COVID-19以降の重症病棟医療従事者のトラウマ後増加
Élie Azoulay1, Laurent Argaud2, Vincent Labbé3
1Medical Intensive Care Unit, Assistance Publique-Hôpitaux de Paris, Saint-Louis Hospital, Paris-Cité University, Paris, France, INSERM UMR1342 Institut de Recherche Saint-Louis.
JAMA network open
|August 25, 2025
まとめ
集中治療室 (ICU) の医療従事者は,COVID-19 の4年後に著しい創傷後の成長 (PTG) を示しました. PTGを駆り立てたのは 苦悩ではなく 回復力であり 福祉戦略の必要性を強調しました
科学分野:
- 精神科
- 心理学
- 医療管理
背景:
- トラウマ後成長 (PTG) は 逆境の後の ポジティブな心理的変化を伴うものです
- COVID-19 パンデミックは,集中治療室 (ICU) の医療従事者の精神的健康に大きな影響を与えた.
- この集団におけるPTGの理解は,標的型支援の開発に不可欠です.
研究 の 目的:
- COVID-19 パンデミックから4年後のICUの医療従事者の間でPTGを評価する.
- PTGとレジリエンス,不安,うつ病との関連を調査する.
- この高ストレスの環境でPTGに影響を与える要因を特定する.
主な方法:
- フランスとベルギーのICUの医療従事者を対象とした横断的な研究.
- オンラインアンケートでは,PTG (PTGI),不安/うつ病 (HADS),および回復力 (CD-RISC10) を評価した.
- PTGに関連した多変数線形回帰分析因子.
主要な成果:
- 850人のICU専門家 (62%の応答率) が参加し,58%が不安,26%がうつ病を報告した.
- 介護スタッフは医療スタッフよりも高いPTGを報告し,特に個人的な強さや人生の評価で報告しました.
- PTGの低下は心理的疲労とICUの衝突と関連しており,PTGの上昇は回復力の向上と相関していた.
結論:
- パンデミック発生から4年後のICUの医療従事者において,有意なPTGが観察されました.
- 心理的苦痛を上回る 回復力こそがPTGの 重要な原動力となったのです
- 家族を中心とした介護の悪化は 福祉と回復力プログラムの必要性を強調する 重要なネガティブな要因でした
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