Mental health and stress among ICU healthcare professionals in France according to intensity of the COVID-19 epidemic

Annals of Intensive Care

PsyCOVID-ICU Trial Investigators and the CRICS TRIGGERSEP Group (Clinical Research in Intensive Care and Sepsis Trial Group for Global Evaluation and Research in Sepsis)¹  Thomas Rimmelé²  Nicolas Meunier-Beillard³  Saad Nseir⁴  Bélaïd Bouhemad⁵  Paul-Michel Mertes⁶  Fiona Ecarnot⁷  Pierre Asfar⁸  Hamid Merdji⁹  Vincent Castelain^1,10  Christine Binquet^1,11  Kada Klouche^1,12  Olivier Lesieur^1,13  Florent Lheureux^1,14  Alicia Fournier^1,15  Alexandra Laurent^1,15  Jean Dellamonica^1,16  Cyril Goulenok^1,17  Gwenaelle Jacq^1,18  Antoine Monsel^1,19  Anne-Laure Poujol^1,19  Gilles Capellier^2,20  Nicholas Sedillot^2,21  Julien Bohé^2,22  Pierre Bouju^2,23  Damien Roux^2,24  Thierry Vanderlinden^2,25  Christophe Vinsonneau^2,26  Diane Friedman^2,27  Caroline Abdulmalak^2,28  Jean-Philippe Rigaud^2,29  Jean-Claude Lacherade^3,30  Grégoire Muller^3,31  Jean-Pierre Quenot^3,32  Philippe Mateu^3,33  Stephan Ehrmann^3,34  Irène François-Pursell^3,35  Mélanie Loiseau^3,35  Marjolaine Georges^3,36  Anne Renault^3,37  Nicolas Terzi^3,38  Bruno Lévy^3,39  Sébastien Gibot^4,40  Khaldoun Kuteifan^4,41  David Schnell^4,42  Guillaume Louis^4,43  Gaëtan Plantefeve^4,44  Juliette Audibert^4,45  Bérengère Vivet^4,46  Julio Badie^4,47  Johanna Temime^4,48  Pascal Beuret^4,49  Eddy Lebas^5,50  Saber Davide Barbar^5,51  Cyrille Pichot^5,52 

