防止压力过大:2019冠状病毒病时代全科医生的适应负荷和复原力横断面观察研究。

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL European Journal of General Practice Pub Date : 2021-12-01 DOI:10.1080/13814788.2021.1982889
Dóra Békési, Illés Teker, Péter Torzsa, László Kalabay, Sándor Rózsa, Ajándék Eőry
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引用次数: 5

摘要

背景:全科医生在提供安全有效护理方面的责任始终很高,但在2019冠状病毒病大流行期间,他们面临的压力甚至越来越大,可能导致无法承受的压力负荷(适应超负荷,AO),从而导致疾病。目的:我们旨在测量匈牙利全科医生在COVID-19大流行期间的AO,并探索他们的娱乐资源,以确定对应激负荷的潜在保护因素。方法:采用混合方法设计,将Fava的AO临床计量方法与社会心理指数(PSI)一起应用;用Kellner症状问卷(SQ)测量抑郁、焦虑、敌意和躯体化,用公共卫生监测幸福感量表(PHS-WB)测定心理、社会和身体幸福感。绘制了娱乐资源地图。除卡方检验和Kruskal-Wallis检验外,还采用回归分析确定AO的解释变量。结果:对228例全科医生(女性68%)的资料进行分析。在60%的样本中,与工作相关的变化是导致AO的最大挑战。而女性(OR: 1.99;CI: 1.06;3.74, p = 0.032)和其他生活压力(OR: 1.4;CI: 1.2;1.6, p p = 0.020)。每周保证有3-4天的时间用于娱乐,与精神和身体健康有关,而5-7天的时间与较低的抑郁和焦虑症状、躯体化和敌意有关。结论:在不断变化的环境下,应重视通过增加娱乐时间来提高心理弹性,以防止全科医生受到压力负荷的不良健康后果。
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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To prevent being stressed-out: Allostatic overload and resilience of general practitioners in the era of COVID-19. A cross-sectional observational study.

Background: Responsibility of general practitioners (GPs) in delivering safe and effective care is always high but during the COVID-19 pandemic they face even growing pressure that might result in unbearable stress load (allostatic overload, AO) leading to disease.

Objectives: We aimed to measure AO of Hungarian GPs during the COVID-19 pandemic and explore their recreational resources to identify potential protective factors against stress load.

Methods: In a mixed-method design, Fava's clinimetric approach to AO was applied alongside the Psychosocial Index (PSI); Kellner's symptom questionnaire (SQ) to measure depression, anxiety, hostility and somatisation and the Public Health Surveillance Well-being Scale (PHS-WB) to determine mental, social, and physical well-being. Recreational resources were mapped. Besides Chi-square and Kruskal-Wallis tests, regression analysis was applied to identify explanatory variables of AO.

Results: Data of 228 GPs (68% females) were analysed. Work-related changes caused the biggest challenges leading to AO in 60% of the sample. While female sex (OR: 1.99; CI: 1.06; 3.74, p = 0.032) and other life stresses (OR: 1.4; CI: 1.2; 1.6, p < 0.001) associated with increased odds of AO, each additional day with 30 min for recreation purposes associated with 20% decreased odds (OR: 0.838; CI: 0.72; 0.97, p = 0.020). 3-4 days a week when time was ensured for recreation associated with elevated mental and physical well-being, while 5-7 days associated with lower depressive and anxiety symptoms, somatisation, and hostility.

Conclusion: Under changing circumstances, resilience improvement through increasing time spent on recreation should be emphasised to prevent GPs from the adverse health consequences of stress load.

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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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