在2019冠状病毒病大流行期间,澳大利亚医院专职医疗从业人员的总体健康和心理健康状况不断恶化。

IF 1.4 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Australian Health Review Pub Date : 2023-02-01 DOI:10.1071/AH22110
Danielle Hitch, Sarah Booth, Karen Wynter, Catherine M Said, Kimberley Haines, Bodil Rasmussen, Sara Holton
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引用次数: 1

摘要

目的描述2019冠状病毒病(COVID-19)大流行期间澳大利亚急性公共卫生服务专职卫生从业人员在三个时间点的自我报告的一般和心理健康状况。方法在2020年5月至6月(t1)、2020年10月至11月(t2)和2021年11月至12月(t3)三个时间点通过横断面在线调查收集数据。自我报告问卷由人口统计问题、一般健康问题和21项抑郁焦虑压力量表(DASS-21)组成。结果共收到308份问卷,其中t1 n = 135份,t2 n = 78份,t3 n = 95份,来自8个专职医疗行业。专职医疗从业人员报告总体健康状况不佳的比例随着时间的推移而显著增加,所有DASS-21子量表的平均得分也是如此。一般健康状况也与DASS-21量表得分显著相关。焦虑得分在t1和t2之间显著升高,抑郁得分在t2和t3之间显著升高。在所有时间间隔内,压力得分都有显著增加。在t1至t3期间,报告中度、重度或极重度抑郁(10.3-30.9%)、焦虑(5.2-18.2%)和压力(13.3-36.3%)症状的专职医疗从业人员比例增加。结论随着COVID-19大流行的持续,专职医务人员的一般健康和心理健康状况呈恶化趋势。支持急症护理机构专职卫生工作人员健康的组织战略必须解决长期压力对其一般健康和心理社会健康的累积影响。支持战略需要对大流行不同阶段心理健康的变化作出反应。
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Worsening general health and psychosocial wellbeing of Australian hospital allied health practitioners during the COVID-19 pandemic.

Objective To describe self-reported general and psychological health for allied health practitioners at an Australian acute public health service over three time points within the coronavirus disease 2019 (COVID-19) pandemic. Methods This study collected data from cross-sectional online surveys at three time points: May-June 2020 (T 1 ), October-November 2020 (T 2 ) and November-December 2021 (T 3 ). The self-report questionnaire consisted of demographic questions, a general health question and the 21-item version of the Depression Anxiety Stress Scales (DASS-21). Results A total of 308 responses were received (T 1 n  = 135, T 2 n  = 78, T 3 n  = 95) from representatives of eight allied health professions. The proportion of allied health practitioners reporting poor general health significantly increased over time, as did mean scores on all DASS-21 sub-scales. General health status was also significantly associated with DASS-21 subscale scores. Anxiety scores increased significantly between T 1 and T 2 , while depression scores increased significantly between T 2 and T 3 . Significant increases in stress scores were recorded across all time intervals. Between T 1 and T 3 , the proportion of allied health practitioners reporting moderate, severe, or extremely severe symptoms increased for depression (10.3-30.9%), anxiety (5.2-18.2%) and stress (13.3-36.3%). Conclusion The general and psychological health of allied health practitioners appears to be worsening as the COVID-19 pandemic continues. Organisational strategies to support the health of the allied health workforce in acute care settings must address the cumulative effects of prolonged pressure on their general and psychosocial health. Support strategies need to be responsive to changes in psychological wellbeing at different phases of the pandemic.

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来源期刊
Australian Health Review
Australian Health Review 医学-卫生保健
CiteScore
2.90
自引率
5.60%
发文量
134
审稿时长
6-12 weeks
期刊介绍: Australian Health Review is an international, peer-reviewed journal that publishes contributions on all aspects of health policy, management and governance; healthcare delivery systems; workforce; health financing; and other matters of interest to those working in health care. In addition to analyses and commentary, the journal publishes original research from practitioners – managers and clinicians – and reports of breakthrough projects that demonstrate better ways of delivering care. Australian Health Review explores major national and international health issues and questions, enabling health professionals to keep their fingers on the pulse of the nation’s health decisions and to know what the most influential commentators and decision makers are thinking. Australian Health Review is a valuable resource for managers, policy makers and clinical staff in health organisations, including government departments, hospitals, community centres and aged-care facilities, as well as anyone with an interest in the health industry. Australian Health Review is published by CSIRO Publishing on behalf of the Australian Healthcare and Hospitals Association.
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