Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak.
Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak.
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对多伦多SARS爆发期间高危地区雇用的卫生保健工作者的影响。
DOI：
10.1016/j.jpsychores.2007.07.015
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发表时间：
2008-02
影响因子：
4.7
通讯作者：
Gold WL
中科院分区：
文献类型：
--
作者：
Styra R;Hawryluck L;Robinson S;Kasapinovic S;Fones C;Gold WL
许多关注严重急性呼吸综合征（SARS）爆发期间医护人员（HCW）的出版物表明，医护人员经历了心理困扰，特别是创伤后应激症状（PTSS）水平升高。导致在高风险地区治疗 SARS 患者的医务人员痛苦加剧的因素尚未完全阐明。这项研究的目的是量化 SARS 爆发期间在高风险单位工作的心理影响。多伦多一家医院在高风险地区工作的医护人员完成了一份调查问卷，内容涉及他们对 SARS 危机的态度以及筛查 PTSS 的事件影响量表（修订版）。对照组由没有接触过SARS感染患者的临床单位组成。确定导致 248 名受访医护人员感到困扰的因素如下：(a) 对自身风险的认知，(b) SARS 危机对其工作生活的影响，(c) 抑郁情绪，以及 (d) 在高风险单位工作。此外，与照顾多名 SARS 患者的医护人员相比，仅照顾一名 SARS 患者的医护人员经历了更多的 PTSS。正如预期的那样，在高风险单位工作的医护人员经历了更大的痛苦。与预期相反，在高风险单位工作期间与 SARS 患者接触较多的医护人员的痛苦程度较低。这表明医护人员治疗 SARS 感染患者的经验可能是一个中介因素，可以在未来的疫情爆发中进行干预。
A number of publications focusing on health care workers (HCWs) during a severe acute respiratory syndrome (SARS) outbreak have suggested that HCWs experienced psychological distress, particularly increased levels of posttraumatic stress symptomatology (PTSS). Factors contributing to increased distress in HCWs working in high-risk areas treating patients with SARS have not been fully elucidated. The goal of this study was to quantify the psychological effects of working in a high-risk unit during the SARS outbreak. HCWs in a Toronto hospital who worked in high-risk areas completed a questionnaire regarding their attitude toward the SARS crisis along with the Impact of Event Scale—Revised, which screens for PTSS. The comparison group consisted of clinical units that had no contact with patients infected with SARS. Factors that were identified to cause distress in the 248 respondent HCWs were the following: (a) perception of risk to themselves, (b) impact of the SARS crisis on their work life, (c) depressive affect, and (d) working in a high-risk unit. In addition, HCWs who cared for only one SARS patient in comparison to those caring for multiple SARS patients experienced more PTSS. As expected, HCWs who were working in high-risk units experienced greater distress. Contrary to expectations, HCWs who experienced greater contact with SARS patients while working in the high-risk units were less distressed. This suggests that HCW experience in treating patients infected with SARS may be a mediating factor that could be amenable to intervention in future outbreaks.
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影响因子：
11.8
作者：
Hawryluck L;Gold WL;Robinson S;Pogorski S;Galea S;Styra R
通讯作者：
Styra R
影响因子：
17.7
作者：
Marshall, RD;Olfson, M;Struening, EL
通讯作者：
Struening, EL
DOI：
10.1007/s10096-006-0127-x
发表时间：
2006-04
期刊：
European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology
影响因子：
--
作者：
Muller MP;Richardson SE;McGeer A;Dresser L;Raboud J;Mazzulli T;Loeb M;Louie M;Canadian SARS Research Network
通讯作者：
Canadian SARS Research Network
影响因子：
17.7
作者：
Feinstein, A;Owen, J;Blair, N
通讯作者：
Blair, N
影响因子：
3
作者：
Koh, D;Lim, MK;Fones, C
通讯作者：
Fones, C