The impact of the COVID-19 pandemic in an intensive care unit (ICU): Psychiatric symptoms in healthcare professionals.
The impact of the COVID-19 pandemic in an intensive care unit (ICU): Psychiatric symptoms in healthcare professionals.
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DOI：
10.1016/j.pnpbp.2021.110299
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发表时间：
2021-08-30
影响因子：
5.6
通讯作者：
Barbosa CP
中科院分区：
文献类型：
--
作者：
da Silva FCT;Barbosa CP
在2019冠状病毒病大流行期间，重症监护病房（ICU）活动结构发生了快速变化。据观察，一线工作人员的精神和身体健康达到了令人极度关注的临床和心理水平。了解COVID-19对ICU环境中一线临床团队的影响，并揭示正在提出哪些建议来减轻这一群体所经历的临床和心理影响。按照PRISMA方案（系统评价和荟萃分析的首选报告项目）进行系统评价。我们纳入了COVID-19大流行期间对卫生工作者的任何类型的研究，并提供了有关其心理健康的结果。因此，我们对研究问题的普遍性和干预措施的效果的定量研究以及研究经验的定性研究感兴趣。我们没有研究设计、方法质量或语言方面的限制。21项研究报告了迫切需要采取干预措施，以预防或减少ICU卫生专业人员因COVID-19引起的心理健康问题。11项研究证明了在ICU进行组织调整的干预措施的可能性，特别是与抗击COVID-19中的情绪冲突有关的干预措施。在许多因素中，对重症监护药物的技术供应的需求与它们的稀缺之间的不平衡导致了心理困扰的高比例。在大流行期间观察到焦虑、易怒、失眠、恐惧和痛苦，可能与极高的工作量和缺乏个人防护装备有关。
During the COVID-19 pandemic period, the structure of the Intensive Care Unit (ICU) activities changed fast. It was observed that the mental and physical health of the frontline workers reached levels of extreme clinical and psychological concern. Understand the impact that COVID-19 is having on the front-line clinical team in the ICU environment, as well as reveal what proposals are being made to mitigate the clinical and psychological impacts that this group experiences. A systematic review was made following the PRISMA protocol (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). We included any type of study on health workers during the COVID-19 pandemic, with results about their mental health. We were, therefore, interested in quantitative studies examining the prevalence of problems and effects of interventions, as well as qualitative studies examining experiences. We had no restrictions related to study design, methodological quality or language. Twenty-one studies reported on the urgent need for interventions to prevent or reduce mental health problems caused by COVID-19 among health professionals in ICU. Eleven studies demonstrated possibilities for interventions involving organizational adjustments in the ICU, particularly linked to emotional conflicts in the fight against COVID-19. The disproportion between the need for technological supplies of intensive care medicine and their scarcity promotes, among many factors, high rates of psychological distress. Anxiety, irritability, insomnia, fear and anguish were observed during the pandemic, probably related to extremely high workloads and the lack of personal protective equipment.
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