Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore
Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore
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DOI：
10.1093/occmed/kqh027
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发表时间：
2004-05-01
影响因子：
5.1
通讯作者：
Huak, CY
中科院分区：
文献类型：
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作者：
Chan, AOM;Huak, CY
目的探讨严重急性呼吸系统综合征（SARS）暴发2个月后对某地区综合医院医护人员的心理影响。方法鼓励医生和护士参与。调查包括自我报告测量：人口统计、一般健康问卷（GHQ） 28和事件影响量表（IES）。使用了一份调查问卷，询问由于SARS而导致的生活优先事项的变化以及有助于应对的情况。参与完全是自愿的，回答是匿名的。结果661名参与者中有177名（27%）[113名医生中有40名（35%），544名护士中有137名（25%）]GHQ 28评分大于等于5分。医生[P = 0.026，优势比(OR) = 1.6, 95%可信区间(CI) = 1.1 ~ 2.5]和单身医护人员的风险高于护士和已婚医护人员（P = 0.048, OR = 1.4, 95% CI = 1.02 ~ 2.0）。大约20%的参与者的IES得分大于或等于30，表明存在创伤后应激障碍（PTSD）。通过因素分析，四个方面被划分为更重要：健康和与家人的关系、与朋友/同事的关系、工作和精神。应对策略的领域包括明确的指示/预防措施、向管理层提供反馈/获得支持的能力、主管/同事的支持、家庭的支持、与他人交谈的能力和宗教信仰。来自上司/同事的支持是精神症状和创伤后应激障碍的显著负向预测因子。指示/预防措施的工作和明确沟通也有助于减少精神症状。结论：在SARS疫情期间，许多医护人员在情感上受到了影响和创伤。因此，卫生保健机构必须为其卫生保健工作者提供社会心理支持和干预。
Aims To describe the psychological impact of severe acute respiratory syndrome (SARS) on health care workers in a regional general hospital 2 months post-outbreak.Method Doctors and nurses were encouraged to participate. The survey consisted of self-report measures: demographics, the General Health Questionnaire (GHQ) 28 and Impact of Events Scale (IES). A questionnaire enquiring about changes in life's priorities due to SARS and circumstances that helped with coping was used. Participation was strictly voluntary and responses anonymous.Results In total 177 out of 661 (27%) participants [40 out of 113 (35%) doctors and 137 out of 544 (25%) nurses] had a GHQ 28 score greater than or equal to5. Doctors [P = 0.026, odds ratio (OR) = 1.6 and 95% confidence interval (CI) = 1.1-2.5] and single health care workers were at higher risk (P = 0.048, OR = 1.4 and 95% CI = 1.02-2.0) compared to nurses and those who were married. Approximately 20% of the participants had IES scores greater than or equal to30, indicating the presence of post-traumatic stress disorder (PTSD). Four areas were classified as more important using factor analysis: health and relationship with the family, relationship with friends/colleagues, work and spiritual. The areas for coping strategies were clear directives/precautionary measures, ability to give feedback to/obtain support from management, support from supervisors/colleagues, support from the family, ability to talk to someone and religious convictions. Support from supervisors/colleagues was a significant negative predictor for psychiatric symptoms and PTSD. Work and clear communication of directives/precautionary measures also helped reduce psychiatric symptoms.Conclusions Many health care workers were emotionally affected and traumatized during the SARS outbreak. Hence, it is important for health care institutions to provide psychosocial support and intervention for their health care workers.