Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic.
Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic.
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DOI：
10.1192/bjo.2020.98
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发表时间：
2020-10-08
期刊：
影响因子：
5.4
通讯作者：
Sharma VK
中科院分区：
文献类型：
--
作者：
Chew NWS;Ngiam JN;Tan BY;Tham SM;Tan CY;Jing M;Sagayanathan R;Chen JT;Wong LYH;Ahmad A;Khan FA;Marmin M;Hassan FB;Sharon TM;Lim CH;Mohaini MIB;Danuaji R;Nguyen TH;Tsivgoulis G;Tsiodras S;Fragkou PC;Dimopoulou D;Sharma AK;Shah K;Patel B;Sharma S;Komalkumar RN;Meenakshi RV;Talati S;Teoh HL;Ho CS;Ho RC;Sharma VK
2019年冠状病毒病（COVID-19）大流行导致了前线医疗工人的重大压力。
在这项多中心研究中，我们比较了亚太地区各个国家的Covid-19大流行期间的心理结局，并确定了与不良心理结局相关的因素。
从4月29日至2020年6月4日，该研究从亚太地区五个国家的主要医疗机构招募了医疗人员。一项自我管理的调查使用了有关先前医疗状况，症状的存在以及抑郁焦虑应激量表的评分以及事件量表均匀的影响。比较了与COVID-19有关的抑郁，焦虑，压力和创伤后应激障碍（PTSD）的患病率，并进行了多变量的逻辑回归，确定了与每个国家 /地区内部心理不良后果相关的独立因素。
研究了来自印度，印度尼西亚，新加坡，马来西亚和越南的1146名参与者。尽管案件量最低，但越南表现出最高的PTSD患病率。相比之下，新加坡报告的病例量最高，但抑郁症和焦虑症的患病率较低。在多变量分析中，我们发现非医学训练的人员，身体症状的存在和先前的医疗状况是整个参与国家的独立预测因素。
这项研究强调，医护人员中心理逆境的多种流行率独立于每个国家 /地区的Covid-19案件负担。早期的心理干预措施可能对具有身体症状，先前的医疗状况以及未经医学培训的弱势群体的医疗保健工作者群体有益。
The coronavirus disease 2019 (COVID-19) pandemic has led to significant strain on front-line healthcare workers. In this multicentre study, we compared the psychological outcomes during the COVID-19 pandemic in various countries in the Asia-Pacific region and identified factors associated with adverse psychological outcomes. From 29 April to 4 June 2020, the study recruited healthcare workers from major healthcare institutions in five countries in the Asia-Pacific region. A self-administrated survey that collected information on prior medical conditions, presence of symptoms, and scores on the Depression Anxiety Stress Scales and the Impact of Events Scale-Revised were used. The prevalence of depression, anxiety, stress and post-traumatic stress disorder (PTSD) relating to COVID-19 was compared, and multivariable logistic regression identified independent factors associated with adverse psychological outcomes within each country. A total of 1146 participants from India, Indonesia, Singapore, Malaysia and Vietnam were studied. Despite having the lowest volume of cases, Vietnam displayed the highest prevalence of PTSD. In contrast, Singapore reported the highest case volume, but had a lower prevalence of depression and anxiety. In the multivariable analysis, we found that non-medically trained personnel, the presence of physical symptoms and presence of prior medical conditions were independent predictors across the participating countries. This study highlights that the varied prevalence of psychological adversity among healthcare workers is independent of the burden of COVID-19 cases within each country. Early psychological interventions may be beneficial for the vulnerable groups of healthcare workers with presence of physical symptoms, prior medical conditions and those who are not medically trained.
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影响因子：
2.1
作者：
Nezlek, John B.;Wesselmann, Eric D.;Williams, Kipling D.
通讯作者：
Williams, Kipling D.
影响因子：
15.1
作者：
Chew, Nicholas W. S.;Lee, Grace K. H.;Sharma, Vijay K.
通讯作者：
Sharma, Vijay K.
影响因子：
120.7
作者：
Young, Barnaby Edward;Ong, Sean Wei Xiang;Lye, David Chien
通讯作者：
Lye, David Chien
DOI：
10.3390/ijerph17051729
发表时间：
2020-03-01
影响因子：
--
作者：
Wang, Cuiyan;Pan, Riyu;Ho, Roger C.
通讯作者：
Ho, Roger C.
影响因子：
4.1
作者：
Creamer, M;Bell, R;Failla, S
通讯作者：
Failla, S