The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy

International Journal of Environmental Research and Public Health

Ranieri Poli¹  Angela Carta²  Stefano Porru²  Chiara Bonetto³  Luca Bodini³  Francesco Amaddeo³  Antonio Lasalvia⁴ 

[1] Hospital Health Directorate, Azienda Ospedaliera Universitaria Integrata (AOUI) di Verona, 37122 Verona, Italy;Section of Occupational Medicine, Department of Diagnostics and Public Health, University of Verona and Clinical Unit of Occupational Medicine, Azienda Ospedaliera Universitaria Integrata (AOUI) di Verona, Policlinico ‘G.B. Rossi’, P.le Scuro 10, 37134 Verona, Italy;Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, 37129 Verona, Italy;UOC Psichiatria, Azienda Ospedaliera Universitaria Integrata (AOUI) di Verona, Policlinico ‘G.B. Rossi’, P.le Scuro 10, 37134 Verona, Italy;

关键词: COVID-19;    post-traumatic stress;    depression;    anxiety;    burnout;    health care workers;   

DOI  :  10.3390/ijerph182413374

来源: DOAJ

【 摘 要 】

This study aimed to evaluate the mental health outcomes of health care workers (HCWs) of the Verona academic hospital trust (Italy) one year after the outbreak of COVID-19 and to identify predicted risk factors. A web-based survey was conducted from mid-April to mid-May 2021 on hospital workers one year after the first evaluation performed during the lock-down phase of the COVID-19 pandemic. Post-traumatic stress, general anxiety, depression, and burnout were assessed by using, respectively, the impact of event scale (IES-R), the self-rating anxiety scale (SAS), the patient health questionnaire (PHQ-9) and the Maslach burnout inventory-general survey (MBI-GS). Multivariate logistic regression analysis was performed to identify factors associated with each of the four mental health outcomes one year after the COVID-19 outbreak. A total of 1033 HCWs participated. The percentage of HCWs scoring above the cut-off increased from 2020 to 2021 in all of the outcome domains (anxiety, 50.1% vs. 55.7, p < 0.05; depression, 26.6% vs. 40.6%, p < 0.001; burnout, 28.6% vs. 40.6%, p < 0.001; chi-square test), with the exception of post-traumatic distress. There was also an increase when stratifying by occupation and workplace, with a greater increase for depression and burnout. Multivariate analysis revealed that, one year after the COVID-19 outbreak, nurses were at the greatest risk of anxiety and depression, whereas residents were at the greatest risk of burnout (in terms of low professional efficacy). Working in intensive care units was associated with an increased risk of developing severe emotional exhaustion and a cynical attitude towards work.

【 授权许可】

Unknown