COVID-19 后重症监护室卫生保健专业人员的创伤后增长
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
概括
重症监护室 (ICU) 的医疗保健专业人员在COVID-19后4年表现出显著的创伤后增长 (PTG). 而不是痛苦, 推动了PTG, 突出了福祉战略的必要性.
科学领域:
- 精神病学
- 心理学
- 医疗管理
背景情况:
- 创伤后成长 (PTG) 涉及到经历困难后的积极心理变化.
- COVID-19 疫情对重症监护室 (ICU) 的医疗保健专业人员的心理健康产生了重大影响.
- 了解这一群体的PTG对于开发有针对性的支持至关重要.
研究的目的:
- 在COVID-19大流行后4年,评估ICU医疗保健专业人员的PTG.
- 探索PTG与性,焦虑和抑郁之间的关联.
- 在这种高压环境中确定影响PTG的因素.
主要方法:
- 一项涉及法国和比利时ICU医疗保健专业人员的横截面研究.
- 在线问卷评估了PTG (PTGI),焦虑/抑郁 (HADS) 和性 (CD-RISC10).
- 多变量线性回归分析了与PTG相关的因素.
主要成果:
- 850名ICU专业人员 (62%的响应率) 参与了这项研究,58%的受访者表示焦虑,26%的受访者表示抑郁.
- 护士工作人员报告比医务人员更高的PTG,特别是在个人力量和对生命的欣赏方面.
- 较低的PTG与心理疲劳和ICU冲突有关;较高的PTG与更大的弹性相关.
结论:
- 在大流行开始4年后,在ICU医疗保健专业人员中观察到显著的PTG.
- 恢复力成为PTG的关键驱动力,
- 家庭中心照顾的恶化是一个显著的负面因素,强调了对福利和弹性计划的需求.
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