2019冠状病毒病大流行期间拉什特医院医务人员的创伤后应激障碍、焦虑敏感性和复原力

M. Baradaran, Maedeh Mirzaei Malati, Roghayeh Etemadifar, Samaneh Kouchak Asaadi, Nasrin Parsamehr
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摘要

2019冠状病毒病(COVID-19)大流行已广泛影响到公众的身心健康,特别是在医院COVID-19病房工作的医务人员。目的探讨2019冠状病毒病疫情期间拉什特市医院医务人员创伤后应激障碍(PTSD)、焦虑敏感性(AS)与应变能力的关系。方法采用分析性横断面研究。研究人群包括在伊朗拉什特Poursina和Razi医院COVID-19病房工作的所有医务人员。其中94人采用方便抽样法进行调查。采用Weathers et al.的创伤后应激障碍检查表、Reiss et al.的AS指数和Connor-Davidson弹性量表进行数据收集。采用Pearson相关检验和多元线性回归分析。结果创伤后应激障碍与心理弹性存在显著负相关(r = -0.405, P = - 0.001)。PTSD与AS呈显著正相关(r=0.633, P=0.001)。多重分析结果显示,心理弹性(B=-0.208, P=0.004)和心理适应力(B=0.574, P=0.001)能显著解释医务人员PTSD的发生。结论应变能力可能是新冠肺炎大流行期间医院医务人员预防PTSD的重要保护因素。患有阿斯伯格综合症的医务人员可能会更多地经历创伤后应激障碍的症状。
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Post-Traumatic Stress Disorder, Anxiety Sensitivity, and Resilience Among Hospital Medical Staff in Rasht, During the COVID-19 Pandemic
Background The coronavirus disease 2019 (COVID-19) pandemic has extensively affected the public physical and mental health, especially the medical staff working in the COVID-19 wards of hospitals. Objective This study aims to evaluate the relationship between post-traumatic stress disorder (PTSD), anxiety sensitivity (AS), and resilience among hospital medical staff in Rasht, during the COVID-19 pandemic. Methods This is an analytical cross-sectional study. The study population consists of all medical staff working in the COVID-19 wards of Poursina and Razi hospitals in Rasht, Iran. Of these, 94 participated who were selected using a convenience sampling method. Weathers et al.’s post-traumatic stress disorder checklist, Reiss et al.’s AS index, and Connor-Davidson resilience scale were used for data collection. The data were analyzed using Pearson correlation test and multiple linear regression analysis. Results There was a significant negative correlation between PTSD and resilience (r‌=‌-0.405, P‌=‌0.001). and a significant positive correlation between PTSD and AS (r=0.633, P=0.001). The results of multiple analyses showed that resilience (B=-0.208, P=0.004) and AS (B=0.574, P=0.001) could significantly explain the PTSD in medical staff. Conclusion Resilience can be an important protective factor against PTSD in hospital medical staff during the COVID-19 pandemic. The medial staff with AS may experience the symptoms of PTSD more.
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