Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers
Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers
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DOI：
10.1177/070674370705200406
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发表时间：
2007-04-01
影响因子：
4
通讯作者：
Wong, Josephine G. W. S.
中科院分区：
文献类型：
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作者：
McAlonan, Grainne M.;Lee, Antoinette M.;Wong, Josephine G. W. S.
目的：评估的即时和持续的心理健康的医护人员谁是在严重急性呼吸系统综合征（SARS）爆发的高峰期，在2003年SARS爆发的高风险暴露的医护人员，我们评估了医护人员在2个急性护理香港综合医院与感知压力量表（PSS-10）。一年后，我们重新评估这些医护人员与PSS-10，2 I-项目抑郁和焦虑量表（DASS-21），和事件的影响量表修订版（IES-R）。我们招募了从事呼吸内科的高风险医护人员，并将他们与非呼吸内科工作人员进行比较，后者形成了低风险医护人员对照组。在二零零三年，高风险的卫生保健工作者的压力水平升高，（PSS-10评分= 17.0），与低风险卫生保健工作者对照受试者（PSS-10评分= 15.9）的水平无显著差异。更多的高危医护人员报告说，尽管他们对感染控制措施有信心，但他们感到疲劳、睡眠不好、担心健康和害怕社会接触。然而，到2004年，高风险组的压力水平不仅更高（PSS-10得分= 18.6），而且显著高于低风险卫生保健工作者对照组的得分（PSS-10得分= 14.8，P < 0.05）。2004年，高危人群的应激水平与抑郁、焦虑和创伤后应激评分相关（P < 0.001）。创伤后应激分数是一个部分中介的高风险暴露于SARS和更高的感知stress.Conclusions之间的关系：医护人员谁是在高风险的合同SARS出现不仅有慢性压力，但也有较高水平的抑郁和焦虑。前线工作人员可以从压力管理中受益，这是为未来疫情做准备的一部分。
Objective: To assess the immediate and sustained psychological health of health care workers who were at high risk of exposure during the severe acute respiratory syndrome (SARS) outbreak.Methods: At the peak of the 2003 SARS outbreak, we assessed health care workers in 2 acute care Hong Kong general hospitals with the Perceived Stress Scale (PSS-10). One year later, we reassessed these health care workers with the PSS-10, the 2 I-Item Depression and Anxiety Scale (DASS-21), and the Impact of Events Scale-Revised (IES-R). We recruited high-risk health care workers who practised respiratory medicine and compared them with nonrespiratory medicine workers, who formed the low-risk health care worker control group.Results: In 2003, high-risk health care workers had elevated stress levels (PSS-10 score = 17.0) that were not significantly different from levels in low-risk health care worker control subjects (PSS-10 score = 15.9). More high-risk health care workers reported fatigue, poor sleep, worry about health, and fear of social contact, despite their confidence in infection-control measures. By 2004, however, stress levels in the high-risk group were not only higher (PSS-10 score = 18.6) but also significantly higher than scores among low-risk health care worker control subjects (PSS-10 score = 14.8, P < 0.05). In 2004, the perceived stress levels in the high-risk group were associated with higher depression, anxiety, and posttraumatic stress scores (P < 0.001). Posttraumatic stress scores were a partial mediator of the relation between the high risk of exposure to SARS and higher perceived stress.Conclusions: Health care workers who were at high risk of contracting SARS appear not only to have chronic stress but also higher levels of depression and anxiety. Front-line staff could benefit from stress management as part of preparation for future outbreaks.