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Psychological Impact During the First Outbreak of COVID-19 on Frontline Health Care Workers in Shanghai

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机构: [1]Fudan Univ, Shanghai Peoples Hosp 5, Dept Pulm & Crit Care Med, Shanghai, Peoples R China [2]Tongji Univ, Shanghai Pulm Hosp, Dept Resp & Crit Care Med, Sch Med, Shanghai, Peoples R China [3]Fudan Univ, Shanghai Peoples Hosp 5, Dept Resp & Crit Care Med, Shanghai, Peoples R China [4]Fudan Univ, Dept Resp Dis, Jingan Branch, Jingan Dist Ctr Hosp Shanghai,Huashan Hosp, Shanghai, Peoples R China [5]Tongji Univ, Yangpu Hosp, Dept Resp & Crit Med, Shanghai, Peoples R China [6]Yale Univ, Sch Med, Sect Pulm Crit Care & Sleep Med, New Haven, CT USA [7]Shanghai Jiao Tong Univ, Tongren Hosp, Dept Pulm & Crit Care Med, Sch Med, Shanghai, Peoples R China [8]Shanghai Eighth Peoples Hosp, Dept Resp & Crit Care Med, Shanghai, Peoples R China [9]Tongji Univ, Tongji Hosp, Dept Pulm & Crit Care Med, Sch Med, Shanghai, Peoples R China [10]Shanghai Univ Med & Hlth Sci, Dept Resp & Crit Med, Jiading Ctr Hosp, Shanghai, Peoples R China [11]Shanghai Jiao Tong Univ, Dept Resp & Crit Med, Songjiang Hosp, Sch Med, Shanghai, Peoples R China [12]Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 6, Dept Pulm & Crit Care Med, Shanghai, Peoples R China [13]Shanghai Putuo Dist People Hosp, Dept Resp Med, Shanghai, Peoples R China [14]Subordinating Qingpu Hosp, Dept Resp Med, Zhongshan Hosp, Shanghai, Peoples R China [15]Shanghai Pudong New Area Peoples Hosp, Dept Resp Med, Shanghai, Peoples R China [16]Fengxian Cent Hosp, Dept Resp Med, Shanghai, Peoples R China [17]Baoshan Dist Hosp Integrated Tradit Chinese & Wes, Dept Resp Dis, Shanghai, Peoples R China [18]Shanghai Tenth Peoples Hosp, Dept Resp & Crit Med, Shanghai, Peoples R China [19]Gumei Community Hlth Serv Ctr, Shanghai, Peoples R China [20]Yinhang Community Hlth Serv Ctr, Shanghai, Peoples R China [21]Zhoujiaqiao Community Hlth Serv Ctr, Shanghai, Peoples R China [22]Jiuting Community Hlth Serv Ctr, Shanghai, Peoples R China [23]Nanqiao Community Hlth Serv Ctr, Shanghai, Peoples R China [24]Changfeng Community Hlth Serv Ctr, Shanghai, Peoples R China [25]Zhuanqiao Community Hlth Serv Ctr, Shanghai, Peoples R China [26]Jiading Town Community Hlth Serv Ctr, Shanghai, Peoples R China [27]Jiangchuan Community Hlth Serv Ctr, Shanghai, Peoples R China [28]Shanghai Jiao Tong Univ, Dept Pulm & Crit Care Med, Ruijin Hosp, Inst Resp Dis,Sch Med, Shanghai, Peoples R China
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关键词: COVID-19 pandemic hospital care workers psychological distress first outbreak GHQ-12

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Background: The COVID-19 pandemic is a significant health threat. Health care worker (HCWs) are at a significant risk of infection which may cause high levels of psychological distress. The aim of this study was to investigate the psychological impact of the COVID-19 on HCWs and factors which were associated with these stresses during the first outbreak in Shanghai. Methods: Between February 9 and 21, 2020, a total of 3,114 frontline HCWs from 26 hospitals in Shanghai completed an online survey. The questionnaire included questions on their sociodemographic characteristics, 15 stress-related questions, and General Health Questionnaire-12 (GHQ-12). Exploratory factor analysis was applied to the 15 stress-related questions which produced four distinct factors for evaluation. Multiple linear regression models were performed to explore the association of personal characteristics with each score of the four factors. Binary logistic analysis was used to explain the association of personal characteristics and these four factors with the GHQ-12. Results: There were 2,691 valid surveys received. The prevalence of emotional distress (defined as GHQ-12 >= 12) was noted in 47.7% (95%CI:45.7-49.6%) HCWs. Females (OR = 1.43, 95%CI:1.09-1.86) were more likely to have a psychological distress than males. However, HCWs who work in secondary hospitals (OR = 0.71, 95% CI:0.58-0.87) or had a no contact history (OR = 0.45, 95%CI: 0.35-0.58) were less likely to suffer psychological distress. HCWs who were nurses, married, and had a known contact history were highly likely to have anxiety. HCWs working at tertiary hospitals felt an elevated anxiety regarding the infection, a lack of knowledge, and less protected compared to those who worked at secondary hospitals. Conclusions: Our study shows that the frontline HCWs had a significant psychosocial distress during the COVID-19 outbreak in Shanghai. HCWs felt a lack of knowledge and had feelings of being not protected. It is necessary for hospitals and governments to provide additional trainings and psychological counseling to support the first-line HCWs.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 3 区 公共卫生、环境卫生与职业卫生
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 公共卫生、环境卫生与职业卫生
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出版当年[2019]版:
Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2024]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子: 最新[2024版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Fudan Univ, Shanghai Peoples Hosp 5, Dept Pulm & Crit Care Med, Shanghai, Peoples R China
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