Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review.
Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review.
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DOI：
10.1186/s12888-021-03090-9
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发表时间：
2021-02-10
期刊：
影响因子：
4.4
通讯作者：
Stelfox HT
中科院分区：
文献类型：
--
作者：
Fiest KM;Parsons Leigh J;Krewulak KD;Plotnikoff KM;Kemp LG;Ng-Kamstra J;Stelfox HT
在新冠肺炎大流行之前，医生经历了前所未有的职业倦怠。正在进行的新冠肺炎大流行的不确定性，以及增加的工作量和困难的医疗分流决定可能导致医生心理健康的进一步下降。我们检索了Medline、EMBASE和CogcINFO以进行初步研究，从数据库开始(Medline[1946]，EMBASE[1974]，PancINFO[1806])到2020年11月17日。标题和摘要由三名评审员中的一人筛选，全文文章筛选和数据摘要由三名评审员独立进行，一式两份。从6223条独特引文中，480篇文章被全文审查，193项研究(来自90499名医生)被纳入最终综述。关于57个国家爆发七种传染病(严重急性呼吸综合征、三种甲型流感病毒[H1N1、H5N1、H7N9]、埃博拉、中东呼吸综合征和新冠肺炎)期间医生心理症状和处理的研究报告。焦虑(14.3%~92.3%)、压力(11.9%~93.7%)、抑郁(17%~80.5%)、创伤后应激障碍(13.2%~75.2%)、职业倦怠(14.7%~76%)等心理症状在不同国家、不同传染病暴发的医生中较为常见。年轻、女性(与男性相比)、单身(与已婚相比)、早期职业医生以及那些为感染患者提供直接护理的人与更严重的心理症状有关。医生应该意识到焦虑、抑郁、恐惧和痛苦的心理症状是常见的，表现不同，存在改善心理健康的自我管理策略。卫生系统应对护理新冠肺炎患者的医生实施短期和长期的心理支持。网上版载有补充材料，可在10.1186/s12888-021-03090-9查阅。
Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty of the ongoing COVID-19 pandemic along with increased workload and difficult medical triage decisions may lead to a further decline in physician psychological health. We searched Medline, EMBASE, and PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], PsycINFO [1806]) to November 17, 2020. Titles and abstracts were screened by one of three reviewers and full-text article screening and data abstraction were conducted independently, and in duplicate, by three reviewers. From 6223 unique citations, 480 articles were reviewed in full-text, with 193 studies (of 90,499 physicians) included in the final review. Studies reported on physician psychological symptoms and management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], three strains of Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East respiratory syndrome [MERS], and COVID-19) in 57 countries. Psychological symptoms of anxiety (14.3–92.3%), stress (11.9–93.7%), depression (17–80.5%), post-traumatic stress disorder (13.2–75.2%) and burnout (14.7–76%) were commonly reported among physicians, regardless of infectious disease outbreak or country. Younger, female (vs. male), single (vs. married), early career physicians, and those providing direct care to infected patients were associated with worse psychological symptoms. Physicians should be aware that psychological symptoms of anxiety, depression, fear and distress are common, manifest differently and self-management strategies to improve psychological well-being exist. Health systems should implement short and long-term psychological supports for physicians caring for patients with COVID-19. The online version contains supplementary material available at 10.1186/s12888-021-03090-9.
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DOI：
10.23750/abm.v91i2.9619
发表时间：
2020-05-11
期刊：
Acta bio-medica : Atenei Parmensis
影响因子：
--
作者：
Amerio A;Bianchi D;Santi F;Costantini L;Odone A;Signorelli C;Costanza A;Serafini G;Amore M;Aguglia A
通讯作者：
Aguglia A
影响因子：
1.8
作者：
Alnofaiey YH;Alshehri HA;Alosaimi MM;Alswat SH;Alswat RH;Alhulayfi RM;Alghamdi MA;Alsubaie RM
通讯作者：
Alsubaie RM
影响因子：
--
作者：
Abdulah, Deldar Morad;Musa, Dildar Haji
通讯作者：
Musa, Dildar Haji
影响因子：
1.9
作者：
Abdulah, Deldar Morad;Mohammed, Ayad Ahmad
通讯作者：
Mohammed, Ayad Ahmad
DOI：
10.29271/jcpsp.2020.supp2.106
发表时间：
2020-10-01
期刊：
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
影响因子：
--
作者：
Arshad, Abdul Rehman;Islam, Farrukh
通讯作者：
Islam, Farrukh