The Psychological Experience of Obstetric Patients and Health Care Workers after Implementation of Universal SARS-CoV-2 Testing
The Psychological Experience of Obstetric Patients and Health Care Workers after Implementation of Universal SARS-CoV-2 Testing
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DOI：
10.1055/s-0040-1715505
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发表时间：
2020-08-05
影响因子：
2
通讯作者：
Hirshberg, Adi
中科院分区：
文献类型：
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作者：
Bender, Whitney R.;Srinivas, Sindhu;Hirshberg, Adi
目的了解接受SARS冠状病毒2型（SARS CoV-2）检测的无症状产科患者的住院和产后早期心理体验，并探讨该检测项目对分娩医护人员工作满意度和工作焦虑的影响。研究设计这是一项对2020年4月13日至2020年4月26日期间接受SARS-CoV-2检测的无症状孕妇进行的队列研究。半结构化访谈进行了电话在1和2周posthospitalization，以评估产妇的心理健康。使用患者健康问卷-2（PHQ-2）进行抑郁症筛查。一项针对分娩和分娩医护人员的在线调查评估了2019新型冠状病毒病（COVID-19）大流行之前和期间的工作满意度和工作相关焦虑，以及员工对通用检测的主观体验。患者和员工的反应进行了分析，反复出现的主题。结果在这2周内，共有318名无症状妇女接受了SARS-CoV-2检测。在8名测试呈阳性的妇女中，有6名（75%）报告了继发于缺乏提供者和伴侣支持以及出生后新生儿分离的住院经历。在310名检测结果为阴性的妇女中，34.4%的经产妇女报告说，由于担心在医院感染和缺乏社会支持，产后焦虑比以前增加。只有27.6%的妇女，检测呈阴性，认为她们的检测结果令人放心。医护人员的工作满意度和工作相关的焦虑受到负面影响。尽管担心病人护理和母婴分离的延误或改变，但大多数卫生保健工作者对普遍检测持赞成态度。结论在产科单位进行SARS-CoV-2的普遍检测对产妇的心理健康有不同的影响，但受到分娩和分娩员工的欢迎。对新检测方案的持续评估对于平衡工作人员和患者安全与质量和平等护理至关重要。
Objective This study was aimed to describe the hospitalization and early postpartum psychological experience for asymptomatic obstetric patients tested for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) as part of a universal testing program and report the impact of this program on labor and delivery health care workers' job satisfaction and workplace anxiety. Study Design This is a cohort study of asymptomatic pregnant women who underwent SARS-CoV-2 testing between April 13, 2020 and April 26, 2020. Semistructured interviews were conducted via telephone at 1 and 2 weeks posthospitalization to assess maternal mental health. Depression screening was conducted using the patient health questionnaire-2 (PHQ-2). An online survey of labor and delivery health care workers assessed job satisfaction and job-related anxiety before and during the novel coronavirus disease 2019 (COVID-19) pandemic, as well as employees' subjective experience with universal testing. Patient and employee responses were analyzed for recurring themes. Results A total of 318 asymptomatic women underwent SARS-CoV-2 testing during this 2-week period. Six of the eight women (75%) who tested positive reported negative in-hospital experiences secondary to perceived lack of provider and partner support and neonatal separation after birth. Among the 310 women who tested negative, 34.4% of multiparous women reported increased postpartum anxiety compared with their prior deliveries due to concerns about infectious exposure in the hospital and lack of social support. Only 27.6% of women, tested negative, found their test result to be reassuring. Job satisfaction and job-related anxiety among health care workers were negatively affected. Universal testing was viewed favorably by the majority of health care workers despite concerns about delays or alterations in patient care and maternal and neonatal separation. Conclusion Universal testing for SARS-CoV-2 in obstetric units has mixed effects on maternal mental health but is viewed favorably by labor and delivery employees. Ongoing evaluation of new testing protocols is paramount to balance staff and patient safety with quality and equality of care.