Psychological wellness of internal medicine hospitalists during the COVID-19 pandemic
Psychological wellness of internal medicine hospitalists during the COVID-19 pandemic
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DOI：
10.1080/21548331.2020.1832792
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发表时间：
2021-01-01
期刊：
影响因子：
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通讯作者：
Burton, Caroline
中科院分区：
文献类型：
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作者：
Dugani, Sagar B.;Geyer, Holly L.;Burton, Caroline
新冠肺炎感染需要住院治疗的患者通常由内科住院医生管理，包括医生、执业护士和医生助理。有关新冠肺炎疫情对内科住院医师心理影响的信息很少。方法我们调查了四个州(亚利桑那州、佛罗里达州、明尼苏达州和威斯康星州)梅奥诊所的内科住院医师。我们收集了人口统计信息，并使用患者报告的结果测量信息系统(PROIS(R))来评估全球幸福感、焦虑、社会孤立和情感支持。描述性统计被用来比较两个时期之间的反应：大流行之前(2020年3月15日之前)和大流行期间(2020年3月15日至4月30日)。调查于2020年5月4日至25日进行。结果295名内科住院患者中，154人(52%)回答。56%是女性(n=85/154)，54%是医生(n=84/154)。大多数住院医生(75%；n=115/154)报告担心在工作场所感染新冠肺炎，5%(n=8/154)报告在大流行期间改变居住地。大多数住院患者(73%；n=112/154)报告主要依赖机构资源来获取新冠肺炎信息。在大流行期间，全球幸福感良好或非常好的参与者的百分比下降(大流行前为90%，大流行期间为53%)，平均焦虑(-4.88[95%可信区间，-5.61至-4.16]；P.001)和社会孤立(-3.91[95%可信区间，-4.68至-3.13]；P.001)增加。在同一时期，平均情感支持略有下降(1.46[95%可信区间，0.83至2.09]；P.001)。结论在新冠肺炎大流行期间，内科住院医生报告的总体幸福感较低，焦虑和社会孤立程度较高，情感支持略有下降。这些结果为制定支持住院医生的计划提供了一个框架，并有可能缓解包括职业倦怠在内的长期心理后遗症。
BackgroundPatients with COVID-19 infection requiring in-hospital care are frequently managed by Internal Medicine hospitalists, comprised of physicians, nurse practitioners and physician assistants. There is sparse information on the psychological impact of the COVID-19 pandemic on Internal Medicine hospitalists.MethodsWe surveyed Internal Medicine hospitalists at Mayo Clinic sites in four states (Arizona, Florida, Minnesota, and Wisconsin). We collected demographic information, and used Patient-Reported Outcomes Measurement Information System (PROMIS (R)) measures to assess global well-being, anxiety, social isolation, and emotional support. Descriptive statistics were used to compare responses between two periods: prior to the pandemic (before March 15(th), 2020), and during the pandemic (March 15 through 30 April 2020). The survey was conducted from May 4-25, 2020.ResultsOf 295 Internal Medicine hospitalists, 154 (52%) responded. Fifty-six percent were women (n = 85/154) and 54% were physicians (n = 84/154). Most hospitalists (75%; n = 115/154) reported concerns about contracting COVID-19 infection at work, and 5% (n = 8/154) reported changing where they lived during the pandemic. Most hospitalists (73%; n = 112/154) reported relying primarily on institutional resources for COVID-19 information. During the pandemic, the percentage of participants with excellent or very good global well-being decreased (90% prior to pandemic vs. 53% during pandemic), with increases in mean anxiety (-4.88 [95% confidence interval, - 5.61 to - 4.16]; P.001) and social isolation (-3.91[95% confidence interval, - 4.68 to - 3.13]; P.001). During the same period, there was a small decrease in mean emotional support (1.46 [95% confidence interval, 0.83 to 2.09]; P.001).ConclusionDuring the COVID-19 pandemic, Internal Medicine hospitalists reported lower global well-being, higher anxiety and social isolation, and a small decrease in emotional support. These results provide a framework to develop programs to support hospitalists and potentially mitigate long-term psychological sequelae including burnout.