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The impact of SARS‐CoV‐2 on the mental health of healthcare workers in a hospital setting—A Systematic Review
Journal of Occupational Health ( IF 3 ) Pub Date : 2020-01-01 , DOI: 10.1002/1348-9585.12175
Jaspinder Sanghera 1 , Nikhil Pattani 1 , Yousuf Hashmi 1 , Kate F. Varley 2 , Manikandar Srinivas Cheruvu 3 , Alex Bradley 4 , Joshua R. Burke 2, 5
Affiliation  

Abstract Objectives The SARS‐CoV‐2 global pandemic has subjected healthcare workers (HCWs) to high risk of infection through direct workplace exposure, coupled with increased workload and psychological stress. This review aims to determine the impact of SARS‐CoV‐2 on mental health outcomes of hospital‐based HCWs and formulate recommendations for future action. Methods A systematic review was performed between 31st December 2019 and 17th June 2020 through Ovid Medline and Embase databases (PROSPERO ID CRD42020181204). Studies were included for review if they investigated the impact of SARS‐CoV‐2 on mental health outcomes of hospital‐based HCWs and used validated psychiatric scoring tools. Prevalence of ICD‐10 classified psychiatric disorders was the primary outcome measure. Results The initial search returned 436 articles. Forty‐four studies were included in final analysis, with a total of 69,499 subjects. Prevalence ranges of six mental health outcomes were identified: depression 13.5%‐44.7%; anxiety 12.3%‐35.6%; acute stress reaction 5.2%‐32.9%; post‐traumatic stress disorder 7.4%‐37.4%; insomnia 33.8%‐36.1%; and occupational burnout 3.1%‐43.0%. Direct exposure to SARS‐CoV‐2 patients was the most common risk factor identified for all mental health outcomes except occupational burnout. Nurses, frontline HCWs, and HCWs with low social support and fewer years of working experience reported the worst outcomes. Conclusion The SARS‐CoV‐2 pandemic has significantly impacted the mental health of HCWs. Frontline staff demonstrate worse mental health outcomes. Hospitals should be staffed to meet service provision requirements and to mitigate the impact onmental health. This can be improved with access to rapid‐response psychiatric teams and should be continually monitored throughout the pandemic and beyond its conclusion.

中文翻译:

SARS-CoV-2对医院医护人员心理健康的影响——系统评价

摘要 目标 SARS-CoV-2 全球大流行使医护人员 (HCW) 通过直接接触工作场所以及工作量和心理压力的增加而面临高感染风险。本综述旨在确定 SARS-CoV-2 对医院医护人员心理健康结果的影响,并为未来的行动制定建议。方法 在 2019 年 12 月 31 日至 2020 年 6 月 17 日期间,通过 Ovid Medline 和 Embase 数据库(PROSPERO ID CRD42020181204)进行了系统评价。如果研究调查了 SARS-CoV-2 对医院医护人员的心理健康结果的影响并使用了经过验证的精神病学评分工具,则这些研究被纳入审查。ICD-10 分类的精神疾病的患病率是主要结果指标。结果 初始搜索返回 436 篇文章。最终分析纳入了 44 项研究,共有 69,499 名受试者。确定了六种心理健康结果的患病率范围:抑郁症 13.5%-44.7%;焦虑 12.3%‐35.6%; 急性应激反应 5.2%-32.9%;创伤后应激障碍 7.4%-37.4%;失眠 33.8%‐36.1%; 职业倦怠率为 3.1%-43.0%。除职业倦怠外,直接接触 SARS-CoV-2 患者是所有心理健康结果中最常见的风险因素。护士、一线 HCW 和社会支持较低且工作经验较少的 HCW 报告的结果最差。结论 SARS-CoV-2 大流行对医护人员的心理健康产生了显着影响。一线员工表现出更差的心理健康结果。医院应配备人员以满足服务提供要求并减轻对心理健康的影响。
更新日期:2020-01-01
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