Evaluation of stress, burnout and hair cortisol levels in health workers at a University Hospital during COVID-19 pandemic.
Evaluation of stress, burnout and hair cortisol levels in health workers at a University Hospital during COVID-19 pandemic.
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DOI：
10.1016/j.psyneuen.2021.105213
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发表时间：
2021-06
影响因子：
3.7
通讯作者：
Fabre B
中科院分区：
文献类型：
--
作者：
Ibar C;Fortuna F;Gonzalez D;Jamardo J;Jacobsen D;Pugliese L;Giraudo L;Ceres V;Mendoza C;Repetto EM;Reboredo G;Iglesias S;Azzara S;Berg G;Zopatti D;Fabre B
在新冠肺炎大流行的关键背景下，医护人员站在第一线，直接参与新冠肺炎患者的护理、诊断和治疗。这使他们面临更高的风险，出现慢性压力、心理困扰和任何其他心理健康症状。评估卫生工作者人群中的压力和职业倦怠，此外，测量头发皮质醇浓度作为当前压力的生物标记物。234名来自布宜诺斯艾利斯大学圣马丁医院的卫生工作者参加了这项研究。在这个人群中，头发样本是从尽可能靠近头皮的后顶获得的，这些人完成了以下调查：感受到的压力、社会支持、职业倦怠量表、生活事件量表和社会人口学数据。用全自动化学发光法测定头发皮质醇。考虑到低于健康参考样本范围(40微克/毫克头发)、健康参考范围(40-128微克/毫克头发)和高于参考范围(128微克/毫克头发)的个体，研究人群被分为三组。本研究采用横向观察性设计。我们的结果显示，40%的研究人群的头发皮质醇水平超出了健康的参考范围。在整个研究人群中，头发皮质醇浓度与感受到的压力以及头发皮质醇浓度与职业倦怠的情绪衰竭成分之间存在正相关(分别为r=0.142，p=0.030；r=0.143，p=0.029)。12%的研究人群存在职业倦怠(52%的医生和住院医生，19%的护士，19%的行政人员)。有工作倦怠的人的头发皮质醇水平高于没有工作倦怠的人(p=0.034)。最后进行中介分析，发现去人格化是自我感觉压力与头发皮质醇水平之间关系的中介变量(F=44.86，P=0.0086；间接效应IC：0.0987-1.8840)。这是第一次在这一人群和背景下评估压力生物标记物，如头发皮质醇。医护人员承受着更高水平的压力和职业倦怠。高度去人格化、情绪衰竭和个人成就感下降是这一群体的特征。卫生当局有责任实施管理这一心理紧急情况的战略。
In the critical context of COVID-19 pandemic, healthcare workers are on the front line, participating directly in the care, diagnosis, and treatment of patients with COVID-19. This exposes them to a higher risk of developing chronic stress, psychological distress, and any other mental health symptoms. to evaluate stress and burnout in a health workers population and, in addition, to measure hair cortisol concentration as a current biomarker of stress. 234 health workers from Hospital de Clínicas “José de San Martín”, Buenos Aires University, were included in this study. In this population hair samples were obtained from the posterior vertex as close to the scalp as possible and the individuals completed the following surveys: perceived stress, social support, burnout scale, life event scale, and sociodemographic data. Hair cortisol was measured by an automated chemiluminescent method. The studied population was divided into three groups considering those individuals below the healthy reference sample range (< 40 pg/mg hair), within the healthy reference range (40–128 pg/mg hair) and above the reference range (> 128 pg/mg hair). This study used a transversal and observational design. Our results show that 40% of the studied population presented hair cortisol values outside of the healthy reference range. In the whole studied population, a direct correlation was found between hair cortisol concentration and perceived stress as well as between hair cortisol concentration and the emotional exhaustion component of burnout (r = 0.142, p = 0.030; r = 0.143, p = 0.029, respectively). 12% of the studied population showed Burnout (52% doctors and residents, 19% nurses, 19% administrative personnel). Higher values in hair cortisol levels were found in the group with burnout versus individuals without burnout (p = 0.034). Finally, a mediation analysis was performed, finding that depersonalization is a mediating variable in the relationship between self-perceived stress and hair cortisol level (F = 4.86, p = 0.0086; indirect effect IC: 0.0987-1.8840). This is the first study in which a stress biomarker such as hair cortisol is evaluated in this population and in this context. Healthcare workers are subjected to increased levels of stress and burnout. High depersonalization, emotional exhaustion, and decreased personal sense of accomplishment characterize this population. It is the responsibility of the health authorities to implement strategies to manage this psychological emergency.
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影响因子：
3
作者：
Koh, D;Lim, MK;Fones, C
通讯作者：
Fones, C
影响因子：
1.4
作者：
Khalid, Imran;Khalid, Tabindeh J.;Qushmaq, Ismael A.
通讯作者：
Qushmaq, Ismael A.
影响因子：
2.6
作者：
Bellingrath, Silja;Weigl, Tobias;Kudielka, Brigitte M.
通讯作者：
Kudielka, Brigitte M.
影响因子：
3.1
作者：
Cai, Haozheng;Tu, Baoren;Zhuang, Quan
通讯作者：
Zhuang, Quan
影响因子：
4.7
作者：
HOLMES, TH;RAHE, RH
通讯作者：
RAHE, RH