COVID-19 Pandemic and Overall Mental Health of Healthcare Professionals Globally: A Meta-Review of Systematic Reviews.

COVID-19 Pandemic and Overall Mental Health of Healthcare Professionals Globally: A Meta-Review of Systematic Reviews.
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DOI:
10.3389/fpsyt.2021.804525
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发表时间:
2021
影响因子:
4.7
通讯作者:
Kannan P
Kannan P
中科院分区:
医学3区
文献类型:
--
作者:
Chutiyami M;Cheong AMY;Salihu D;Bello UM;Ndwiga D;Maharaj R;Naidoo K;Kolo MA;Jacob P;Chhina N;Ku TK;Devar L;Pratitha P;Kannan P

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本荟萃综述旨在全面概述COVID-19大流行期间医疗保健专业人员的整体心理健康状况。我们在Academic search Premier、CINAHL、Cochrane Library和MEDLINE进行了全面的文献检索。使用预定义的资格标准筛选文章。采用乔安娜布里格斯研究所的系统评价检查表对合格研究的方法学质量进行评估。根据meta综述的目的对数据进行叙述性综合。40个系统评价(用K = 40表示),报告了来自1828个主要研究(N)和3,245,768名参与者的数据,符合纳入标准。汇总患病率的结果表明,焦虑(16-41%,K = 30, N = 701)、抑郁(14-37%,K = 28, N = 584)和应激/创伤后应激障碍(18.6-56.5%,K = 24, N = 327)是影响医护人员最普遍的与COVID-19大流行相关的心理健康状况。其他报告的担忧包括失眠、倦怠、恐惧、强迫症、躯体化症状、恐惧症、药物滥用和自杀念头。考虑到地区/国家,与其他国家相比,英国的焦虑程度最高[22.3,95%置信区间(CI): 7-38, N = 4],而与其他地区相比,中东地区的抑郁程度最高(41,95% CI: 16-60, N = 5),东地中海地区的压力程度最高(61.6,95% CI: 56.4-66.8, N = 2)。最重要的风险因素包括女性、年龄较小、是护士和一线专业人员。报告最多的应对策略包括个人/群体心理支持、家庭/亲属支持、培训/定向以及充足的个人防护装备。结论是,在COVID-19大流行期间,医疗保健专业人员(护士、医生、专职医疗人员)经历了各种心理健康问题。因此,这项荟萃综述建议采取有针对性的干预措施和卫生政策,解决具体的精神卫生问题,以在2019冠状病毒病大流行期间和未来类似的卫生危机期间为全世界的卫生专业人员提供支持。https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD4202126200,标识符:CRD42021262001。
This meta-review aimed to provide a comprehensive overview of overall mental health of healthcare professionals during the COVID-19 pandemic. We conducted a comprehensive literature search on Academic Search Premier, CINAHL, Cochrane Library, and MEDLINE. A predefined eligibility criterion was used to screen the articles. The methodology quality of eligible studies was assessed using Joanna Briggs Institute checklist for systematic reviews. The data were narratively synthesised in line with the meta-review aim. Forty systematic reviews (represented as K = 40), which reported data from 1,828 primary studies (N) and 3,245,768 participants, met the inclusion criteria. The findings from a pooled prevalence indicate that anxiety (16–41%, K = 30, N = 701), depression (14–37%, K = 28, N = 584), and stress/post-traumatic stress disorder (18.6–56.5%, K = 24, N = 327) were the most prevailing COVID-19 pandemic-related mental health conditions affecting healthcare workers. Other reported concerns included insomnia, burnout, fear, obsessive-compulsive disorder, somatization symptoms, phobia, substance abuse, and suicidal thoughts. Considering regions/countries, the highest anxiety was reported in the United-Kingdom [22.3, 95% Confidence Interval (CI):7–38, N = 4] compared to other countries, while the highest depression was in the Middle-East, (41, 95% CI:16–60, N = 5) and stress in the Eastern Mediterranean region (61.6, 95% CI:56.4–66.8, N = 2) compared to other regions. The most significant risk factors include female gender, younger age, being a nurse, and frontline professional. The most-reported coping strategies include individual/group psychological support, family/relative support, training/orientation, and the adequacy of personal protective equipment. It was concluded that healthcare professionals (nurses, doctors, allied health) have experienced various mental health issues during COVID-19 pandemic. The meta-review, therefore, recommends targeted interventions and health policies that address specific mental health issues to support health professionals worldwide during the duration of the COVID-19 pandemic and similar future health crises. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD4202126200, identifier: CRD42021262001.
DOI: 10.1371/journal.pone.0242538
发表时间: 2020
期刊: PloS one
影响因子: 3.7
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