Symptoms of Mental Health Disorders in Critical Care Physicians Facing the Second COVID-19 Wave: A Cross-Sectional Study.
Symptoms of Mental Health Disorders in Critical Care Physicians Facing the Second COVID-19 Wave: A Cross-Sectional Study.
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DOI：
10.1016/j.chest.2021.05.023
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发表时间：
2021-09
期刊：
影响因子：
9.6
通讯作者：
FAMIREA Study Group
中科院分区：
文献类型：
--
作者：
Azoulay E;Pochard F;Reignier J;Argaud L;Bruneel F;Courbon P;Cariou A;Klouche K;Labbé V;Barbier F;Guitton C;Demoule A;Kouatchet A;Guisset O;Jourdain M;Papazian L;Van Der Meersch G;Reuter D;Souppart V;Resche-Rigon M;Darmon M;Kentish-Barnes N;FAMIREA Study Group
第一波 COVID-19 浪潮期间在 ICU 工作与高水平的精神健康障碍有关。面临第二波疫情的医疗保健提供者 (HCP) 会出现哪些心理健康症状？第二波疫情期间，在法国 16 个 ICU 进行了一项横断面研究（2020 年 10 月 30 日至 12 月 1 日）。 HCP 完成了医院焦虑和抑郁量表、事件影响量表修订版（针对创伤后应激障碍）和 Maslach 倦怠量表。在 1,203 名 HCP 中，有 845 名做出了回应 (70%)（66% 是护理人员，32% 是医务人员，2% 是其他专业人员）； 487 名 (57.6%) 在上周治疗了超过 10 名新的 COVID-19 患者。 320 人 (37.9%) 患有失眠症，其中 7.7% 每天服用精神药物。据报道，有焦虑、抑郁、创伤后应激障碍和倦怠症状的比例分别为 60.0%（95% CI，56.6%-63.3%）、36.1%（95% CI，32.9%-39.5%）、28.4%（95% CI，25.4%-31.6%）和分别为 45.1%（95% CI，41.7%-48.5%）的受访者。此类症状的独立预测因素包括受访者特征（性别、职业、经验、性格特征）、工作组织（休息和照顾家人的能力）和自我认知（害怕被感染或感染家人和朋友、感受到与激增相关的压力、离开重症监护病房的意愿、疲倦、工作条件、感觉自己从事高风险职业以及“错过鼓掌”）。第一波或上周接受治疗的 COVID-19 患者人数与精神健康障碍症状无关。在处理第二次 COVID-19 激增的 ICU 医护人员中，精神健康障碍症状的患病率很高。医院最高管理层迫切需要提供心理支持、同伴支持小组和沟通结构，以确保医护人员的福祉。
Working in the ICU during the first COVID-19 wave was associated with high levels of mental health disorders. What are the mental health symptoms in health care providers (HCPs) facing the second wave? A cross-sectional study (October 30-December 1, 2020) was conducted in 16 ICUs during the second wave in France. HCPs completed the Hospital Anxiety and Depression Scale, the Impact of Event Scale-Revised (for post-traumatic stress disorder), and the Maslach Burnout Inventory. Of 1,203 HCPs, 845 responded (70%) (66% nursing staff, 32% medical staff, 2% other professionals); 487 (57.6%) had treated more than 10 new patients with COVID-19 in the previous week. Insomnia affected 320 (37.9%), and 7.7% were taking a psychotropic drug daily. Symptoms of anxiety, depression, post-traumatic stress disorder, and burnout were reported in 60.0% (95% CI, 56.6%-63.3%), 36.1% (95% CI, 32.9%-39.5%), 28.4% (95% CI, 25.4%-31.6%), and 45.1% (95% CI, 41.7%-48.5%) of respondents, respectively. Independent predictors of such symptoms included respondent characteristics (sex, profession, experience, personality traits), work organization (ability to rest and to care for family), and self-perceptions (fear of becoming infected or of infecting family and friends, feeling pressure related to the surge, intention to leave the ICU, lassitude, working conditions, feeling they had a high-risk profession, and “missing the clapping”). The number of patients with COVID-19 treated in the first wave or over the last week was not associated with symptoms of mental health disorders. The prevalence of symptoms of mental health disorders is high in ICU HCPs managing the second COVID-19 surge. The highest tiers of hospital management urgently need to provide psychological support, peer-support groups, and a communication structure that ensure the well-being of HCPs.
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影响因子：
6.6
作者：
Wu T;Jia X;Shi H;Niu J;Yin X;Xie J;Wang X
通讯作者：
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DOI：
10.3390/medicina56120679
发表时间：
2020-12-09
期刊：
Medicina (Kaunas, Lithuania)
影响因子：
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通讯作者：
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影响因子：
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通讯作者：
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影响因子：
11.3
作者：
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通讯作者：
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影响因子：
16.9
作者：
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通讯作者：
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