Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners.
Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners.
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DOI：
10.23750/abm.v91i2.9619
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发表时间：
2020-05-11
期刊：
影响因子：
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通讯作者：
Aguglia A
中科院分区：
文献类型：
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作者：
Amerio A;Bianchi D;Santi F;Costantini L;Odone A;Signorelli C;Costanza A;Serafini G;Amore M;Aguglia A
自世界卫生组织宣布 2019 年新型冠状病毒病 (Covid-19) 爆发首先为国际关注的突发公共卫生事件，然后为大流行病以来，意大利已有超过 195,350 例病例和 26,380 例死亡。全科医生 (GP) 在前线工作，照顾疑似 Covid-19 感染患者，每天都承受着身体和心理上的压力。对在热那亚（意大利）工作的意大利全科医生进行了一项基于网络的横断面调查，以评估 Covid-19 大流行对心理健康的影响。该调查是匿名的，并使用免费的 Google Forms® 软件。一百三十一位全科医生完成了这项调查。与没有或轻度抑郁症状 (PHQ-9 < 10) 的全科医生相比，报告中度至重度抑郁症状的全科医生 (N=30, 22.9%; PHQ-9 ≥ 10) 报告了更多的无助感 (96.7% vs. 79.2%, p=.025)，花费了三个多小时搜索 COVID-19 信息 (43.3% vs. 19.8%， p=.024)，感知较少 配备足够的个人防护装备 (PPE)（6.7% vs. 23.8%，p=.049），并探访了更多的 COVID-19 感染患者（16.63 ± 27.30 vs. 9.52 ± 11.75，p=.041）。此外，PHQ-9 ≥ 10 GP 报告焦虑和失眠的严重程度显着较高（分别为 13.43 ± 4.96 vs. 4.88 ± 3.53 和 11.60 ± 5.53 vs. 4.84 ± 3.81；p<.001），并且精神生活质量较差（34.60 ± 7.45 vs. 46.01 ± 7.83, p<.001) 和物理 （43.50 ± 9.37 与 52.94 ± 4.78，p<.001）成分摘要。我们的研究结果让人们尽早认识到迫切需要在社区一级为患者提供连续性护理、为全科医生提供足够的个人防护装备以及公共卫生机构的明确指导。国家和地区层面不稳定的医疗保健系统可能会引发意大利全科医生的负面心理健康结果。 ()
Since the World Health Organization declared the new 2019 coronavirus disease (Covid-19) outbreak first a Public Health Emergency of International Concern and then a pandemic, Italy held more than 195.350 cases and 26.380 deaths. Working in the frontline with suspected Covid-19 infection patients, general practitioners (GPs) are daily under both physical and psychological pressure. A web-based cross-sectional survey was carried out on italian GPs working in Genoa (Italy), to assess the impact of Covid-19 pandemic on mental health. The survey was anonymous and a free Google Forms® software was used. One hundred thirty-one GPs completed the survey. Compared to GPs with absent or mild depressive symptoms (PHQ-9 < 10), GPs reporting moderate to severe depressive symptoms (N=30, 22.9%; PHQ-9 ≥ 10) reported more helplessness (96.7% vs. 79.2%, p=.025), spent more than three hours searching for COVID-19 information (43.3% vs. 19.8%, p=.024), perceived less adequate personal protective equipment (PPE) (6.7% vs. 23.8%, p=.049) and visited more COVID-19 infected patients (16.63 ± 27.30 vs. 9.52 ± 11.75, p=.041). Moreover, PHQ-9 ≥ 10 GPs reported a significant higher severity for both anxiety and insomnia (13.43 ± 4.96 vs. 4.88 ± 3.53 and 11.60 ± 5.53 vs. 4.84 ± 3.81, respectively; p<.001), and a worse quality of life in both mental (34.60 ± 7.45 vs. 46.01 ± 7.83, p<.001) and physical (43.50 ± 9.37 vs. 52.94 ± 4.78, p<.001) component summary. Our results give early insight into the urgent need to provide continuity of care for patients at the community-level, adequate PPE to GPs and a clear guidance from public health institutions. A precarious healthcare system both at a national and regional level might have triggered negative mental health outcomes in Italian GPs. ()