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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Prolonged Stress Causes Depression in Frontline Workers Facing the COVID-19 Pandemic—A Repeated Cross-Sectional Study in a COVID-19 Hub-Hospital in Central Italy
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Prolonged Stress Causes Depression in Frontline Workers Facing the COVID-19 Pandemic—A Repeated Cross-Sectional Study in a COVID-19 Hub-Hospital in Central Italy

机译：长期压力导致前线工人面临的抑郁症面临的Covid-19大流行 - 在意大利中部的Covid-19 Hub-Hounturity中重复的横断面研究

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摘要

The COVID-19 pandemic has severely tested the mental health of frontline health care workers. A repeated cross-sectional study can provide information on how their mental health evolved during the various phases of the pandemic. The intensivists of a COVID-19 hub hospital in Rome were investigated with a baseline survey during the first wave of the pandemic in April 2020, and they were contacted again in December 2020, during the second wave. Of the 205 eligible workers, 152 responded to an online questionnaire designed to measure procedural justice, occupational stress (effort/reward imbalance), sleep quality, anxiety, depression, burnout, job satisfaction, happiness, and turnover intention. Workers reported a further increase in workload and compassion fatigue, which had already risen during the first wave, and a marked reduction in the time devoted to meditation and mental activities. A low level of confidence in the adequacy of safety procedures and the need to work in isolation, together with an increased workload and lack of time for meditation, were the most significant predictors of occupational stress in a stepwise linear regression model. Occupational stress was, in turn, a significant predictor of insomnia, anxiety, low job satisfaction, burnout, and intention to leave the hospital. The number of workers manifesting symptoms of depression increased significantly to exceed 60%. Action to prevent occupational risks and enhance individual resilience cannot be postponed.
机译：Covid-19大流行严重测试了前线医疗工作者的心理健康。一项重复的横截面研究可以提供有关在大流行的各个阶段在大流行期间发化的心理健康的信息。在2020年4月的第一波大流行病中，罗马Covid-19枢纽医院的强烈教派进行了调查，并在第二波转发期间再次联系，在第二波期间再次联系。在205个符合条件的工作人员中，152人回应了一个旨在衡量程序正义，职业压力（努力/奖励不平衡），睡眠质量，焦虑，抑郁，倦怠，工作满意度，幸福和营业速度的在线问卷。工人报告的工作量和同情疲劳进一步增加，这些疲劳已经在第一波期间上升，并且致力于冥想和精神活动的时间明显减少。对安全程序充分性和孤立工作的需要的低水平，以及增加的工作量和缺乏冥想的时间，是逐步线性回归模型中职业压力最重要的预测因子。反过来，职业压力是失眠，焦虑，低工作满意度，倦怠和离开医院的意图的重要预测因素。表现出抑郁症症状的工人人数显着增加到超过60％。无法推迟防止职业风险和增强个人弹性的行动。

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