Psychological impact of the COVID-19 pandemic on primary care workers: a cross-sectional study.

IF 4.5 3区材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY International Journal of Smart and Nano Materials Pub Date : 2022-06-30 Print Date: 2022-07-01 DOI:10.3399/BJGP.2021.0691

Enric Aragonès, Isabel Del Cura-González, Lucía Hernández-Rivas, Elena Polentinos-Castro, Maria Isabel Fernández-San-Martín, Juan A López-Rodríguez, Josep M Molina-Aragonés, Franco Amigo, Itxaso Alayo, Philippe Mortier, Montse Ferrer, Víctor Pérez-Solà, Gemma Vilagut, Jordi Alonso

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Abstract

Background: The COVID-19 pandemic has had a major impact on the mental health of healthcare workers, yet studies in primary care workers are scarce.

Aim: To investigate the prevalence of and associated factors for psychological distress in primary care workers during the first COVID-19 outbreak.

Design and setting: This was a multicentre, cross-sectional, web-based survey conducted in primary healthcare workers in Spain, between May and September 2020.

Method: Healthcare workers were invited to complete a survey to evaluate sociodemographic and work-related characteristics, COVID-19 infection status, exposure to patients with COVID-19, and resilience (using the Connor-Davidson Resilience Scale), in addition to being screened for common mental disorders (depression, anxiety disorders, post-traumatic stress disorder, panic attacks, and substance use disorder). Positive screening for any of these disorders was analysed globally using the term 'any current mental disorder'.

Results: A total of 2928 primary care professionals participated in the survey. Of them, 43.7% (95% confidence interval [CI] = 41.9 to 45.4) tested positive for a current mental disorder. Female sex (odds ratio [OR] 1.61, 95% CI = 1.25 to 2.06), having previous mental disorders (OR 2.58, 95% CI = 2.15 to 3.10), greater occupational exposure to patients with COVID-19 (OR 2.63, 95% CI = 1.98 to 3.51), having children or dependents (OR 1.35, 95% CI = 1.04 to 1.76 and OR 1.59, 95% CI = 1.20 to 2.11, respectively), or having an administrative job (OR 2.24, 95% CI = 1.66 to 3.03) were associated with a higher risk of any current mental disorder. Personal resilience was shown to be a protective factor.

Conclusion: Almost half of primary care workers showed significant psychological distress. Strategies to support the mental health of primary care workers are necessary, including designing psychological support and resilience-building interventions based on risk factors identified.

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COVID-19 大流行对基层医疗工作者的心理影响：一项横断面研究。

背景：COVID-19大流行对医护人员的心理健康产生了重大影响，但针对基层医护人员的研究却很少。目的：调查COVID-19首次爆发期间基层医护人员心理困扰的发生率及其相关因素：这是一项多中心、横断面、基于网络的调查，于 2020 年 5 月至 9 月间在西班牙的基层医疗工作者中进行：医护人员受邀完成一项调查，以评估其社会人口学特征和工作相关特征、COVID-19 感染状况、与 COVID-19 患者的接触情况和抗病能力（使用 Connor-Davidson 抗病能力量表），此外还对其进行了常见精神障碍（抑郁症、焦虑症、创伤后应激障碍、恐慌症和药物使用障碍）筛查。对这些疾病的阳性筛查结果使用 "任何当前精神障碍 "一词进行全面分析：共有 2928 名初级保健专业人员参与了调查。其中，43.7%（95% 置信区间 [CI] = 41.9 至 45.4）的人对当前精神障碍检测呈阳性。女性（几率比[OR] 1.61，95% CI = 1.25 至 2.06）、曾有精神障碍（OR 2.58，95% CI = 2.15 至 3.10）、与 COVID-19 患者有更多的职业接触（OR 2.63，95% CI = 1.98 至 3.51）、有子女或受抚养人（OR 2.63，95% CI = 1.98 至 3.51）。51）、有子女或受抚养人（OR 1.35，95% CI = 1.04 至 1.76 和 OR 1.59，95% CI = 1.20 至 2.11）或从事行政工作（OR 2.24，95% CI = 1.66 至 3.03）与当前任何精神障碍的较高风险相关。个人复原力是一个保护性因素：结论：近一半的初级保健工作者表现出严重的心理困扰。有必要制定支持基层医疗工作者心理健康的策略，包括根据已确定的风险因素设计心理支持和复原力建设干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Smart and Nano Materials MATERIALS SCIENCE, MULTIDISCIPLINARY-

CiteScore

6.30

自引率

5.10%

发文量

审稿时长

11 weeks

期刊介绍： The central aim of International Journal of Smart and Nano Materials is to publish original results, critical reviews, technical discussion, and book reviews related to this compelling research field: smart and nano materials, and their applications. The papers published in this journal will provide cutting edge information and instructive research guidance, encouraging more scientists to make their contribution to this dynamic research field.