When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak

When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak
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DOI:
10.1016/j.psychres.2020.112972
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发表时间:
2020-06-01
影响因子:
11.3
通讯作者:
Lima da Silva, Claudio Gleideston
Lima da Silva, Claudio Gleideston
中科院分区:
医学2区
文献类型:
--
作者:
Rolim Neto, Modesto Leite;Almeida, Hiure Gomes;Lima da Silva, Claudio Gleideston

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背景资料:: COVID-19可在人与人之间传播,并伴有高发病率和潜在致命性,这一事实可能会强化对个人危险的认识。此外,可预见的供应短缺以及不断增加的疑似和真实的COVID-19病例增加了卫生专业人员的压力和担忧。方法::这些研究在两个电子数据库Scopus和Embase中找到的知名国际期刊中进行了识别。这些数据进行了交叉检查,从主要的国际newspapers.Results的信息::与工作有关的压力是一个潜在的原因,卫生专业人员的关注。它与焦虑(包括多种临床活动)、面对无数死亡共存的抑郁、最多样化未知的长时间轮班以及COVID-19患者治疗需求有关。结论:随着意大利冠状病毒病例的增加和死亡人数的激增,新的数据显示,该国医务人员的传染水平"巨大"。自2月份爆发以来,至少有2,629名卫生工作者感染了冠状病毒,占总病例的8.3%。受感染的卫生工作者的比例几乎是整个疫情期间中国登记人数的两倍。重症监护室的医生已经到了他们的压力极限,特别是在处理老年病人和死亡前景时。医生,而不是亲戚,不可避免地是一个垂死的COVID-19患者最后见到的人。
Background: : The fact that COVID-19 is transmissible from human to human and associated with high morbidity and potentially fatality can intensify the perception of personal danger. In addition, the foreseeable shortage of supplies and an increasing flow of suspected and real cases of COVID-19 contribute to the pressures and concerns of health professionals.Method: : The studies were identified in well-known international journals found in two electronic databases: Scopus and Embase. The data were cross-checked with information from the main international newspapers.Results: : Work-related stress is a potential cause of concern for health professionals. It has been associated with anxiety including multiple clinical activities, depression in the face of the coexistence of countless deaths, long work shifts with the most diverse unknowns and demands in the treatment with patients with COVID-19. Therefore, it is an important indicator of psychic exhaustion.Conclusions: : As coronavirus cases increase and deaths surge in Italy, new figures show an "enormous" level of contagion among the country's medical personnel. At least 2,629 health workers have been infected with coronavirus since the outbreak onset in February, representing 8.3% of total cases. The percentage of infected health workers has almost doubled the number registered in China throughout the epidemic. Intensive care unit physicians are on their stress limit, especially when dealing with older patients and with death prospects. Doctors, not a relative, are inevitably the last people a dying COVID-19 patient will see.