ПСИХОЭМОЦИОНАЛЬНОЕ СОСТОЯНИЕ МЕДИЦИНСКИХ РАБОТНИКОВ ВО ВРЕМЯ ПАНДЕМИИ COVID-19
Актуальность. Медицинским работникам необходимо справляться с целым рядом серьёзных проблем, начиная от повышенного риска смерти в медицинских учреждениях и в домашних условиях, увеличением продолжительности рабочего времени и физического и психологического напряжения на работе, а также решением сложных ситуаций, возникающих в результате контакта с представителями общественности и социальной изоляции от коллег и близких. Физическое и психологическое воздействие трудовой деятельности во время пандемии COVID-19 было значительным: во всем мире тысячи медицинских работников погибли от заражения SARSCoV-2, а некоторые даже покончили жизнь самоубийством. Важно отметить, что медицинские работники имеют решающее значение для любой системы здравоохранения. Кроме того, негативное влияние COVID-19 на глобальное психическое здоровье очевидно усиливается. С социальной точки зрения возникающее бремя психического здоровья у медицинских работников и других работников вызывает серьезную озабоченность в отношении устойчивости медицинских услуг.
Цель. Провести анализ данных литературы по вопросам пихоэмоционального состояния медицинских работников во время пандемии COVID-19.
Стратегия поиска. Проведен поиск научных работ в поисковых системах Scopus, Web of Science Core Collection, MedLine, PubMed, Cochrane Library, Google Scholar в электронной научной библиотеке e-Library.ru, CyberLeninka. Критерии включения: глубина поиска литературы составила 3 года (2019-2021 гг.), оригинальные статьи, обзоры литературы, мета-анализы, нормативно-правовые документы на английском и русском языках. Критерии исключения: публикации низкого методологического качества, которые не отражали основной значимости, с неясными и неоднозначными выводами, повторно встречающиеся публикации, материалы конференций и клинические случаи. В результате поиска нами было идентифицировано всего 215 зарубежных и отечественных публикаций, из них в данный обзор вошли 74 публикации.
Результаты и выводы. По результатам нашего исследования многочисленные публикации показывают, что во время пандемии COVID-19 у медицинских работников был выявлен хотя бы один симптом эмоционального выгорания и дистресса.
Диана К. Кусаинова1, https://orcid.org/0000-0003-2229-2270
Зайтуна А. Хисметова1, https://orcid.org/0000-0001-5937-3045
Шарбану Б. Асанова2, https://orcid.org/0000-0001-5551-9211
1 НАО «Медицинский университет Семей», г. Семей, Республика Казахстан;
2 ТОО «Семейская железнодорожная больница», г. Семей, Республика Казахстан.
1. Al Thobaity A., Alshammari F. Nurses on the Frontline against the COVID-19 Pandemic: An Integrative Review // Dubai Medical Journal. 2020. No. 3 (3). pp. 87–92.
2. Alshareef R. [et al.]. Impact of the COVID-19 pandemic on residents' clinical training and psychosocial well-being in Saudi Arabia's Western region // Journal of Family Medicine and Primary Care. 2021. No. 7 (10). C. 2580.
3. Azevedo Da Silva M. [and others]. Sleep duration and sleep disturbances partly explain the association between depressive symptoms and cardiovascular mortality: The Whitehall II cohort study // Journal of sleep research. 2014. No. 1 (23). C. 94.
4. Banerjee D. The COVID-19 outbreak: Crucial role of the psychiatrists can play // Asian Journal of Psychiatry. 2020. (50). C. 102014.
5. Bao Y. [et al.]. 2019-nCoV epidemic: address mental health care to empower society // The Lancet. 2020. No. 10224 (395). C. e37–e38.
6. Bielicki JA [et al.]. Monitoring approaches for health-care workers during the COVID-19 pandemic // The Lancet. infectious diseases. 2020. No. 10 (20). C.e261.
7. Brooks SK [et al.]. The impact psychological of quarantine and how to reduce it: rapid review of the evidence // The Lancet. 2020. No. 10227 (395). C. 912–920.
8. Burrer SL [et al.]. Characteristics of Health Care Personnel with COVID-19 — United States, February 12–April 9, 2020 // MMWR. Morbidity and Mortality Weekly Report. 2020. No. 15 (69). pp. 477–481.
9. Cai Z. [et al.]. Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China // Journal of Psychiatric Research. 2020. (131). C. 132.
10. Cao J. [et al.]. A Study of Basic Needs and Psychological Wellbeing of Medical Workers in the Fever Clinic of a Tertiary General Hospital in Beijing during the COVID-19 Outbreak // Psychotherapy and Psychosomatics. 2020. No. 4 (89). C.1.
