Impact of the COVID-19 pandemic and work-related stress in Umbrian healthcare workers during Phase 1 in Italy.

Impact of the COVID-19 pandemic and work-related stress in Umbrian healthcare workers during Phase 1 in Italy.
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DOI:
10.23749/mdl.v112i6.12525
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发表时间:
2021-12-23
期刊:
La Medicina del lavoro
影响因子:
--
通讯作者:
Folletti I
Folletti I
中科院分区:
其他
文献类型:
--
作者:
Paolocci G;Bussotti P;Pompili C;Muzi G;Gambelunghe A;Dell'Omo M;Murgia N;Folletti I

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在2019冠状病毒病大流行期间,卫生保健工作者的抑郁、焦虑、心理困扰和睡眠质量差有所增加。该研究的目的是评估在COVID-19第一阶段封锁期间翁布里亚卫生保健工作者的心理困扰水平,同时探索社会人口/职业因素之间的关系。通过卫生保健专业协会发送的匿名在线调查收集了工作场所的社会人口统计学和职业特征、工作描述变化、经济损失和紧急情况参与以及SARS-CoV2感染的数据。使用BIAS 20(压力平衡)和抑郁焦虑压力量表(DASS-21)匿名收集有关心理健康困扰的数据。1001名医护人员回答了调查问卷。所有卫生保健工作者都认识到工作中的生物风险,心理学家的认识较少,而在医院工作的人员的认识较多。压力症状(DASS21 >14)与较年轻的年龄组(OR 0.98; 95% CI 0.97-0.99)和较少的工作经验(OR 0.98; 95% CI 0.96-0.99)相关。年龄较小也与焦虑症状相关(DASS 21 bb0.7) (OR 0.98; 95% CI 0.97-0.99),以及研究生/研究生教育水平(OR 2.04; 95% CI 1.14-3.63)。作为独立承包商工作是高压力健康影响(比值为2.00;比值为1.40-2.86)和压力(比值为1.87;比值为1.20-2.92)、焦虑(比值为1.89;比值为1.22-2.92)和抑郁(比值为1.57;比值为1.10-2.22)症状的危险因素。我们的研究表明,在covid - 19大流行的第1阶段,医疗保健类型的就业与痛苦症状之间可能存在关系。我们的研究结果应在意大利其他医疗机构得到证实,并可作为意大利多学科合作的初步基线。
Depression, anxiety, psychological distress, and poor sleep quality increased in healthcare workers (HCWs) during the COVID-19 pandemic. The aim of the study was to assess levels of psychological distress in Umbrian HCWs during the COVID-19 Phase 1 lockdown along with exploring the relationship between sociodemographic/occupational factors. Data on sociodemographic and occupational characteristics, change of job description, economic losses and emergency involvement and SARS-CoV2 infections in the workplace were collected using an anonymous online survey sent by healthcare professional associations. Data concerning psychological healthcare distress, were collected anonymously using BIAS 20 (stress balance) and Depression Anxiety Stress Scales (DASS-21). One thousand and one healthcare workers responded to the questionnaire. Biological risk at work was perceived by all HCWs, less so from psychologists and more so from those working in hospitals. Stress symptoms (DASS21 >14) were associated with a younger age group (OR 0.98; 95% CI 0.97-0.99) and less work experience (OR 0.98; 95% CI 0.96-0.99). Younger age was also associated with anxiety symptoms (DASS 21 >7) (OR 0.98; 95% CI 0.97-0.99), as well as graduate/post graduate education level (OR 2.04; 95% CI 1.14-3.63). Working as an independent contractor was a risk factor for high stress health impact (OR 2.00; CI 1.40-2.86) and stress (OR 1.87; CI 1.20-2.92), anxiety (OR 1.89; CI 1.22-2.92) and depression (OR 1.57; CI 1.10-2.22) symptoms. Our study showed a possible relationship between healthcare type of employment and distress symptoms during Covid19 pandemic phase 1. Results of our study should be confirmed in other Italian healthcare settings and could serve as a preliminarily baseline for multidisciplinary Italian collaboration.
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