PDF(Pubmed)
Abstract：
BACKGROUND: Coronavirus 19 (COVID-19) has created complex pressures and challenges for healthcare systems worldwide; however, little is known about the impacts COVID-19 has had on regional/rural healthcare workers. The Loddon Mallee Healthcare Worker COVID-19 Study (LMHCWCS) cohort was established to explore and describe the immediate and long-term impacts of the COVID-19 pandemic on regional and rural healthcare workers.
METHODS: Eligible healthcare workers employed within 23 different healthcare organisations located in the Loddon Mallee region of Victoria, Australia, were included. In this cohort study, a total of 1313 participants were recruited from November 2020-May 2021. Symptoms of depression, anxiety, post-traumatic stress, and burnout were measured using the Patient Health Questionnaire-9 (PHQ-9), Generalised Anxiety Disorder-7 (GAD-7), Impact of Events Scale-6 (IES-6), and Copenhagen Burnout Inventory (CBI), respectively. Resilience and optimism were measured using the Brief Resilience Scale and Life Orientation Test-Revised (LOT-R), respectively. Subjective fear of COVID-19 was measured using the Fear of COVID-19 Scale.
RESULTS: These cross-sectional baseline findings demonstrate that regional/rural healthcare workers were experiencing moderate/severe depressive symptoms (n = 211, 16.1%), moderate to severe anxiety symptoms (n = 193, 14.7%), and high personal or patient/client burnout with median total scores of 46.4 (IQR = 28.6) and 25.0 (IQR = 29.2), respectively. There was a moderate degree of COVID-19-related fear. However, most participants demonstrated a normal/high degree of resilience (n = 854, 65.0%). Based on self-reporting, 15.4% had a BMI from 18.5 to 24.9 kgm2 and 37.0% have a BMI of 25 kgm2 or over. Overall, 7.3% of participants reported they were current smokers and 20.6% reported alcohol consumption that is considered moderate/high-risk drinking. Only 21.2% of the sample reported consuming four or more serves of vegetables daily and 37.8% reported consuming two or more serves of fruit daily. There were 48.0% the sample who reported having poor sleep quality measured using the Pittsburgh Sleep Quality Index (PSQI).
CONCLUSIONS: Regional/rural healthcare workers in Victoria, Australia, were experiencing a moderate to high degree of psychological distress during the early stages of the pandemic. However, most participants demonstrated a normal/high degree of resilience. Findings will be used to inform policy options to support healthcare workers in responding to future pandemics.
METHODS: Eligible healthcare workers employed within 23 different healthcare organisations located in the Loddon Mallee region of Victoria, Australia, were included. In this cohort study, a total of 1313 participants were recruited from November 2020-May 2021. Symptoms of depression, anxiety, post-traumatic stress, and burnout were measured using the Patient Health Questionnaire-9 (PHQ-9), Generalised Anxiety Disorder-7 (GAD-7), Impact of Events Scale-6 (IES-6), and Copenhagen Burnout Inventory (CBI), respectively. Resilience and optimism were measured using the Brief Resilience Scale and Life Orientation Test-Revised (LOT-R), respectively. Subjective fear of COVID-19 was measured using the Fear of COVID-19 Scale.
RESULTS: These cross-sectional baseline findings demonstrate that regional/rural healthcare workers were experiencing moderate/severe depressive symptoms (n = 211, 16.1%), moderate to severe anxiety symptoms (n = 193, 14.7%), and high personal or patient/client burnout with median total scores of 46.4 (IQR = 28.6) and 25.0 (IQR = 29.2), respectively. There was a moderate degree of COVID-19-related fear. However, most participants demonstrated a normal/high degree of resilience (n = 854, 65.0%). Based on self-reporting, 15.4% had a BMI from 18.5 to 24.9 kgm2 and 37.0% have a BMI of 25 kgm2 or over. Overall, 7.3% of participants reported they were current smokers and 20.6% reported alcohol consumption that is considered moderate/high-risk drinking. Only 21.2% of the sample reported consuming four or more serves of vegetables daily and 37.8% reported consuming two or more serves of fruit daily. There were 48.0% the sample who reported having poor sleep quality measured using the Pittsburgh Sleep Quality Index (PSQI).