11. Cao W. [et al.]. The impact psychological of the COVID-19 epidemic on college students in China // Psychiatry Research. 2020. (287). C. 112934.
12. Conybeare D. [and others]. The PTSD Checklist—Civilian Version: Reliability, Validity, and Factor Structure in a Nonclinical Sample // Journal of Clinical Psychology. 2012. No. 6 (68). C. 699–713.
13. Fodor KE [et al.]. The factor structure of posttraumatic stress disorder symptoms among Rwandans exposed to the 1994 genocide: A confirmatory factor analytic study using the PCL-C // Journal of Anxiety Disorders. 2015. (32). C. 8–16.
14. Hawryluck L. [et al.]. SARS Control and Psychological Effects of Quarantine, Toronto, Canada // Emerging Infectious Diseases. 2004. No. 7 (10). C. 1206.
15. Holmes E.A. [et al.]. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science // The Lancet. Psychiatry. 2020. No. 6 (7). C. 547.
16. Hong X. [et al.]. Posttraumatic stress disorder in convalescent severe acute respiratory syndrome patients: a 4-year follow-up study // General Hospital Psychiatry. 2009. No. 6 (31). C. 546.
17. Hu D. [et al.]. Frontline nurses' burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study // EClinicalMedicine. 2020. (24).
18. Huang Y., Zhao N. Chinese mental health burden during the COVID-19 pandemic // Asian Journal of Psychiatry. 2020. (51). C. 102052.
19. Huang Y., Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey // Psychiatry Research. 2020. (288). C. 112954.
20. Huff H.V., Singh A. Asymptomatic transmission during the COVID-19 pandemic and implications for public health strategies // Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 2020. No. 10 (71). C. 2752–2756.
21. Kabunga A., Okalo P. Original research: Prevalence and predictors of burnout among nurses during COVID-19: a cross-sectional study in hospitals in central Uganda // BMJ Open. 2021. No. 9 (11).
22. Kang L. [et al.]. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus // The Lancet Psychiatry. 2020. No. 3 (7). C.e14.
23. Karstoft K.I. [et al.]. Diagnostic accuracy of the posttraumatic stress disorder checklist: Civilian version in a representative military sample // Psychological Assessment. 2014. No. 1 (26). pp. 321–325.
24. Kim S.W., Su K.P. Using psychoneuroimmunity against COVID-19 // Brain, Behavior, and Immunity. 2020. (87). C.4.
25. Kock J.H De [et al.]. A rapid review of the impact of COVID-19 on the mental health of healthcare workers: implications for supporting psychological well-being // BMC Public Health. 2021. No. 1 (21).
26. Lai J. [et al.]. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019 // JAMA Network Open. 2020. No. 3 (3). C. e203976–e203976.
27. Lai J. [et al.]. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019 // JAMA Network Open. 2020. No. 3 (3).
28. Lee SM [et al.]. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients // Comprehensive Psychiatry. 2018. (87). C. 123.
29. Li Z. [et al.]. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control // Brain, Behavior, and Immunity. 2020. (88). C. 916.
30. Liu Q. [et al.]. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study // The Lancet Global Health. 2020. No. 6 (8). C. e790–e798.
31. Liu X. [and others]. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic // Comprehensive Psychiatry. 2012. No. 1 (53). C. 15.
32. Maxwell DN, Perl TM, Cutrell JB “The Art of War” in the Era of Coronavirus Disease 2019 (COVID-19) // Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 2020. No. 16 (71). C. 2215–2217.
33. Mazza C. [et al.]. A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors // International Journal of Environmental Research and Public Health. 2020. No. 9 (17).
34. Ozamiz-Etxebarria N. [and others]. Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain // Cadernos de Saúde Pública. 2020. No. 4 (36).
35. Pappa S. [et al.]. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis // Brain, Behavior, and Immunity. 2020. (88). C. 901.
36. Patel RS [et al.]. Factors Related to Physician Burnout and Its Consequences: A Review // Behavioral Sciences. 2018. No. 11 (8). C. 1–7.
37. Prasad K. [and others]. Prevalence and correlates of stress and burnout among US healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study // EClinicalMedicine. 2021. (35).
38. Qiu H. [et al.]. Intensive care during the coronavirus epidemic // Intensive Care Medicine. 2020. No. 4 (46). C.1.
39. Röhr S. [et al.]. Psychosocial Impact of Quarantine Measures during Serious Coronavirus Outbreaks: A Rapid Review // Psychiatrische Praxis. 2020. No. 4 (47). C. 179–189.
40. Shah K. [et al.]. Focus on Mental Health During the Coronavirus (COVID-19) Pandemic: Applying Learnings from the Past Outbreaks // Cureus. 2020. No. 3 (12). C. 1–8.
