Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic
Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic
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DOI：
10.1016/j.genhosppsych.2020.06.007
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发表时间：
2020-09-01
影响因子：
7
通讯作者：
Abdalla, Marwah
中科院分区：
文献类型：
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作者：
Shechter, Ari;Diaz, Franchesca;Abdalla, Marwah
目的：COVID-19对医护人员（HCW）的心理健康影响尚未完全描述。我们描述了COVID-19大流行期间纽约HCWs的痛苦，应对和支持偏好。方法：这是一项针对医生，高级实践提供者，居民/研究员和护士的横断面网络调查，在纽约COVID-19住院高峰期间进行结果：心理症状筛查阳性率为57%，急性应激阳性率为57%，抑郁阳性率为48%，焦虑阳性率为33%。对于每一种情况，护士/高级实践提供者筛查阳性的比例高于主治医生，尽管家庭工作人员的急性压力和抑郁率与两者没有差异。61%的参与者表示，自COVID-19爆发以来，意义感/目的感有所增强。身体活动/锻炼是最常见的应对行为（59%），获得在线自我指导咨询的个体治疗师（33%）最感兴趣。结论：纽约市HCWs，特别是护士和高级实践提供者，正在经历COVID-19相关的心理困扰。参与者报告说，他们使用了医疗支持的应对行为，并认可了弹性指标，但他们也报告说，他们对额外的健康资源感兴趣。在COVID-19大流行期间，为缓解医护人员压力而制定的计划应纳入医护人员的偏好。
Objective: The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. We characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic.Methods: This was a cross-sectional web survey of physicians, advanced practice providers, residents/fellows, and nurses, conducted during a peak of inpatient admissions for COVID-19 in NYC (April 9th-April 24th 2020) at a large medical center in NYC (n = 657).Results: Positive screens for psychological symptoms were common; 57% for acute stress, 48% for depressive, and 33% for anxiety symptoms. For each, a higher percent of nurses/advanced practice providers screened positive vs. attending physicians, though housestaffs rates for acute stress and depression did not differ from either. Sixty-one percent of participants reported increased sense of meaning/purpose since the COVID-19 outbreak. Physical activity/exercise was the most common coping behavior (59%), and access to an individual therapist with online self-guided counseling (33%) garnered the most interest.Conclusions: NYC HCWs, especially nurses and advanced practice providers, are experiencing COVID-19-related psychological distress. Participants reported using empirically-supported coping behaviors, and endorsed indicators of resilience, but they also reported interest in additional wellness resources. Programs developed to mitigate stress among HCWs during the COVID-19 pandemic should integrate HCW preferences.