在COVID-19,SARS和MERS期间的医疗保健工作者疲劳:一个元分析
K Poole-Wright1, H Woodhall1, T Chalder1
1Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AB, UK.
Occupational medicine (Oxford, England)
|March 7, 2026
概括
超过一半的医疗保健工作者 (HCW) 在COVID-19等冠状病毒爆发期间经历了疲劳. 工作负荷和压力等因素增加了疲劳,而休息和弹性有助于保护HCW.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
背景情况:
- 在冠状病毒公共卫生紧急情况期间,医疗保健工作者 (HCW) 面临着重大的身体和心理挑战.
- 在这些关键时期,疲劳成为影响HCW的普遍不良影响.
研究的目的:
- 为了确定COVID-19,SARS和MERS疫情期间HCW中疲劳的流行率.
- 确定与高压劳动中疲劳相关的风险和保护因素.
主要方法:
- 在多个数据库中进行了系统的文献搜索,直到2024年7月.
- 包括COVID-19,SARS和MERS期间HCW疲劳的定量报告.
- 随机效应元分析估计了聚合流行率,并对角色,前线状态和个人防护设备使用进行了子组分析.
主要成果:
- 八十八篇文章 (74,914 HCW) 符合纳入标准;32篇被纳入了元分析.
- 疲劳的综合流行率为55%. 精神疲劳影响了58%,个人防护设备的使用导致了53%的疲劳.
- 在医生和护士或前线和非前线工作人员之间没有发现疲劳的显著差异. 风险因素包括压力和工作量;保护因素包括性和休息.
结论:
- 超过一半的HCW报告疲劳,强调其多因素性质.
- 组织干预,如优化班次,休息时间和心理支持至关重要.
- 这些干预措施对于减轻HCW疲劳,维护健康和确保安全的医疗保健提供至关重要.
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