41. Shah K. [et al.]. How Essential Is to Focus on Physician's Health and Burnout in Coronavirus (COVID-19) Pandemic? // Cureus. 2020. No. 4 (12). C. 1–3.
42. Smith S. [et al.]. The Heroes and Heroines: Supporting the Front Line in New York City During Covid-19 // Nejm Catalyst Innovations in Care Delivery. 2020. C. 1–12.
43. Starace F., Ferrara M. COVID-19 disease emergency operational instructions for Mental Health Departments issued by the Italian Society of Epidemiological Psychiatry // Epidemiology and Psychiatric Sciences. 2020. (29). C. 1–4.
44. Stuijfzand S. [and others]. Psychological impact of an epidemic/pandemic on the mental health of healthcare professionals: a rapid review // BMC Public Health. 2020. No. 1 (20).
45. Tasdemir Yigitoglu G., Yilmaz A., Yilmaz H. The effect of Covid-19 on sleep quality, anxiety and depression on healthcare staff at a tertiary hospital in Turkey // Archives of Psychiatric Nursing. 2021. No. 5 (35). C. 504.
46. Taylor S. The psychology of pandemics : preparing for the next global outbreak of infectious disease C. 158.
47. Wang C. [et al.]. A longitudinal study on the mental health of the general population during the COVID-19 epidemic in China // Brain, Behavior, and Immunity. 2020. (87). C. 40.
48. Wang D. [et al.]. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China // JAMA. 2020. No. 11 (323). C. 1061–1069.
49. Woo T. [et al.]. Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis // Journal of Psychiatric Research. 2020. (123). C. 9–20.
50. Wu K., Wei X. Analysis of Psychological and Sleep Status and Exercise Rehabilitation of Front-Line Clinical Staff in the Fight Against COVID-19 in China // Medical Science Monitor Basic Research. 2020. (26). C.e924085-1.
51. Xiang Y.T. [et al.]. The COVID-19 outbreak and psychiatric hospitals in China: managing challenges through mental health service reform // International Journal of Biological Sciences. 2020. No. 10 (16). C. 1741.
52. Yang Y. [et al.]. Mental health services for older adults in China during the COVID-19 outbreak // The Lancet Psychiatry. 2020. No. 4 (7). C.e19.
53. Zaka A.. [et al.]. COVID-19 pandemic as a watershed moment: A call for systematic psychological health care for frontline medical staff // Journal of Health Psychology. 2020. No. 7 (25). C. 883–887.
54. Zhang W.R. [et al.]. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China // Psychotherapy and Psychosomatics. 2020. No. 4 (89). 165 с.
55. Zhong Q. COVID-19 and Labor Law: Japan // Italian Labor Law e-Journal. 2020. No. 1S (13).
56. Da. H. [et al.]. The study of professional burnout among students of KazNMU and medical workers of some institutions in Almaty // Bulletin of the Kazakh National Medical University. 2016. No. 4.
57. WHO Coronavirus (COVID-19) Dashboard | WHO Coronavirus (COVID-19) Dashboard With Vaccination Data [Electronic resource]. URL: https://covid19.who.int/ (accessed 21.11.2021).
58. An "Epidemic Within an Outbreak": The Mental Health Consequences of Infectious Disease Epidemics - O'Neill : O'Neill [Electronic resource]. URL: https://oneill.law.georgetown.edu/epidemic-within-outbreak-mental-health-consequences-infectious-disease-epidemics/ (accessed 11/21/2021).
59. COVID-19 pandemic and mental health - News - ROP [Electronic resource]. URL: https://psychiatr.ru/news/1102 (date of access: 11/21/2021).
60. SCL-90: an outpatient psychiatric rating scale--preliminary report - PubMed [Electronic resource]. URL: https://pubmed.ncbi.nlm.nih.gov/4682398/ (accessed 11.26.2021).
61. Quantification of subjective sleep quality in healthy elderly men and women using the Pittsburgh Sleep Quality Index (PSQI) - PubMed [Electronic resource]. URL: https://pubmed.ncbi.nlm.nih.gov/1947597/ (accessed 11.28.2021).
62. ICN confirms 1,500 nurses have died from COVID-19 in 44 countries and estimates that healthcare worker COVID-19 fatalities worldwide could be more than 20,000 | ICN - International Council of Nurses [Electronic resource]. URL: https://www.icn.ch/news/icn-confirms-1500-nurses-have-died-covid-19-44-countries-and-estimates-healthcare-worker-covid (Accessed: 11.28.2021).
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Кусаинова Д.К., Хисметова З.А., Асанова Ш.Б. Психоэмоциональное состояние медицинских работников во время пандемии COVID-19 // Наука и Здравоохранение. 2021. 6 (Т.23). С. 47-53. doi:10.34689/SH.2021.23.6.005Related publications:
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