背景:在冠状病毒(COVID-19)大流行期间,医院工作人员有发生心理健康问题的高风险。然而,文献缺乏对COVID-19大流行期间医院工作人员精神健康问题的全面和包容性分析.
目的:为了确定焦虑的患病率,COVID-19大流行期间医院工作人员的原始文章中报道的抑郁和其他心理健康结果。
方法:对已发表的观察性研究的荟萃分析进行了PRISMA2020和MOOSE2000兼容综述,评估了大流行期间医院工作人员心理健康问题的患病率。
方法:在PubMed/Medline中进行了系统搜索,CINAHL,EMBASE,和PsycINFO从12月1日开始,2019年,至2021年8月13日。随机效应模型用于荟萃分析,采用I2指数评估研究间异质性。使用Egger检验和LFK指数检查发表偏倚。使用STATA17.0软件分析数据。AMSTAR-2用于系统评价的质量评估,而我们用等级来评价证据的质量。
结果:来自1298个个体研究的44个meta分析被纳入最终分析,包括16种心理健康症状的患病率。三分之一的医院工作人员报告焦虑(患病率:29.9%,95%CI:27.1%至32.7%)和抑郁症(患病率:28.4%,95%CI:25.5%至31.3%)症状学,而约40%(95%CI:36.9%至42.0%)患有睡眠障碍。恐惧相关症状,幸福感降低,生活质量差,在医院工作人员中,急性应激症状的患病率最高。然而,这些领域的证据质量从低到非常低。护士比医生更经常遭受睡眠问题以及焦虑和抑郁症状的困扰,而医生报告的急性应激和创伤后疾病的患病率较高。焦虑的负担,抑郁症,女性员工的睡眠障碍高于男性员工。值得注意的是,急性压力和失眠影响了超过一半的一线医务人员。
结论:在COVID-19大流行期间,医院工作人员的心理健康问题患病率普遍较高,带着焦虑,抑郁症和失眠症状是最有力的证据,基于大量的患病率荟萃分析数据集。然而,对评估的每个结果的证据都没有强烈的信心。
背景:未注册。
结论:COVID-19大流行对医院工作人员的心理健康产生重大影响。护士和医生的支持需求必须有所不同@eldi12345。
BACKGROUND: Hospital staff is at high risk of developing mental health issues during the coronavirus (COVID-19) pandemic. However, the literature lacks an overall and inclusive picture of mental health problems with comprehensive analysis among hospital staff during the COVID-19 pandemic.
OBJECTIVE: To ascertain the prevalence of anxiety, depression and other mental health outcomes as reported in original articles among hospital staff during the COVID-19 pandemic.
METHODS: A PRISMA 2020 and MOOSE 2000 compliant umbrella
review of published meta-analyses of observational studies evaluating the prevalence of mental health problems in hospital staff during the pandemic.
METHODS: Systematic searches were conducted in PubMed/Medline, CINAHL, EMBASE, and PsycINFO from December 1st, 2019, until August 13th 2021. The random effects model was used for the meta-analysis, and the I2 index was employed to assess between-study heterogeneity. Publication bias using Egger test and LFK index was examined. Data was analyzed using STATA 17.0 software. AMSTAR-2 was applied for the quality assessment of systematic reviews, while we used GRADE to rate the quality of evidence.
RESULTS: Forty-four meta-analyses from 1298 individual studies were included in the final analysis, encompassing the prevalence of 16 mental health symptoms. One-third of hospital workers reported anxiety (Prevalence: 29.9%, 95% CI:27.1% to 32.7%) and depression (Prevalence: 28.4%, 95% CI:25.5% to 31.3%) symptomatology, while about 40% (95% CI: 36.9% to 42.0%) suffered from sleeping disorders. Fear-related symptoms, reduced well-being, poor quality of life, and acute stress symptoms had the highest prevalence among hospital staff. However, the quality of evidence in these areas varied from low to very low. Nurses suffered more often from sleep problems and symptoms of anxiety and depression than
doctors, whereas
doctors reported a higher prevalence of acute stress and post-traumatic disorders. The burden of anxiety, depression, and sleep disorders was higher among female employees than their male counterparts. Remarkably, acute stress and insomnia affected more than half of first-line medical staff.
CONCLUSIONS: The prevalence of mental health problems among hospital staff during the COVID-19 pandemic is generally high, with anxiety, depression and insomnia symptoms representing the most robust evidence based on a large dataset of prevalence meta-analyses. However, there is no strong confidence in the body of evidence for each outcome assessed.
BACKGROUND: Not registered.
CONCLUSIONS: The COVID-19 pandemic is having a major impact on the mental health of hospital staff. The need for support must be different for nurses and
doctors @eldi12345.