Các triệu chứng tâm thần và chấn thương đạo đức ở nhân viên y tế Hoa Kỳ trong thời kỳ COVID-19

BMC Psychiatry - Tập 21 Số 1 - 2021
Doron Amsalem1, Amit Lazarov2, John C. Markowitz1, Aliza Naiman1, Thomas E. Smith1, Lisa B. Dixon1, Yuval Neria3
1New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, 1051 Riverside Drive, New York, NY, 10032, USA
2School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel
3Department of Epidemiology, Columbia University Irving Medical Center, New York, USA

Tóm tắt

Tóm tắtĐặt vấn đềDữ liệu chéo mới nổi cho thấy rằng nhân viên y tế (HCWs) trong thời kỳ COVID-19 đối mặt với những rủi ro sức khỏe tâm thần đặc biệt. Chấn thương đạo đức - sự phản bội giá trị và niềm tin của bản thân, là một vấn đề tiềm ẩn đối với các HCWs chứng kiến tác động tàn khốc của bệnh lý COVID-19 cấp tính trong khi thường xuyên cảm thấy bất lực trong việc ứng phó. Nghiên cứu này đã khảo sát theo chiều dọc tỷ lệ trầm cảm, rối loạn lo âu tổng quát (GAD), rối loạn stress sau chấn thương (PTSD) và chấn thương đạo đức ở các HCWs tại Hoa Kỳ trong thời kỳ COVID-19. Chúng tôi dự đoán sẽ tìm thấy mức độ triệu chứng lâm sàng và chấn thương đạo đức cao mà sẽ duy trì ổn định theo thời gian. Chúng tôi cũng mong đợi sẽ tìm thấy mối tương quan tích cực giữa triệu chứng lâm sàng và chấn thương đạo đức.Phương phápNghiên cứu ba làn sóng này đã đánh giá triệu chứng lâm sàng và chấn thương đạo đức ở 350 HCWs tại thời điểm ban đầu, 30 và 90 ngày giữa tháng 9 và tháng 12 năm 2020. Lo âu, trầm cảm, PTSD và chấn thương đạo đức được đo lường bằng Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Primary Care PTSD Screen (PC-PTSD) và Moral Injury Events Scale (MIES).Kết quảTrong số 350 HCWs, 72% báo cáo có khả năng bị lo âu, trầm cảm và/hoặc rối loạn PTSD tại thời điểm ban đầu, 62% ở ngày thứ 30 và 64% ở ngày thứ 90. Mức độ cao của chấn thương đạo đức liên quan đến một loạt các bệnh lý tâm thần, bao gồm ý nghĩ tự sát, đặc biệt ở những nhân viên y tế tự báo cáo có tiếp xúc với COVID-19.Kết luậnCác phát hiện cho thấy hậu quả sức khỏe tâm thần đa dạng và kéo dài của đại dịch COVID-19 đối với các HCWs tại Hoa Kỳ. Nghiên cứu này là nghiên cứu đầu tiên khảo sát theo chiều dọc các mối quan hệ giữa chấn thương đạo đức và bệnh lý tâm thần ở các HCWs, nhấn mạnh sự cần thiết phải tăng cường khả năng tiếp cận chăm sóc sức khỏe tâm thần cho các nhân viên y tế.

Từ khóa


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BMC Psychiatry

Tập 21 Số 1

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