CONCLUSIONS: Regional/rural healthcare workers in Victoria, Australia, were experiencing a moderate to high degree of psychological distress during the early stages of the pandemic. However, most participants demonstrated a normal/high degree of resilience. Findings will be used to inform policy options to support healthcare workers in responding to future pandemics.
摘要：
背景：冠状病毒19（COVID-19）给全球的医疗保健系统带来了复杂的压力和挑战；然而，人们对COVID-19对地区/农村医护人员的影响知之甚少。LoddonMallee医护人员COVID-19研究(LMHCWCS)队列的建立是为了探索和描述COVID-19大流行对区域和农村医护人员的直接和长期影响。
方法：在维多利亚州LoddonMallee地区的23个不同医疗机构中受雇的合格医护人员，澳大利亚,包括在内。在这项队列研究中，从2020年11月至2021年5月,共招募了1313名参与者.抑郁症的症状，焦虑,创伤后应激,和倦怠使用患者健康问卷-9(PHQ-9)进行测量，广泛性焦虑症-7（GAD-7），事件影响量表-6(IES-6)，和哥本哈根职业倦怠清单(CBI)，分别。使用简短弹性量表和修订的生活取向测试（LOT-R）测量弹性和乐观度，分别。对COVID-19的主观恐惧是使用COVID-19恐惧量表进行测量的。
结果：这些横断面基线研究结果表明，地区/农村医护人员正在经历中度/重度抑郁症状（n=211，16.1%），中度至重度焦虑症状（n=193，14.7%），和高个人或患者/客户倦怠，中位数总分46.4（IQR=28.6）和25.0（IQR=29.2），分别。有中度与COVID-19相关的恐惧。然而,大多数参与者表现出正常/高度的弹性(n=854，65.0%)。根据自我报告，15.4％的BMI为18.5至24.9kgm2，37.0％的BMI为25kgm2或以上。总的来说,7.3%的参与者报告说他们是当前吸烟者，20.6%的参与者报告饮酒被认为是中度/高风险饮酒。只有21.2%的样本报告每天食用四份或更多份蔬菜,37.8%报告每天食用两份或更多份水果。有48.0%的样本报告使用匹兹堡睡眠质量指数(PSQI)测量的睡眠质量差。
结论：维多利亚州的地区/农村医护人员，澳大利亚,在大流行的早期阶段经历了中度到高度的心理困扰。然而,大多数参与者表现出正常/高度的弹性。研究结果将用于提供政策选择，以支持医护人员应对未来的大流行。
方法：在维多利亚州LoddonMallee地区的23个不同医疗机构中受雇的合格医护人员，澳大利亚,包括在内。在这项队列研究中，从2020年11月至2021年5月,共招募了1313名参与者.抑郁症的症状，焦虑,创伤后应激,和倦怠使用患者健康问卷-9(PHQ-9)进行测量，广泛性焦虑症-7（GAD-7），事件影响量表-6(IES-6)，和哥本哈根职业倦怠清单(CBI)，分别。使用简短弹性量表和修订的生活取向测试（LOT-R）测量弹性和乐观度，分别。对COVID-19的主观恐惧是使用COVID-19恐惧量表进行测量的。
结果：这些横断面基线研究结果表明，地区/农村医护人员正在经历中度/重度抑郁症状（n=211，16.1%），中度至重度焦虑症状（n=193，14.7%），和高个人或患者/客户倦怠，中位数总分46.4（IQR=28.6）和25.0（IQR=29.2），分别。有中度与COVID-19相关的恐惧。然而,大多数参与者表现出正常/高度的弹性(n=854，65.0%)。根据自我报告，15.4％的BMI为18.5至24.9kgm2，37.0％的BMI为25kgm2或以上。总的来说,7.3%的参与者报告说他们是当前吸烟者，20.6%的参与者报告饮酒被认为是中度/高风险饮酒。只有21.2%的样本报告每天食用四份或更多份蔬菜,37.8%报告每天食用两份或更多份水果。有48.0%的样本报告使用匹兹堡睡眠质量指数(PSQI)测量的睡眠质量差。
结论：维多利亚州的地区/农村医护人员，澳大利亚,在大流行的早期阶段经历了中度到高度的心理困扰。然而,大多数参与者表现出正常/高度的弹性。研究结果将用于提供政策选择，以支持医护人员应对未来的大流行。
