Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution
Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution
复制标题
DOI：
10.1503/cmaj.1031077
复制
发表时间：
2004-03-02
影响因子：
14.6
通讯作者：
Upshur, REG
中科院分区：
文献类型：
--
作者：
Nickell, LA;Crighton, EJ;Upshur, REG
背景：2003年SARS的爆发对多伦多的医疗保健系统产生了巨大的影响。本研究的主要目的是调查与工作在医院环境中的心理社会影响，在此outbreaks.Methods：问卷分发给所有愿意员工的Sunnybrook和女子学院健康科学中心之间。2003年4月10日和22日。调查内容包括对SARS的关注、预防措施、个人幸福感和社会人口学特征等问题;子样本还收到了12项版本的一般健康问卷（GHQ-12）。结果：在4283份问卷中，2001份（47%）被退回，占医院员工总数7474人的27%。受访者中专职医疗人员、护士和医生以及在病人护理以外的领域工作的比例代表了整个医院员工人口。在2001年的调查表中，有510份载有GHQ-12。三分之二的受访者报告了与SARS有关的对自己或家人健康的担忧。共有148名受访者（29%）在GHQ-12上的得分高于阈值点，表明可能存在情绪困扰;护士中的比率为45%。据报道，口罩是最麻烦的感染控制预防措施。Logistic回归分析确定了4个因素与个人或家庭健康关注程度的增加显著相关：对SARS死亡风险增加的认识（调整后的比值比[OR] 5.0，95%置信区间[Cl] 2.6-9.6），与子女同住（调整OR 1.8，95% CI 1.5-2.3），个人或家庭生活方式受SARS爆发影响（调整后OR 3.3，95%CI 2.5-4.3）和因在医院工作而受到不同对待（调整后OR 1.6，95%CI 1.2-2.1）。四个因素被确定为与情绪困扰的存在显着相关：做护士（调整后OR 2.8，95% CI 1.5-5.5），兼职就业状态（调整OR 2.6，95% CI 1.2-5.4），生活方式受SARS爆发影响（调整OR 2.2，95%CI 1.4-3.5）和预防措施对工作能力的影响（调整OR 2.9，95%CI 1.9-4.6）。解释：我们的研究结果表明SARS爆发对医院员工有显著的心理社会影响。这些影响不同的职业和风险认知。对家庭和生活方式的影响也很大。这些研究结果强调，需要采取干预措施，以解决心理困扰和关注，并在这种危机中为员工提供支持。
Background: The outbreak of SARS in 2003 had a dramatic effect on the health care system in Toronto. The main objective of this study was to investigate the psychosocial effects associated with working in a hospital environment during this outbreak.Methods: Questionnaires were distributed to all willing employees of Sunnybrook and Women's College Health Sciences Centre between Apr. 10 and 22, 2003. The survey included questions regarding concern about SARS, precautionary measures, personal well-being and sociodemographic characteristics; a subsample also received the 12-item version of the General Health Questionnaire (GHQ-12).Results: Of the 4283 questionnaires distributed, 2001 (47%) were returned, representing 27% of the total hospital employee population of 7474. The proportions of respondents who were allied health care professionals, nurses and doctors and who worked in areas other than patient care were representative of the hospital staff population as a whole. Of the 2001 questionnaires, 510 contained the GHQ-12. Two-thirds of the respondents reported SARS-related concern for their own or their family's health. A total of 148 respondents (29%) scored above the threshold point on the GHQ-12, indicating probable emotional distress; the rate among nurses was 45%. Masks were reported to be the most bothersome infection control precaution. Logistic regression analysis identified 4 factors as being significantly associated with increased levels of concern for personal or family health: perception of a greater risk of death from SARS (adjusted odds ratio [OR] 5.0, 95% confidence interval [Cl] 2.6-9.6), living with children (adjusted OR 1.8, 95% Cl 1.5-2.3), personal or family lifestyle affected by SARS outbreak (adjusted OR 3.3, 95% Cl 2.5-4.3) and being treated differently by people because of working in a hospital (adjusted OR 1.6, 95% Cl 1.2-2.1). Four factors were identified as being significantly associated with the presence of emotional distress: being a nurse (adjusted OR 2.8, 95% Cl 1.5-5.5), part-time employment status (adjusted OR 2.6, 95% Cl 1.2-5.4), lifestyle affected by SARS outbreak (adjusted OR 2.2, 95% Cl 1.4-3.5) and ability to do one's job affected by the precautionary measures (adjusted OR 2.9, 95% Cl 1.9-4.6).Interpretation: Our findings indicate that the SARS outbreak had significant psychosocial effects on hospital staff. These effects differed with respect to occupation and risk perception. The effect on families and lifestyle was also substantial. These findings highlight the need for interventions to address psychosocial distress and concern and to provide support for employees during such crises.