least 80% of the survey. Prevalence of self-reported COVID-19 infection, in addition to burn-out, depression and anxiety symptoms. Participants were largely from the Northeast and Southern USA, with attending physicians (31.12%), nurses (26.80%), EMTs (13.04%) with emergency medicine department (38.30%) being the most common department and specialty represented. Twenty-nine per cent of respondents met the criteria for being a probable case due to reported COVID-19 symptoms or a positive test. HCWs in the emergency department (31.64%) were more likely to contract COVID-19 compared with HCWs in the ICU (23.17%) and inpatient settings (25.53%). HCWs that contracted COVID-19 also reported higher levels of depressive symptoms (mean diff.=0.31; 95% CI 0.16 to 0.47), anxiety symptoms (mean diff.=0.34; 95% CI 0.17 to 0.52) and burn-out (mean diff.=0.54; 95% CI 0.36 to 0.71). HCWs have experienced significant physical and psychological risk while working during the COVID-19 pandemic. These findings highlight the urgent need for increased support for provider physical and mental health well-being.
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