COVID-19大流行深深影响了医护人员,尽管根据不同的工作环境,影响可能有所不同。本研究的目的是比较COVID-19大流行期间医院和疗养院医护人员的精神病理学,并分析生活目标和道德勇气在精神病理学出现中的预测作用。这是一个观察,对108名医护人员的样本进行了横断面研究,54来自医院或疗养院,他们是在西班牙COVID-19大流行的第5波和第6波中招募的。各种自我报告量表被用来评估焦虑,抑郁症,急性/创伤后应激障碍,滥用药物和酒精,倦怠,人生的目的,道德勇气与医院医护人员相比,疗养院医护人员得分较高,焦虑患病率较高(74.1%vs.42%),抑郁症(40.7%vs.14.8%),和创伤后应激障碍(55.6%vs.25.9)。在整个样本中,生活目的是对精神病理学(OR=0.54)和倦怠(OR=0.48)的保护因素;道德勇气是对抑郁(OR=0.47)和急性压力(OR=0.45)的保护因素;家人/朋友暴露于SARS-CoV-2是急性压力的危险因素(OR=2.24),创伤后应激障碍(OR=1.33),和更高的职业倦怠去个性化子量表得分(OR=1.84)。总之,疗养院医护人员中精神病理学的增加可能受到工作场所和职业环境的影响,个人因素,如家人/朋友接触SARS-CoV-2,或内部维度,如生活目的和道德勇气。这些知识可能有助于了解未来的流行病或流行病如何影响不同劳动环境中医护人员的心理健康。
The COVID-19 pandemic deeply affected healthcare workers, although the impact may have differed according to different workplace contexts. The aim of this current research was to compare the
psychopathology presented by hospital versus nursing home healthcare workers during the COVID-19 pandemic and to analyse the predictive role of purpose in life and moral courage in the appearance of
psychopathology. This was an observational, cross-sectional study carried out on a sample of 108 healthcare workers, 54 each from a hospital or nursing homes, who were recruited during the 5 and 6th waves of the COVID-19 pandemic in Spain. Various self-reported scales were used to assess anxiety, depression, acute/post-traumatic stress disorder, drug and alcohol abuse, burnout, purpose in life, and moral courage. Compared to the hospital healthcare workers, nursing home healthcare workers had higher scores and a higher prevalence of anxiety (74.1% vs. 42%), depression (40.7% vs. 14.8%), and post-traumatic stress disorder (55.6% vs. 25.9). In the overall sample, purpose in life was a protective factor against
psychopathology (OR = 0.54) and burnout (OR = 0.48); moral courage was a protective factor against depression (OR = 0.47) and acute stress (OR = 0.45); and exposure of family/friends to SARS-CoV-2 was a risk factor for acute stress (OR = 2.24), post-traumatic stress disorder (OR = 1.33), and higher burnout depersonalisation subscale scores (OR = 1.84). In conclusion, the increased presence of
psychopathology in nursing home healthcare workers may be influenced by workplace and occupational contexts, personal factors such as exposure of family/friends to SARS-CoV-2, or internal dimensions such as purpose in life and moral courage. This knowledge could be useful for understanding how a future epidemic or pandemic might affect the mental health of healthcare workers in different labour contexts.