COVID-19大流行期间中国医生和护士自杀倾向的发生率和影响因素:一项多中心横断面研究。

IF 7.3 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL QJM: An International Journal of Medicine Pub Date : 2024-10-03 DOI:10.1093/qjmed/hcae190
Shu Jing, Zhenwei Dai, Xiaoyang Liu, Xin Liu, Ling Zhang, Yijin Wu, Tianrui Ren, Jiaqi Fu, Xu Chen, Wenjun Wang, Xiaofen Gu, Li Ma, Shaokai Zhang, Yanqin Yu, Li Li, Xiaoyou Su, Youlin Qiao
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引用次数: 0

摘要

研究背景从2022年11月到2023年2月,中国经历了COVID-19大流行的高峰期,在医院工作的医生和护士因医疗拥挤而产生严重的心理危机,可能导致自杀意念(SI)的发生。本研究旨在探讨在这一激增阶段自杀意念的发生率和影响因素:这项多中心横断面研究于 2023 年 1 月 5 日至 2 月 9 日在中国进行。数据通过在线问卷收集,SI 通过单个项目进行测量。为确定影响因素,进行了顺序逻辑回归分析和分层分析:共有 5696 名医生和护士接受了进一步分析,其中 25.28% 的人在 COVID-19 激增阶段报告了 SI。出现焦虑症状或支持其他部门治疗 COVID-19 患者的参与者更有可能报告 SI。此外,较高水平的复原力、正念和感知到的社会支持也是防止 SI 的保护因素:结论:在COVID-19激增阶段,中国有超过四分之一的医生和护士患有SI,这应引起高度重视。在未来爆发新的传染病时,应采取有针对性的干预措施来减轻医生和护士的SI。
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Prevalence and influencing factors of suicidal ideation among doctors and nurses during the surge period of the COVID-19 pandemic in China: a multicenter cross-sectional study.

Background: From November 2022 to February 2023, China has experienced a surge period of COVID-19 pandemic and doctors and nurses working in hospitals have suffered from serious psychological crisis because of the medical crowding, which may result in the occurrence of suicidal ideation (SI). This study aims to explore the prevalence and influencing factors of SI during this surge phase.

Methods: A multicenter cross-sectional study was conducted in China from January 5 to February 9, 2023. Data were collected by online questionnaires, with SI measured by a single item. Ordinal logistic regression analysis and stratified analyses were preformed to identify influencing factors.

Results: A total of 5696 doctors and nurses were retained for further analysis, with 25.28% reporting SI during the COVID-19 surge phase. Participants experiencing anxiety symptoms or supporting other departments treating COVID-19 patients were more likely to report SI. Additionally, higher levels of resilience, mindfulness, and perceived social support were protective factors against SI.

Conclusion: During the COVID-19 surge phase, over a quarter of doctors and nurses in China suffered from SI, which should be of great concern. Tailored interventions should be implemented to alleviate SI among doctors and nurses when new infectious diseases outbreak in the future.

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来源期刊
CiteScore
6.90
自引率
5.30%
发文量
263
审稿时长
4-8 weeks
期刊介绍: QJM, a renowned and reputable general medical journal, has been a prominent source of knowledge in the field of internal medicine. With a steadfast commitment to advancing medical science and practice, it features a selection of rigorously reviewed articles. Released on a monthly basis, QJM encompasses a wide range of article types. These include original papers that contribute innovative research, editorials that offer expert opinions, and reviews that provide comprehensive analyses of specific topics. The journal also presents commentary papers aimed at initiating discussions on controversial subjects and allocates a dedicated section for reader correspondence. In summary, QJM's reputable standing stems from its enduring presence in the medical community, consistent publication schedule, and diverse range of content designed to inform and engage readers.
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