使用系统框架识别和分类卫生工作者心理健康问题的风险因素:一个总体审查
Payam Khanlari1, AhmadAli NoorbalaTafti2, Fakhradin Ghasemi3
1Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, District 6, Pour Sina St, Tehran, Iran.
医疗保健工作者 (HCW) 面临高水平的抑郁和焦虑,特别是在COVID-19大流行期间. 本次审查确定了整个工作系统的关键风险因素,以改善对HCWs的心理健康支持.
科学领域:
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 由于苛刻的工作环境,医疗保健工作者 (HCW) 经历了重大的心理健康挑战.
- 抑郁症和焦虑症的患病率在HCW中特别高,COVID-19流行病等事件加剧了这种情况.
研究的目的:
- 通过现有的元分析,调查HCW中抑郁和焦虑的患病率.
- 在工作系统的各个层面确定导致这些心理健康问题的风险因素.
主要方法:
- 采用了五步扩展方法的总体审查.
- 搜索了2024年1月之前发表的研究,最终选择和数据提取使用EndNote X9.9.
主要成果:
- 包括61项研究;47项报告了抑郁症和焦虑症的流行数据.
- 抑郁症的发病率从20.5%到46.2%,焦虑症的发病率从21.9%到47%.
- 风险因素被分为个人,工作/单位,组织和外部水平.
结论:
- 在HCW中,抑郁和焦虑的高患病率,特别是在COVID-19期间,由二次研究证实.
- 提出了一个框架,用于系统地识别心理健康问题和风险因素.
- 建议采用系统方法来管理HCW心理健康问题.
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