在过去的两年里,人们对这个主题有什么了解?COVID-19大流行对医疗保健提供者的心理健康产生了强烈的负面影响,随着抑郁症发病率的增加,焦虑,急性压力和倦怠。心理健康状况不佳的医护人员不愿寻求帮助和治疗,因为他们害怕受到同事和雇主的污名化和排斥。在大流行期间,积极情绪,韧性和心理健康缓冲了医护人员的痛苦和倦怠。这篇论文对现有知识有什么帮助?:这篇论文描述了积极的心理健康,抑郁症,在第二波大流行期间,医护人员的焦虑和倦怠。48%的医护人员蓬勃发展(高水平的积极情绪和幸福感),10%萎靡不振(缺乏幸福感和积极性)。繁荣的个体报告抑郁程度较低,焦虑和倦怠。这些发现记录了相关数量的弹性医疗工作者,在压力条件下也恢复/维持他们的福祉。脆弱的医护人员不到20%,他们报告了严重的焦虑,抑郁和倦怠。萎靡不振和中度心理健康组之间的焦虑水平没有差异,抑郁和倦怠。实践的含义是什么?:繁荣的条件是唯一可以防止抑郁,焦虑和倦怠的条件,而适度的心理健康与萎靡不振的状态没有实质性的区别。该研究证实了维持和/或促进医护人员福祉的重要性。需要采取干预措施,促进弱势工人的积极心理健康。心理健康护士可以具有评估心理困扰的早期症状以及实施促进和恢复福祉的干预措施的技能和专业知识。这些干预措施可能包括宣传活动(即准备和分发小册子和准则)和情感支持方案(心理教育和培训,心理健康支持团队,同行支持和咨询),也可以通过数字平台提供。
■介绍:很少有研究关注医护人员的积极心理健康(即高水平的心理健康)及其与焦虑的关系,在第二波大流行中的抑郁和倦怠。
目的:评估幸福感在缓解倦怠和心理困扰中的保护作用。
方法:我们评估了173名意大利医护人员的心理困扰指标(抑郁焦虑压力量表[DASS]-21),倦怠(哥本哈根倦怠量表[CBI])和积极心理健康(心理健康连续体),我们根据他们的心理健康水平对他们进行交叉分类(蓬勃发展,萎靡不振和适度的心理健康)和他们的焦虑水平,抑郁和倦怠。
结果:48%的卫生工作者被归类为繁荣,10%为萎靡不振,42%为中度心理健康。繁荣的个体在DASS和CBI量表上得分较低,而萎靡不振和中度心理健康组之间没有差异。超过80%的卫生工作者有临床上明显的焦虑症状,抑郁和倦怠风险被归类为不繁荣。
结论:这项调查记录了几乎一半的意大利医护人员样本中存在蓬勃发展的心理健康。然而,那些中度或萎靡不振的心理健康表现出更高水平的焦虑,抑郁和更高的倦怠风险。
结论:该研究证实了维持和/或促进该人群福祉的重要性,心理健康护士的关键作用,他们可以轻松地与其他医护人员联系并为他们提供信息(培训,指导方针)和情感支持计划(心理教育,心理健康支持团队,面对不利的工作条件时,同伴支持和咨询)。
WHAT IS KNOWN ON THE SUBJECT?: In the past 2 years, the COVID-19 pandemic had a robust negative impact on the mental health of healthcare providers, with increasing rates of depression, anxiety, acute stress and burnout. Healthcare workers experiencing poor mental health are reluctant to seek help and treatment because they are afraid of being stigmatized and excluded by their colleagues and employers. During the pandemic positive emotions, resilience and psychological well-being buffered distress and burnout in healthcare workers. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This paper describes positive mental health, depression, anxiety and burnout in healthcare workers during the second wave of the pandemic. Forty-eight per cent of healthcare workers were
flourishing (high levels of positive emotions and well-being), 10% languishing (absence of well-being and positivity).
Flourishing individuals reported lower levels of depression, anxiety and burnout. These findings documented a relevant number of resilient healthcare workers, who restored/maintained their well-being also under stressful conditions. Vulnerable healthcare workers were less than 20%, and they reported severe anxiety, depression and burnout. No differences emerged between languishing and moderate mental health groups in their levels of anxiety, depression and burnout. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The condition of
flourishing is the only one that provides protection from depression and anxiety and burnout, while moderate mental health does not differ substantially from the languishing state. The study confirms the importance of maintaining and/or promoting the well-being of healthcare workers. Interventions for promoting positive mental health of vulnerable workers are needed. Mental health nurses can have the skills and expertise for evaluating early symptoms of psychological distress and for implementing interventions for promoting and restoring well-being. These interventions may include informational campaign (i.e. preparing and distributing pamphlets and guidelines) and emotional support programmes (psychoeducation and training, mental health support team, peer support and counselling) that can be delivered also via digital platforms.
UNASSIGNED: INTRODUCTION: Few studies focused on healthcare workers\' positive mental health (i.e. high levels of psychological well-being) and its association with anxiety, depression and burnout in the second wave of the pandemic.
OBJECTIVE: To evaluate the protective role of well-being in buffering burnout and psychological distress.
METHODS: We evaluated 173 Italian healthcare workers with indicators of psychological distress (Depression Anxiety Stress Scales [DASS]-21), burnout (Copenhagen Burnout Inventory [CBI]) and positive mental health (Mental Health Continuum) and we cross-classified them according to their levels of mental health (flourishing, languishing and moderate mental health) and their levels of anxiety, depression and burnout.
RESULTS: Forty-eight per cent of health workers were classified as flourishing, 10% as languishing and 42% as moderate mental health.
Flourishing individuals presented lower scores on DASS and CBI scales, whereas no differences emerged between languishing and moderate mental health groups. More than 80% of health workers with clinically significant symptoms of anxiety, depression and risk of burnout were classified as not flourishing.
CONCLUSIONS: This investigation documented the presence of
flourishing mental health in almost half of the sample of Italian healthcare workers. However, those with moderate or languishing mental health manifested higher levels of anxiety, depression and higher risks of burnout.
CONCLUSIONS: The study confirms the importance of maintaining and/or promoting the well-being of this population, with a crucial role of mental health nurses who can easily approach other healthcare workers and provide them informational (training, guidelines) and emotional support programmes (psychoeducation, mental health support team, peer support and counselling) when facing adverse working conditions.