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预防医学  2022, Vol. 34 Issue (7): 720-726    DOI: 10.19485/j.cnki.issn2096-5087.2022.07.015
  疾病监测 本期目录 | 过刊浏览 | 高级检索 |
新冠肺炎疫情期间医务人员焦虑状况的Meta分析
沈强, 张月琴, 江圣洁, 甘露, 尉莹莹
杭州市妇产科医院医务科,浙江 杭州 310008
Prevalence of anxiety among healthcare professionals during the COVID-19 pandemic: a meta-analysis
SHEN Qiang, ZHANG Yueqin, JIANG Shengjie, GAN Lu, WEI Yingying
Department of Medical Administration, Hangzhou Women's Hospital, Hangzhou, Zhejiang 310008, China
全文: PDF(1121 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 系统评价新冠肺炎(COVID-19)疫情期间医务人员焦虑发生情况,为医务人员心理干预提供循证依据。方法 检索中国知网、万方数据知识服务平台、维普咨讯中文期刊服务平台和PubMed等数据库,收集2020年1月1日至2021年11月30日国内外公开发表的关于COVID-19疫情期间医务人员焦虑状况调查;依据美国卫生保健质量和研究机构关于横断面研究的质量标准评价文献质量;采用Open Meta Analyst 3.0软件对医务人员焦虑检出率进行Meta分析;采用漏斗图和Begg秩相关检验分析发表偏倚。结果 检索文献598篇,纳入36篇,包括中文文献33篇和英文文献3篇。高、中等、低质量文献分别为5篇、29篇和2篇。调查均在2020年,共调查医务人员19 872人,检出焦虑5 261人,焦虑检出率为28.8%(95%CI:24.0%~33.6%)。33篇中文文献的亚组分析显示,我国西部、中部和东部地区医务人员焦虑检出率分别为31.9%(95%CI:17.6%~46.2%),29.6%(95%CI:17.8%~41.4%)和25.3%(95%CI:20.2%~30.3%);男性和女性医务人员焦虑检出率分别为4.9%(95%CI:3.3%~6.4%)和22.9%(95%CI:17.7%~28.0%);护士、医生及其他医务人员焦虑检出率分别为21.6%(95%CI:13.2%~29.9%),5.2%(95%CI:2.8%~7.5%)和4.8%(95%CI:2.2%~7.4%);轻度、中度和重度焦虑检出率分别为18.6%(95%CI:14.0%~23.2%),5.5%(95%CI:4.1%~6.8%)和1.9%(95%CI:1.3%~2.5%)。漏斗图和Begg秩相关检验显示无发表偏倚。逐一排除文献分析显示,Meta分析结果及异质性检验稳定。结论 COVID-19疫情期间医务人员焦虑检出率为28.8%,以轻度焦虑为主;女性医务人员、护士的焦虑检出率相对较高,应予以重点关注并及时采取心理干预。
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沈强
张月琴
江圣洁
甘露
尉莹莹
关键词 新型冠状病毒肺炎医务人员焦虑Meta分析    
AbstractObjective To systematically investigate the prevalence of anxiety among healthcare professionals during the COVID-19 pandemic, so as to provide the development of evidence-based psychological interventions among healthcare professionals. Methods The publications pertaining to the prevalence of anxiety among healthcare professionals during the COVID-19 pandemic were retrieved in national and international electronic databases from January 1, 2020 through November 30, 2021, including CNKI, Wanfang Data, VIP, SinoMed, PubMed and Web of Science. The quality of publications was evaluated using the United States Healthcare Research and Quality (AHRQ) quality assessment of included cross-sectional studies, and the pooled prevalence of anxiety was estimated among healthcare professionals using the software Open Meta Analyst version 3.0. The publication bias were evaluated with funnel plots and Begg rank correlation test. Results Totally 598 publications were retrieved, and 36 eligible publications were enrolled in the final analysis, including 33 Chinese publications and 3 English publications. There were 5 high-quality, 29 moderate-quality and 2 low-quality publications. All investigations pertaining to the prevalence of anxiety among healthcare professionals were conducted in 2020. Totally 19 872 healthcare professionals were investigated, and the prevalence of anxiety was 28.8% (95%CI: 24.0%-33.6%). Subgroup analysis showed that the prevalence of anxiety was 31.9% (95%CI: 17.6%-46.2%) among healthcare professionals from western China, 29.6% (95%CI: (17.8%-41.4%) from central China, and 25.3% (95%CI: 20.2%-30.3%) from eastern China. The prevalence of anxiety was 4.9% (95%CI: 3.3%-6.4%) among male healthcare professionals and 22.9% (95%CI: 17.7%-28.0%) among male healthcare professionals, and the prevalence of anxiety was 21.6% (95%CI: 13.2%-29.9%) among nurses, 5.2% (95%CI: 2.8%-7.5%) among doctors and 4.8% (95%CI: 2.2%-7.4%) among other healthcare professionals. The prevalence of mild, moderate and severe anxiety was 18.6% (95%CI: 14.0%-23.2%), 5.5% (95%CI: 4.1%-6.8%) and 1.9% (95%CI: 1.3%-2.5%), respectively. No publication bias was detected as revealed by funnel plots and Begg rank correlation test, and stable meta-analysis results and heterogeneity test were observed. Conclusions The prevalence of anxiety is 28.8% among healthcare professionals during the COVID-19 pandemic, and mild anxiety is predominant. A high prevalence rate of anxiety is seen female healthcare professionals and nurses, who should be given a high priority and timely psychological interventions
Key wordsCOVID-19    healthcare professional    anxiety    meta-analysis
收稿日期: 2021-12-29      修回日期: 2022-04-22      出版日期: 2022-07-10
中图分类号:  R749.92  
通信作者: 沈强,E-mail:shenq215@163.com   
作者简介: 沈强,本科,副主任技师,主要从事医疗质量及安全管理等工作
引用本文:   
沈强, 张月琴, 江圣洁, 甘露, 尉莹莹. 新冠肺炎疫情期间医务人员焦虑状况的Meta分析[J]. 预防医学, 2022, 34(7): 720-726.
SHEN Qiang, ZHANG Yueqin, JIANG Shengjie, GAN Lu, WEI Yingying. Prevalence of anxiety among healthcare professionals during the COVID-19 pandemic: a meta-analysis. Preventive Medicine, 2022, 34(7): 720-726.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.07.015      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I7/720
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