Introduction: Healthcare providers in hemodialysis are responsible for complex patient care management, given by an increasingly elderly and multi-pathological population requiring a unified set of skills to address patient needs. During the COVID-19 pandemic, healthcare providers faced unprecedented challenges. The increased workload, the fear of being infected, and the constant exposure significantly had a significant impact on their mental health. However, few evidence were described in the literature the effects of the COVID-19 pandemic on healthcare professionals working in haemodialysis context. Objective: To understand the psychological impact of the pandemic on healthcare providers working in hemodialysis within the Asst-Fatebenefratelli-Sacco (Asst-Fbf-Sacco) and identify any risk factors and intervention strategies to improve their psycho-physical well-being. Materials and Methods: A cross-sectional observational study was performed. Data were collected between March and May 2023, following research protocol approved by the Hospital Health Direction, through an online survey. The Impact of Event Scale - Revised and the nursing organizational health questionnaire were used to measure psychophysical symptoms related to post-traumatic stress disorder (PTSD) and organizational well-being of the staff. Results: Sixty-two healthcare professionals participated in the study, fifty-one of whom completed the questionnaire correctly, resulting in an overall response rate of 67.10%. The sample exhibited low levels of PTSD (22.80 ± 13.91). The nursing organizational health questionnaire showed moderate overall job and organizational satisfaction, with less appreciation for managerial figures. The analysis identified low corporate commitment to workplace safety and injury prevention, with a linear regression model indicating that possession of a three-year diploma, age, and years of service influence PTSD scores. Finally, no significant correlation was found between age and years of work in the examined sample, which could be attributed to the heterogeneous composition of the study participants. Conclusions: In light of the results from the study, healthcare providers most at risk of developing PTSD in critical conditions are those with a basic education background and who are older.. More in depth, psychological support and adequate resources are essential to ensure their mental and physical well-being. Keywords: Post-traumatic stress disorder, COVID-19, healthcare providers, nurses, hemodialysis, pandemic.
Introduzione: I professionisti sanitari in emodialisi sono responsabili di una gestione assistenziale complessa data da una popolazione sempre più anziana e poli-patologica che necessita un corpo unitario di competenze al fine di rispondere ai bisogni dell’assistito. Durante la pandemia da COVID-19, i professionisti sanitari hanno affrontato sfide senza precedenti: l'aumento del carico di lavoro, la paura del contagio e l'esposizione costante hanno avuto un impatto significativo sulla loro salute mentale. Tuttavia, risulta essere limitata in letteratura la descrizione degli effetti della pandemia da COVID-19 sui professionisti sanitari che operano in contesti di emodialisi. Obiettivo: Comprendere l'impatto psicologico della pandemia sui professionisti sanitari operanti in emodialisi dell’Asst-Fatebenefratelli-Sacco (Asst-Fbf-Sacco) e individuare eventuali fattori di rischio e strategie di intervento per migliorare il loro benessere psico-fisico. Materiali e metodi: È stato condotto uno studio osservazionale trasversale. I dati sono stati raccolti tra marzo e maggio 2023, previa approvazione del protocollo di ricerca da parte della direzione sanitaria, attraverso una survey online. La scala Impact of Event Scale - Revised e il questionario infermieristico sulla salute organizzativa sono stati utilizzati per misurare i sintomi psico-fisici correlati alla sindrome da stress post-traumatico (PTSD) e il benessere organizzativo del personale. Risultati: Sessantadue professionisti sanitari hanno partecipato allo studio, cinquantuno dei quali hanno completato correttamente il questionario, con un tasso di risposta globale del 67,10%. Il campione presenta bassi livelli di PTSD (22,80 ± 13,91). Il questionario infermieristico sulla salute organizzativa ha mostrato una soddisfazione generale moderata nel lavoro e nell'organizzazione, con un minore apprezzamento per le figure dirigenziali. L'analisi ha rilevato un basso impegno aziendale per la sicurezza e la prevenzione degli infortuni sul lavoro. Inoltre, il possesso di un diploma triennale, l'età e gli anni di lavoro risultano influenzare i punteggi di PTSD. Tuttavia non è stata trovata una correlazione significativa tra età e anni di lavoro nel campione esaminato, ciò potrebbe essere attribuito alla composizione eterogenea dei partecipanti allo studio. Conclusioni: Alla luce dei risultati emersi dallo studio, i professionisti sanitari più a rischio di sviluppare PTSD in condizioni di criticità sono coloro i quali possiedono una formazione di base e sono più anziani. Inoltre, il supporto psicologico e risorse adeguate sono essenziali per garantire il loro benessere psico-fisico. Parole chiave: Sindrome da Stress Post Traumatico, COVID-19, professionisti sanitari, , infermieri, emodialisi, pandemia.
Sindrome da stress post traumatico nei professionisti sanitari in emodialisi: studio osservazionale post pandemia da SARS-CoV-2
PRESTI, GIUSEPPE
2022/2023
Abstract
Introduction: Healthcare providers in hemodialysis are responsible for complex patient care management, given by an increasingly elderly and multi-pathological population requiring a unified set of skills to address patient needs. During the COVID-19 pandemic, healthcare providers faced unprecedented challenges. The increased workload, the fear of being infected, and the constant exposure significantly had a significant impact on their mental health. However, few evidence were described in the literature the effects of the COVID-19 pandemic on healthcare professionals working in haemodialysis context. Objective: To understand the psychological impact of the pandemic on healthcare providers working in hemodialysis within the Asst-Fatebenefratelli-Sacco (Asst-Fbf-Sacco) and identify any risk factors and intervention strategies to improve their psycho-physical well-being. Materials and Methods: A cross-sectional observational study was performed. Data were collected between March and May 2023, following research protocol approved by the Hospital Health Direction, through an online survey. The Impact of Event Scale - Revised and the nursing organizational health questionnaire were used to measure psychophysical symptoms related to post-traumatic stress disorder (PTSD) and organizational well-being of the staff. Results: Sixty-two healthcare professionals participated in the study, fifty-one of whom completed the questionnaire correctly, resulting in an overall response rate of 67.10%. The sample exhibited low levels of PTSD (22.80 ± 13.91). The nursing organizational health questionnaire showed moderate overall job and organizational satisfaction, with less appreciation for managerial figures. The analysis identified low corporate commitment to workplace safety and injury prevention, with a linear regression model indicating that possession of a three-year diploma, age, and years of service influence PTSD scores. Finally, no significant correlation was found between age and years of work in the examined sample, which could be attributed to the heterogeneous composition of the study participants. Conclusions: In light of the results from the study, healthcare providers most at risk of developing PTSD in critical conditions are those with a basic education background and who are older.. More in depth, psychological support and adequate resources are essential to ensure their mental and physical well-being. Keywords: Post-traumatic stress disorder, COVID-19, healthcare providers, nurses, hemodialysis, pandemic.È consentito all'utente scaricare e condividere i documenti disponibili a testo pieno in UNITESI UNIPV nel rispetto della licenza Creative Commons del tipo CC BY NC ND.
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https://hdl.handle.net/20.500.14239/16625