Professional Quality of Life and Mental Health Outcomes among Health Care Workers Exposed to Sars-Cov-2 (Covid-19).
Professional Quality of Life and Mental Health Outcomes among Health Care Workers Exposed to Sars-Cov-2 (Covid-19).
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DOI：
10.3390/ijerph17176180
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发表时间：
2020-08-26
影响因子：
--
通讯作者：
Carmassi C
中科院分区：
文献类型：
--
作者：
Buselli R;Corsi M;Baldanzi S;Chiumiento M;Del Lupo E;Dell'Oste V;Bertelloni CA;Massimetti G;Dell'Osso L;Cristaudo A;Carmassi C
2019年新型冠状病毒病（COVID-19）是一场在全球范围内蔓延的全球大流行病，意大利是第一个涉及的欧洲国家。面对2019冠状病毒病大流行的医护人员是新的心理社会COVID-19毒株及其精神健康症状的高危人群。本研究的目的是确定工作环境和个人变量（年龄，性别，工作职位，工作经验，与感染患者的接近程度）对面临COVID-19紧急情况的医护人员的职业生活质量的可能影响，这些职业生活质量以同情满意度（CS），倦怠和二次创伤（ST）为代表。此外，还进行了两项多变量线性回归分析，以探索心理健康选定结果、焦虑和抑郁与COVID-19相关的一些个人和工作特征之间的关联。在COVID-19大流行急性期，在职业健康部门的门诊服务中连续招募了意大利中部一家主要大学医院的265名医务工作者样本。采用职业生活质量5（ProQOL-5）、9项患者健康问卷（PHQ-9）和7项广泛性焦虑量表（GAD-7）分别评估HCW的CS、倦怠、ST以及抑郁和焦虑症状。女性ST高于男性，而一线工作人员和医疗助理报告的CS分别高于二线工作人员和医生。除了一些工作或个人变量外，倦怠和ST与抑郁或焦虑评分相关。COVID-19大流行为医护人员带来了新的工作挑战，需要采取干预策略来预防倦怠和ST，以降低不良心理健康结果的风险。
The novel coronavirus disease 2019 (COVID-19) is a global pandemic spreading worldwide, and Italy represented the first European country involved. Healthcare workers (HCWs) facing COVID-19 pandemic represented an at-risk population for new psychosocial COVID-19 strain and consequent mental health symptoms. The aim of the present study was to identify the possible impact of working contextual and personal variables (age, gender, working position, years of experience, proximity to infected patients) on professional quality of life, represented by compassion satisfaction (CS), burnout, and secondary traumatization (ST), in HCWs facing COVID-19 emergency. Further, two multivariable linear regression analyses were fitted to explore the association of mental health selected outcomes, anxiety and depression, with some personal and working characteristics that are COVID-19-related. A sample of 265 HCWs of a major university hospital in central Italy was consecutively recruited at the outpatient service of the Occupational Health Department during the acute phase of COVID-19 pandemic. HCWs were assessed by Professional Quality of Life-5 (ProQOL-5), the Nine-Item Patient Health Questionnaire (PHQ-9), and the Seven-Item Generalized Anxiety Disorder scale (GAD-7) to evaluate, respectively, CS, burnout, ST, and symptoms of depression and anxiety. Females showed higher ST than males, while frontline staff and healthcare assistants reported higher CS rather than second-line staff and physicians, respectively. Burnout and ST, besides some work or personal variables, were associated to depressive or anxiety scores. The COVID-19 pandemic represents a new working challenge for HCWs and intervention strategies to prevent burnout and ST to reduce the risk of adverse mental health outcomes are needed.
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影响因子：
5
作者：
Olff M
通讯作者：
Olff M
影响因子：
3.3
作者：
Orsini, Alessandro;Corsi, Martina;Striano, Pasquale
通讯作者：
Striano, Pasquale
影响因子：
3.3
作者：
Carmassi C;Cerveri G;Bui E;Gesi C;Dell'Osso L
通讯作者：
Dell'Osso L
影响因子：
3.9
作者：
Buselli, Rodolfo;Baldanzi, Sigrid;Cristaudo, Alfonso
通讯作者：
Cristaudo, Alfonso
影响因子：
64.3
作者：
Holmes, Emily A.;O'Connor, Rory C.;Bullmore, Ed
通讯作者：
Bullmore, Ed