Mental health and stress among ICU healthcare professionals in France according to intensity of the COVID-19 epidemic.
Mental health and stress among ICU healthcare professionals in France according to intensity of the COVID-19 epidemic.
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DOI：
10.1186/s13613-021-00880-y
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发表时间：
2021-06-04
影响因子：
8.1
通讯作者：
PsyCOVID-ICU Trial Investigators and the CRICS TRIGGERSEP Group (Clinical Research in Intensive Care and Sepsis Trial Group for Global Evaluation and Research in Sepsis)
中科院分区：
文献类型：
--
作者：
Laurent A;Fournier A;Lheureux F;Louis G;Nseir S;Jacq G;Goulenok C;Muller G;Badie J;Bouhemad B;Georges M;Mertes PM;Merdji H;Castelain V;Abdulmalak C;Lesieur O;Plantefeve G;Lacherade JC;Rigaud JP;Sedillot N;Roux D;Terzi N;Beuret P;Monsel A;Poujol AL;Kuteifan K;Vanderlinden T;Renault A;Vivet B;Vinsonneau C;Barbar SD;Capellier G;Dellamonica J;Ehrmann S;Rimmelé T;Bohé J;Bouju P;Gibot S;Lévy B;Temime J;Pichot C;Schnell D;Friedman D;Asfar P;Lebas E;Mateu P;Klouche K;Audibert J;Ecarnot F;Meunier-Beillard N;Loiseau M;François-Pursell I;Binquet C;Quenot JP;PsyCOVID-ICU Trial Investigators and the CRICS TRIGGERSEP Group (Clinical Research in Intensive Care and Sepsis Trial Group for Global Evaluation and Research in Sepsis)
我们根据法国疫情的严重程度，调查了COVID-19危机对重症监护病房（ICU）工作人员心理健康的影响。这项横断面调查于2020年4月22日至5月13日在法国77家医院进行。所有ICU一线医护人员均符合资格。主要终点是心理健康，使用 12 项一般健康问卷进行评估。使用重症监护室（PS-ICU）感知压力源量表评估了危机期间的压力来源。根据法国公共卫生部门的公开数据，每个地区的流行强度被定义为高或低。使用线性混合模型、调节和中介分析来评估效果。共有 2643 名卫生专业人员参与；高强度区为64.36%。与低强度地区相比，疫情强度较大地区的专业人员出现心理健康问题的风险更高 (p<0.001)，整体感知压力水平也更高 (p<0.001)。与总体感知压力较高相关的因素包括女性（B = 0.13；95%置信区间[CI] = 0.08–0.17）、有亲属感染COVID-19的风险（B = 0.14；95%-CI = 0.09–0.18）以及在高强度区域工作（B = 0.11；95%-CI = 0.02–0.20）。感知压力介导了危机环境对心理健康的影响（B = 0.23，95%-CI = 0.05，0.41），压力对心理健康的影响通过积极思维调节，b = − 0.32，95% CI = − 0.54，− 0.11。 COVID-19 对 ICU 专业人员的心理健康产生了负面影响。在疫情高发地区工作的专业人员受到的影响明显更大，感知到的压力也更高。这项研究得到了法国卫生部 (PHRC-COVID 2020) 的资助。在线版本包含可在 10.1186/s13613-021-00880-y 获取的补充材料。
We investigated the impact of the COVID-19 crisis on mental health of professionals working in the intensive care unit (ICU) according to the intensity of the epidemic in France. This cross-sectional survey was conducted in 77 French hospitals from April 22 to May 13 2020. All ICU frontline healthcare workers were eligible. The primary endpoint was the mental health, assessed using the 12-item General Health Questionnaire. Sources of stress during the crisis were assessed using the Perceived Stressors in Intensive Care Units (PS-ICU) scale. Epidemic intensity was defined as high or low for each region based on publicly available data from Santé Publique France. Effects were assessed using linear mixed models, moderation and mediation analyses. In total, 2643 health professionals participated; 64.36% in high-intensity zones. Professionals in areas with greater epidemic intensity were at higher risk of mental health issues (p < 0.001), and higher levels of overall perceived stress (p < 0.001), compared to low-intensity zones. Factors associated with higher overall perceived stress were female sex (B = 0.13; 95% confidence interval [CI] = 0.08–0.17), having a relative at risk of COVID-19 (B = 0.14; 95%-CI = 0.09–0.18) and working in high-intensity zones (B = 0.11; 95%-CI = 0.02–0.20). Perceived stress mediated the impact of the crisis context on mental health (B = 0.23, 95%-CI = 0.05, 0.41) and the impact of stress on mental health was moderated by positive thinking, b = − 0.32, 95% CI = − 0.54, − 0.11. COVID-19 negatively impacted the mental health of ICU professionals. Professionals working in zones where the epidemic was of high intensity were significantly more affected, with higher levels of perceived stress. This study is supported by a grant from the French Ministry of Health (PHRC-COVID 2020). The online version contains supplementary material available at 10.1186/s13613-021-00880-y.
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