Immediate Psychosocial Impact on Healthcare Workers During COVID-19 Pandemic in China: A Systematic Review and Meta-Analysis.
Immediate Psychosocial Impact on Healthcare Workers During COVID-19 Pandemic in China: A Systematic Review and Meta-Analysis.
复制标题
DOI：
10.3389/fpsyg.2021.645460
复制
发表时间：
2021
影响因子：
3.8
通讯作者：
Liu JP
中科院分区：
文献类型：
--
作者：
Dong F;Liu HL;Yang M;Lu CL;Dai N;Zhang Y;Robinson N;Liu JP
目的：2019冠状病毒病（COVID-19）大流行在全球蔓延，我们旨在调查大流行期间对中国医护人员（HWs）的心理社会影响。研究方法：在这项系统性综述和荟萃分析中，我们检索了7个电子数据库，以了解2020年1月1日至2020年10月7日期间与COVID-19相关的对医务人员心理社会影响的横断面研究。我们纳入了在大流行期间涉及中国医务人员的初步研究，数据摘自已发表的文章。我们的主要结果是焦虑、抑郁和应激障碍的患病率。我们使用随机效应模型将患病率值与其95%置信区间合并，并根据医疗保健研究和质量机构推荐的11项清单评估研究质量。研究方案已在PROSPERO（CRD 42020195843）中注册。结果：我们确定了25篇文章，共包括30，841份完整的问卷和22项荟萃分析研究。焦虑、抑郁和应激障碍的患病率分别为34.4%（29.5-39.4%）、31.1%（24.5-37.7%）和29.1%（24.3-33.8%）。1月下旬至2月上旬的焦虑症合并患病率为46.4%（42.9-49.9%），显著高于2月中旬（28.0%，23.9-32.1%）和2月下旬以后（27.6%，16.0-39.2%）。1月下旬至2月上旬的工作人员抑郁障碍总患病率为46.5%（38.8-54.2%），显著高于2月中旬（27.1%，19.8-34.5%）和2月下旬以后（32.9%，16.2-49.5%）。湖北省医务人员焦虑患病率（37.9%）高于其他地区医务人员（30.8%），抑郁患病率（27.5%）低于其他地区医务人员（34.7%）。护士的焦虑（44.1 vs. 29.0%）和抑郁（34.1 vs. 29.2%）的患病率高于其他工作人员。结论：中国约三分之一的医务工作者在COVID-19流行早期患有焦虑、抑郁和压力。湖北省医务人员心理障碍患病率较高，尤其是护士。在疫情期间，部分中国医务人员可能会持续存在消极的心理状态，并随着疫情的控制而波动。应继续观察其长期影响。应关注医务工作者因大流行而受到的心理影响。系统综述注册：研究方案已在PROSPERO注册（CRD 42020195843）。
Objectives: The corona virus disease-2019 (COVID-19) pandemic spread globally, and we aimed to investigate the psychosocial impact on healthcare workers (HWs) in China during the pandemic. Methods: In this systematic review and meta-analysis, we searched seven electronic databases for cross-sectional studies on psychosocial impact on HWs in relation to COVID-19 from January 1, 2020 to October 7, 2020. We included primary studies involving Chinese HWs during the pandemic, and data were extracted from the published articles. Our primary outcome was prevalence of anxiety, depression, and stress disorders. We pooled prevalence value with their 95% confidence interval using random effect models and assessed study quality on the basis of an 11-item checklist recommended by the Agency for Healthcare Research and Quality. The study protocol was registered in PROSPERO (CRD42020195843). Results: We identified 25 articles comprising a total of 30,841 completed questionnaires and 22 studies for meta-analysis. The prevalence of anxiety, depression, and stress disorders was 34.4% (29.5–39.4%), 31.1% (24.5–37.7%), and 29.1% (24.3–33.8%) for HWs. The pooled prevalence of anxiety disorders for HWs from late January to early February was 46.4% (42.9–49.9%), significantly higher than those in mid-term February (28.0%, 23.9–32.1%) and after late February (27.6%, 16.0–39.2%). The pooled prevalence of depression disorders for HWs from late January to early February was 46.5% (38.8–54.2%), significantly higher than those in mid-term February (27.1%, 19.8–34.5%) and after late February (32.9%, 16.2–49.5%). HWs working in Hubei Province had a higher prevalence of anxiety (37.9 vs. 30.8%) and a lower prevalence of depression (27.5 vs. 34.7%) than those working in other regions. Nurses had a higher prevalence of anxiety (44.1 vs. 29.0%) and depression (34.1 vs. 29.2%) than other HWs. Conclusions: About one-third of HWs in China suffered anxiety, depression, and stress at the early epidemic of COVID-19. HWs in Hubei Province, especially nurses, had a higher prevalence of psychological disorders. During the pandemic, a negative psychological state may persist in a proportion of Chinese HWs, fluctuating with the control of the pandemic. The long-term impact should continue to be observed. Attention should be paid to HWs for their psychological impact due to the pandemic. Systematic Review Registration: The study protocol was registered with PROSPERO (CRD42020195843).
登录
查看更多内容
影响因子：
50.5
作者：
Naqos N;Khouchani M
通讯作者：
Khouchani M
影响因子：
2.2
作者：
DerSimonian R;Laird N
通讯作者：
Laird N
影响因子：
4.8
作者：
Cai, Zhongxiang;Cui, Qin;Wang, Gaohua
通讯作者：
Wang, Gaohua
影响因子：
64.3
作者：
Holmes, Emily A.;O'Connor, Rory C.;Bullmore, Ed
通讯作者：
Bullmore, Ed
影响因子：
3.7
作者：
Gao, Junling;Zheng, Pinpin;Dai, Junming
通讯作者：
Dai, Junming