Utjecaj pandemije COVID-19 na mentalno zdravlje bolničkog osoblja: krovni pregled 44 meta-analize.
International journal of nursing studies
Sažetak istraživanja
Pozadina Osoblje bolnice je pod visokim rizikom od razvoja problema sa mentalnim zdravljem tokom pandemije koronavirusa (COVID-19). Međutim, u literaturi nedostaje sveobuhvatna i inkluzivna slika problema mentalnog zdravlja sa sveobuhvatnom analizom među bolničkim osobljem tokom pandemije COVID-19.
Ciljevi Utvrditi prevalenciju anksioznosti, depresije i drugih ishoda mentalnog zdravlja kako je navedeno u originalnim člancima među bolničkim osobljem tokom pandemije COVID-19. Dizajnirajte krovnu reviziju objavljenih metaanaliza opservacijskih studija u skladu sa standardima PRISMA 2020 i MOOSE 2000 u kojima se procjenjuje prevalencija problema mentalnog zdravlja kod bolničkog osoblja tokom pandemije.
Metode pregleda Sistematske pretrage su sprovedene u PubMed/Medline, CINAHL, EMBASE i PsycINFO od 1. decembra 2019. do 13. avgusta 2021. Za metaanalizu je korišten model slučajnih efekata, a za procjenu heterogenosti između studija korišten je I 2 indeks. Ispitana je pristranost publikacije korištenjem Eggerovog testa i LFK indeksa. Podaci su analizirani pomoću STATA 17.0 softvera. Za ocjenu kvaliteta sistematskih pregleda primijenjen je AMSTAR-2, dok smo za ocjenu kvaliteta dokaza koristili GRADE.
Rezultati Četrdeset četiri meta-analize iz 1298 pojedinačnih studija uključene su u konačnu analizu, koje su obuhvatile prevalenciju 16 simptoma mentalnog zdravlja. Jedna trećina bolničkih radnika prijavila je simptome anksioznosti (prevalencija: 29,9%, 95% CI:27,1% do 32,7%) i depresije (prevalencija: 28,4%, 95% CI:25,5% do 31,3%), dok je oko 40% (95% CI: 9% do 31,3%) patilo od spavanja. poremećaji. Simptomi povezani sa strahom, smanjeno blagostanje, loš kvalitet života i simptomi akutnog stresa imali su najveću prevalenciju među bolničkim osobljem. Međutim, kvalitet dokaza u ovim oblastima varirao je od niske do veoma niske. Medicinske sestre su češće patile od problema sa spavanjem i simptoma anksioznosti i depresije nego doktori, dok su doktori prijavili veću prevalenciju akutnog stresa i posttraumatskih poremećaja. Teret anksioznosti, depresije i poremećaja spavanja bio je veći među zaposlenima u odnosu na njihove muške kolege. Zanimljivo je da su akutni stres i nesanica pogodili više od polovine medicinskog osoblja prve linije.
Zaključci Prevalencija problema mentalnog zdravlja među bolničkim osobljem tokom pandemije COVID-19 općenito je visoka, a simptomi anksioznosti, depresije i nesanice predstavljaju najsnažniji dokaz zasnovan na velikom skupu podataka meta-analiza prevalencije. Međutim, ne postoji veliko povjerenje u korpus dokaza za svaki procijenjeni ishod. Registracija Nije registrovan. Sažetak za Tweetable Pandemija COVID-19 ima veliki utjecaj na mentalno zdravlje bolničkog osoblja. Potreba za podrškom mora biti drugačija za medicinske sestre i doktore @eldi12345.
Prikaži originalni naslov i sažetak na engleskom
Impact of the COVID-19 pandemic on the mental health of hospital staff: An umbrella review of 44 meta-analyses.
Background Hospital staff is at high risk of developing mental health issues during the coronavirus (COVID-19) pandemic. However, the literature lacks an overall and inclusive picture of mental health problems with comprehensive analysis among hospital staff during the COVID-19 pandemic.
Objectives To ascertain the prevalence of anxiety, depression and other mental health outcomes as reported in original articles among hospital staff during the COVID-19 pandemic.
Design A PRISMA 2020 and MOOSE 2000 compliant umbrella review of published meta-analyses of observational studies evaluating the prevalence of mental health problems in hospital staff during the pandemic. Review methods Systematic searches were conducted in PubMed/Medline, CINAHL, EMBASE, and PsycINFO from December 1st, 2019, until August 13th 2021. The random effects model was used for the meta-analysis, and the I 2 index was employed to assess between-study heterogeneity. Publication bias using Egger test and LFK index was examined. Data was analyzed using STATA 17.0 software. AMSTAR-2 was applied for the quality assessment of systematic reviews, while we used GRADE to rate the quality of evidence.
Results Forty-four meta-analyses from 1298 individual studies were included in the final analysis, encompassing the prevalence of 16 mental health symptoms. One-third of hospital workers reported anxiety (Prevalence: 29.9%, 95% CI:27.1% to 32.7%) and depression (Prevalence: 28.4%, 95% CI:25.5% to 31.3%) symptomatology, while about 40% (95% CI: 36.9% to 42.0%) suffered from sleeping disorders. Fear-related symptoms, reduced well-being, poor quality of life, and acute stress symptoms had the highest prevalence among hospital staff. However, the quality of evidence in these areas varied from low to very low. Nurses suffered more often from sleep problems and symptoms of anxiety and depression than doctors, whereas doctors reported a higher prevalence of acute stress and post-traumatic disorders. The burden of anxiety, depression, and sleep disorders was higher among female employees than their male counterparts. Remarkably, acute stress and insomnia affected more than half of first-line medical staff.
Conclusions The prevalence of mental health problems among hospital staff during the COVID-19 pandemic is generally high, with anxiety, depression and insomnia symptoms representing the most robust evidence based on a large dataset of prevalence meta-analyses. However, there is no strong confidence in the body of evidence for each outcome assessed. Registration Not registered. Tweetable abstract The COVID-19 pandemic is having a major impact on the mental health of hospital staff. The need for support must be different for nurses and doctors @eldi12345.
Izvorni podaci
- DOI
- 10.1016/j.ijnurstu.2022.104272
- PMID
- 35576637
- PMCID
- PMC9045868
- Provjereno
- 2026-07-26
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