Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.

Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.
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焦虑,抑郁,与创伤有关的医疗保健工作者中,在COVID-19大流行期间:系统评价和荟萃分析。

DOI:
10.1016/j.neubiorev.2021.03.024
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发表时间:
2021-07
影响因子:
8.2
通讯作者:
Guessoum, Selim Benjamin
Guessoum, Selim Benjamin
中科院分区:
医学1区
文献类型:
--
作者:
Marvaldi, Maxime;Mallet, Jasmina;Dubertret, Caroline;Moro, Marie Rose;Guessoum, Selim Benjamin

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医护人员一直面临COVID-19疫情,有大量危重患者和死亡,工作量很大。护理质量与医护人员的心理状态有关。这篇PRISMA系统性综述和荟萃分析,发表在Pubmed/Psycinfo上,截至2020年10月8日,估计了这场大流行期间医护人员心理健康问题的患病率。该系统性综述包括70项研究(101017例受试者),荟萃分析仅包括高质量的研究。估计了以下合并患病率:300%的焦虑(95% CI,24.2-37.05); 311%的抑郁症(95% CI,25.7-36.8);急性应激的565%(95%CI- 30.6-80.5); 20.2%的创伤后应激(95%CI,9.9-33.0); 44.0%的睡眠障碍(95%CI,24.6-64.5)。在亚组和元回归分析中发现以下因素是异质性的来源:女性比例,护士和位置。现在就需要有针对性的预防和支持战略,并在未来出现健康危机时及早采取这些战略。
Healthcare workers have been facing the COVID-19 pandemic, with numerous critical patients and deaths, and high workloads. Quality of care is related to the mental status of healthcare workers. This PRISMA systematic review and meta-analysis, on Pubmed/Psycinfo up to October 8, 2020, estimates the prevalence of mental health problems among healthcare workers during this pandemic. The systematic review included 70 studies (101 017 participants) and only high-quality studies were included in the meta-analysis. The following pooled prevalences were estimated: 300 % of anxiety (95 %CI, 24.2–37.05); 311 % of depression (95 %CI, 25.7–36.8); 565 % of acute stress (95 %CI - 30.6–80.5); 20,2% of post-traumatic stress (95 %CI, 9.9–33.0); 44.0 % of sleep disorders (95 %CI, 24.6–64.5). The following factors were found to be sources of heterogeneity in subgroups and metaregressions analysis: proportion of female, nurses, and location. Targeted prevention and support strategies are needed now, and early in case of future health crises.
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