[1] ;Anesthesiology and Intensive Care Medicine, Edouard Herriot Hospital;CIC 1432, Clinical Epidemiology, University of Burgundy;Critical Care Center, CHU Lille and Lille University;Department of Anaesthesiology and Critical Care Medicine, Dijon University Medical Centre;Department of Anesthesia and Intensive Care, Hôpitaux Universitaires de Strasbourg, Nouvel Hôpital Civil;Department of Cardiology, University Hospital, Besançon, and EA3920, University of Burgundy-Franche-Comté;Département de Médecine Intensive-Réanimation, CHU Angers;Faculté de Médecine, Université de Strasbourg (UNISTRA);Hôpitaux Universitaires de Strasbourg, Médecine Intensive – Réanimation, Hôpital de Hautepierre;Inserm et CHU Dijon-Bourgogne, CIC1432, Module Epidémiologie Clinique;Intensive Care Medicine Department, Lapeyronie Hospital, University Hospital of Montpellier-PhyMedExp, University of Montpellier, INSERM, CNRS;Intensive Care Unit, Groupement Hospitalier La Rochelle-Ré-Aunis;Laboratoire de Psychologie, Université de Bourgogne Franche-Comté;Laboratoire de Psychologie: Dynamiques Relationnelles et Processus Identitaires (PsyDREPI), Université de Bourgogne Franche-Comté;Medical ICU University Hospital of Nice/UR2CA;Medical-Surgical Intensive Care Unit, Ramsay Générale de Santé, Hôpital Privé Jacques Cartier;Medical‐Surgical Intensive Care Unit, CH de Versailles;Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University;Réanimation Médicale, University Hospital Besançon;Réanimation Polyvalente, CH de Bourg-en-Bresse;Service D’anesthésie - Réanimation-Médecine Intensive, CH Lyon-Sud, Hospices Civils de Lyon, Pierre Bénite;Service Réanimation Polyvalente, Groupe Hospitalier Bretagne Sud;Service de Médecine Intensive Réanimation, Assistance Publique - Hôpitaux de Paris, Hôpital Louis Mourier;Service de Médecine Intensive Réanimation, Groupe des Hôpitaux de L’Institut Catholique de Lille (GHICL), France, Université Catholique de Lille;Service de Médecine Intensive Réanimation-Unité de Sevrage Ventilatoire et Réhabilitation, CH de Bethune;Service de Médecine Intensive et Réanimation, Hôpital Raymond Poincaré;Service de Médecine Intensive-Réanimation, CH de Chalon sur Saône;Service de Médecine Intensive-Réanimation, CH de Dieppe;Service de Médecine Intensive-Réanimation, CH de La Roche-sur-Yon;Service de Médecine Intensive-Réanimation, CHR d’Orléans;Service de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, France-Equipe Lipness, centre de recherche INSERM UMR1231 et LabEx LipSTIC, Université de Bourgogne-Franche Comté;Service de Médecine Intensive-Réanimation-Unité de Recherche Clinique Ardennes Nord, CH de Charleville-Mézieres;Service de Médecine Intensive-Réanimation;Service de Médecine Légale CHU Dijon, Cellule D’Urgence Médico-Psychologique de Bourgogne Franche-Comté;Service de Pneumologie, CHU Dijon;Service de Réanimation Médicale et Urgences Médicales, CHU de Brest;Service de Réanimation Médicale, CHU de Grenoble;Service de Réanimation Médicale, Centre Hospitalier Universitaire Nancy Brabois, Nancy-France-Institut du Cœur et des Vaisseaux. Groupe Choc, équipe 2, Inserm U1116. Faculté de Médecine;Service de Réanimation Médicale, Hôpital Central;Service de Réanimation Médicale;Service de Réanimation Polyvalente et USC, CH d’Angoulême;Service de Réanimation Polyvalente et USC, Hôpital de Mercy, CHR Metz-Thionville;Service de Réanimation Polyvalente et USC;Service de Réanimation Polyvalente, CH de Chartres, Hôpital Louis Pasteur;Service de Réanimation Polyvalente, Groupe Hospitalier Intercommunal de La Haute-Saône, Site de Vesoul;Service de Réanimation Polyvalente-USC, Hôpital Nord Franche-Comté;Service de Réanimation Polyvalente;Service de Réanimation-Soins Continus du CH de Roanne;Service de Réanimation-USC de Bretagne Atlantique;Service des Réanimations, Faculté de Médecine de Montpellier-Nîmes, CHU de Nîmes, France and Université de Montpellier;Unité de Surveillance Continue, CH de Dôle;

关键词: Mental health;    Stress factors;    ICU;    Healthcare professionals;    COVID-19;   

DOI  :  10.1186/s13613-021-00880-y

来源: DOAJ

【 摘 要 】

Abstract Background We investigated the impact of the COVID-19 crisis on mental health of professionals working in the intensive care unit (ICU) according to the intensity of the epidemic in France. Methods This cross-sectional survey was conducted in 77 French hospitals from April 22 to May 13 2020. All ICU frontline healthcare workers were eligible. The primary endpoint was the mental health, assessed using the 12-item General Health Questionnaire. Sources of stress during the crisis were assessed using the Perceived Stressors in Intensive Care Units (PS-ICU) scale. Epidemic intensity was defined as high or low for each region based on publicly available data from Santé Publique France. Effects were assessed using linear mixed models, moderation and mediation analyses. Results In total, 2643 health professionals participated; 64.36% in high-intensity zones. Professionals in areas with greater epidemic intensity were at higher risk of mental health issues (p < 0.001), and higher levels of overall perceived stress (p < 0.001), compared to low-intensity zones. Factors associated with higher overall perceived stress were female sex (B = 0.13; 95% confidence interval [CI] = 0.08–0.17), having a relative at risk of COVID-19 (B = 0.14; 95%-CI = 0.09–0.18) and working in high-intensity zones (B = 0.11; 95%-CI = 0.02–0.20). Perceived stress mediated the impact of the crisis context on mental health (B = 0.23, 95%-CI = 0.05, 0.41) and the impact of stress on mental health was moderated by positive thinking, b = − 0.32, 95% CI = − 0.54, − 0.11. Conclusion COVID-19 negatively impacted the mental health of ICU professionals. Professionals working in zones where the epidemic was of high intensity were significantly more affected, with higher levels of perceived stress. This study is supported by a grant from the French Ministry of Health (PHRC-COVID 2020).

【 授权许可】

Unknown