Depression in healthcare workers: Results from the nationwide AMADEUS survey.
Depression in healthcare workers: Results from the nationwide AMADEUS survey.
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DOI：
10.1016/j.ijnurstu.2022.104328
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发表时间：
2022-11
影响因子：
8.1
通讯作者：
Boyer, Laurent
中科院分区：
文献类型：
--
作者：
Fond, Guillaume;Fernandes, Sara;Lucas, Guillaume;Greenberg, Neil;Boyer, Laurent
现在有大量的证据表明，工作是身心健康的主要决定因素。最近的研究表明，在Covid-19大流行的背景下，卫生保健工作者（HCWs）的抑郁症发病率上升，直接影响到护理质量和生产力。目的：确定后covid -19地区法国全国卫生保健工作者样本的临床抑郁症发生率，并使用结构方程建模分析确定相关因素（专业、个人和健康相关风险行为）。通过邮件向国家公共和私营保健设施发送了一份包含若干标准化量表的调查，或通过专业协会和社会网络的电子邮件进行传播。招募了10325名参与者；3122例（30.2%，95%可信区间[29.4-31.1]）符合可能的临床抑郁症诊断标准。职业因素影响最大的总(β = 0.57)(输家:β = 0.74,持续在工作场所欺凌β = 0.48和决策纬度β = −0.47),其次是个体因素(β = 0.30)(主要的个人因素是复发性抑郁症,路径系数 = 0.67)。职业因素对抑郁有直接影响（路径系数 = 0.38）和间接影响（通过健康危险行为，路径系数 = 0.19）。个体因素对抑郁有直接（路径系数0.21）和间接(通过健康危险行为（路径系数 = 0.09）的影响。健康危险行为对抑郁有直接影响（通径系数 = 0.31）。这些结果为卫生保健工作者心理健康状况不佳的可能原因提供了潜在的解释。我们提出了几种与职业因素和健康风险行为相关的潜在干预措施。我们的研究结果表明，改善组织问题、减少潜在的道德伤害事件、促进工作时的短暂小睡和提供基于证据的预防方法，据报道有助于支持医院员工的心理健康（不仅是放松或压力管理，还有领导力方面的培训，增加给予有效绩效反馈的知识和实践）。减少相互冲突的需求和同伴支持项目，如创伤风险管理。我们的数据表明，开发护理人员报告经验和结果测量（CREMs/CROMs）将有助于监测工作环境及其对医护人员抑郁的影响。
There is now a wealth of evidence showing that work is a major determinant of physical and mental health. Recent studies have suggested increased rates of depression in healthcare workers (HCWs) in the context of the Covid-19 pandemic, with direct impact on care quality and productivity. To determine the rate of clinical depression in a national sample of HCWs in France during the post-Covid-19 area and to identify related factors (professional, individual and health-related risk behaviors) using a structural equation modeling analysis. A survey comprising a number of standardized scales was sent to public and private national healthcare facilities through the mail or disseminated through emails from professional associations and social networks. 10,325 participants were recruited; 3122 (30.2%, 95% confidence interval [29.4–31.1]) met likely diagnostic criteria for clinical depression. Professional factors had the largest total effect (β = 0.57) (burn-out: β = 0.74, sustained bullying at the workplace β = 0.48 and decision-making latitude β = − 0.47), followed by individual factors (β = 0.30) (the main individual factor was recurrent major depression, path coefficient = 0.67). Professional factors had both a direct (path coefficient = 0.38) and indirect (through health risk behaviors, path coefficient = 0.19) effect on depression. Individual factors had a direct (path coefficient 0.21) and indirect (through health risk behaviors (path coefficient = 0.09) effect on depression. Health risk behaviors had a direct effect on depression (path coefficient = 0.31). These results provide potential explanations for the likely causes of poor psychological health among HCWs. We propose several potential interventions related to professional factors and health risk behaviors. Our results suggest that improving organizational issues, reducing exposure to potentially morally injurious events, promoting brief naps at work and provision of evidence-based prevention approaches have been reported to be helpful in supporting the mental health of hospital staff (not only relaxation or stress management but training in leadership aspects, increasing the knowledge and practice of giving efficient performance feedback, reducing conflicting demands and peer support programs such as Trauma Risk Management. Our data suggest that developing caregivers reported experience and outcome measures (CREMs/CROMs) would be helpful to monitor work environment and its effect on depression in healthcare workers.
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影响因子：
4.7
作者：
Doty B;Grzenda A;Hwang S;Godar S;Gruttadaro D;Hauge KA;Sherman B;Clarke DE
通讯作者：
Clarke DE
影响因子：
9.6
作者：
Azoulay E;Pochard F;Reignier J;Argaud L;Bruneel F;Courbon P;Cariou A;Klouche K;Labbé V;Barbier F;Guitton C;Demoule A;Kouatchet A;Guisset O;Jourdain M;Papazian L;Van Der Meersch G;Reuter D;Souppart V;Resche-Rigon M;Darmon M;Kentish-Barnes N;FAMIREA Study Group
通讯作者：
FAMIREA Study Group
影响因子：
3.7
作者：
Daouda OS;Hocine MN;Temime L
通讯作者：
Temime L
影响因子：
5
作者：
Ait-Aoudia M;Levy PP;Bui E;Insana S;de Fouchier C;Germain A;Jehel L
通讯作者：
Jehel L
影响因子：
4.4
作者：
Beck, Arne;Crain, A. Lauren;Whitebird, Robin
通讯作者：
Whitebird, Robin