在COVID-19期间医生创伤后应激障碍:系统性审查和元分析
Mihir Kamra1, Shan Dhaliwal2, Wenshan Li3
1McMaster University, Hamilton, Ontario, Canada.
JAMA network open
|July 24, 2024
概括
在COVID-19期间,18.3%的医生经历了创伤后应激障碍 (PTSD). 女性医生,年轻医生和医疗学员面临更高的风险,需要有针对性的支持干预.
科学领域:
- 医学研究 医学研究
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 由于COVID-19大流行,医生们面临着极高的压力,需要做出艰难的资源分配决策.
- 了解医生在此期间患有创伤后应激障碍 (PTSD) 的患病率和危险因素对于开发有效干预措施至关重要.
研究的目的:
- 为了确定COVID-19大流行期间医生中创伤后应激障碍 (PTSD) 的患病率.
- 检查性别,年龄,医疗专业和职业阶段等因素如何影响医生中PTSD的发生率.
主要方法:
- 根据系统审查和元分析 (PRISMA) 准则的首选报告项目进行了系统审查.
- 从2019年12月到2022年11月,在MEDLINE,Embase和PsychInfo数据库中进行了搜索,使用与医生和PTSD相关的术语.
- 采用随机效应的元分析,汇集PTSD患病率估计并分析风险因素.
主要成果:
- 分析包括57项研究,涉及来自25个国家的28965名医生.
- 在医生中,PTSD的综合患病率为18.3%.
- 在女性医生 (OR,1.93),年轻医生,医疗学员 (OR,1.33) 和急诊室的医生中观察到更高的PTSD风险.
结论:
- 在COVID-19大流行期间,很大一部分医生 (18.3%) 经历了PTSD症状.
- 女性医生,年轻医生和医疗学员被确定为高风险群体.
- 这些发现强调了需要有针对性的干预措施,以支持医生在流行病和其他创伤性事件期间的福祉.
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