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COVID-19 时期外科医生的心理健康：一项全球调查

已有 406 次阅读2023-1-2 17:17 |个人分类:心理学、心理健康、心理咨询|系统分类:科技教育分享到微信

COVID-19 时期外科医生的心理健康：一项全球调查

Psychological Health of Surgeons in a Time of COVID-19: A Global Survey

——原载《外科年鉴》2023第277卷第1期——

<Annals of Surgery> 2023, 277 (1)

【摘要】目的：评估COVID-19大流行期间外科医生的心理影响程度。背景数据摘要：COVID-19大流行对全球医疗保健系统产生了广泛影响。我们假设，对于为COVID-19工作安排的外科医生、某些外科专业以及知道有人被诊断出患有COVID-19 或死于COVID-19的人，心理影响的程度会更高。方法：我们进行了一项基于网络的全球调查，以调查COVID-19的心理影响。主要结果是抑郁焦虑压力量表-21和事件量表影响修订版分数。结果：共有来自101个国家的4283名参与者做出了回应。分别有32.8%、30.8%、25.9% 和24.0% 的抑郁、焦虑、压力和PTSD筛查结果呈阳性。认识死于COVID-19的人的受访者更有可能筛查出抑郁、焦虑、压力和创伤后应激障碍呈阳性（OR分别为1.3、1.6、1.4、1.7，所有P<0.05）。知道有人被诊断出患有COVID-19的受访者更有可能筛查出抑郁症、压力和PTSD阳性（OR分别为1.2、1.2和1.3，所有P<0.05）。在头部和颈部区域进行手术的外科专家对其外科医生的心理压力更大。安排COVID-19 相关工作与心理压力增加无关。结论：COVID-19大流行的心理健康遗留问题可能比其发展过程更持久。这一持续的创伤事件的长期影响凸显了医护人员纵向心理健康护理的重要性，尤其是那些知道有人被诊断出患有 COVID-19或死于COVID-19的人。

[Abstract] Objective: To assess the degree of psychological impact among surgical providers during the COVID-19 pandemic. Summary of Background Data:The COVID-19 pandemic has extensively impacted global healthcare systems. We hypothesized that the degree of psychological impact would be higher for surgical providers deployed for COVID-19 work, certain surgical specialties, and for those who knew of someone diagnosed with, or who died, of COVID-19. Methods:We conducted a global web-based survey to investigate the psychological impact of COVID-19. The primary outcomes were the depression anxiety stress scale-21 and Impact of Event Scale-Revised scores. Results: A total of 4283 participants from 101 countries responded. 32.8%, 30.8%, 25.9%, and 24.0% screened positive for depression, anxiety, stress, and PTSD respectively. Respondents who knew someone who died of COVID-19 were more likely to screen positive for depression, anxiety, stress, and PTSD (OR 1.3, 1.6, 1.4, 1.7 respectively, all P < 0.05). Respondents who knew of someone diagnosed with COVID-19 were more likely to screen positive for depression, stress, and PTSD (OR 1.2, 1.2, and 1.3 respectively, all P < 0.05). Surgical specialties that operated in the head and neck region had higher psychological distress among its surgeons. Deployment for COVID- 19-related work was not associated with increased psychological distress. Conclusions: The COVID-19 pandemic may have a mental health legacy outlasting its course. The long-term impact of this ongoing traumatic event underscores the importance of longitudinal mental health care for healthcare personnel, with particular attention to those who know of someone diagnosed with, or who died of COVID-19.

论文原文：Yi Quan Tan, Ziting Wang, Qai Ven Yap, et.al. (2023). Psychological Health of Surgeons in a Time of COVID-19: A Global Survey. Annals of Surgery, 277(1): 50-56.

DOI: 10.1097/SLA.0000000000004775

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