探索COVID-19大流行期间卫生保健工作者中创伤后应激障碍的患病率:来自葡萄牙一家综合医院的调查结果

IF 1 Q4 PSYCHIATRY Mental Health Review Journal Pub Date : 2023-03-03 DOI:10.1108/mhrj-05-2022-0030
Luís Paulino Ferreira, N. Ribeiro, M. A. Duarte
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引用次数: 0

摘要

目的创伤后应激障碍(PTSD)与自杀和慢性心理障碍的风险有关。在新冠肺炎大流行期间,医护人员(HCW)持续承受压力可被视为一种大规模创伤事件,并导致该人群PTSD的发病率较高。本研究的目的是了解综合医院HCW中PTSD的患病率和相关因素。设计/方法/方法作者设计了一项调查,以评估综合医院HCW中PTSD的患病率及其与性、社会支持、职业、医疗保健工作经验、照顾新冠肺炎患者的时间和开展COVID-19-19相关活动的地点的关系。PTSD症状使用PCL-5葡萄牙版进行评估。研究结果共有226名HCW被纳入研究。PTSD的临时诊断是基于PCL-5反应,考虑DSM-5标准和33分的截止分数。总共有79名(35.0%)HCW被临时诊断为PTSD,PTSD与新冠肺炎患者的工作时间以及PTSD与工作地点(即新冠肺炎急诊室和重症监护室)之间存在显著关联。独创性/价值研究结果强调,有必要反思促进HCW心理健康的重要性,特别是在当前疫情等不利条件下。
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Exploring the prevalence of post-traumatic stress disorder among health-care workers during the COVID-19 pandemic: findings from a survey applied on a Portuguese general hospital
Purpose Post-traumatic stress disorder (PTSD) is associated with risk of suicide and chronic psychological impairment. The continued exposure to stress suffered by health-care workers (HCWs) during the COVID-19 pandemic can be considered a mass traumatic event and contribute to higher rates of PTSD in this population. The purpose of this research is to find out the prevalence and factors associated with PTSD among HCW in a general hospital. Design/methodology/approach The authors devised a survey to assess the prevalence of PTSD among HCWs in a general hospital and its relationship with sex, social support, profession, work experience in health care, time spent caring for COVID-19 patients and place in which the COVID-19-related activities were carried out. PTSD symptoms were assessed using the PCL-5, Portuguese version. Findings A total of 226 HCWs were included in the study. Provisional diagnosis of PTSD was made based on the PCL-5 responses, considering DSM-5 criteria and the cutoff score of 33. In total, 79 (35.0%) HCWs had a provisional diagnosis of PTSD, and a significant association was found between PTSD and time spent working with COVID-19 patients and between PTSD and place of work, namely, the COVID-19 emergency room and intensive care unit. Originality/value The results highlight the need for a reflection on the importance of mental health promotion among HCWs, specially in adverse conditions such as the current pandemic.
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