Mental health and wellbeing of health and aged care workers in Australia, May 2021 - June 2022: a longitudinal cohort study.

Autor: McGuinness SL; Alfred Health, Melbourne, VIC.; Monash University, Melbourne, VIC., Eades O; Alfred Health, Melbourne, VIC.; Monash University, Melbourne, VIC., Grantham KL; Monash University, Melbourne, VIC., Zhong S; Alfred Health, Melbourne, VIC.; Monash University, Melbourne, VIC., Johnson J; Alfred Health, Melbourne, VIC.; Monash University, Melbourne, VIC., Cameron PA; Monash University, Melbourne, VIC.; The Alfred Emergency and Trauma Centre, Alfred Health, Melbourne, VIC., Forbes AB; Monash University, Melbourne, VIC., Fisher JR; Monash University, Melbourne, VIC., Hodgson CL; Alfred Health, Melbourne, VIC.; Monash University, Melbourne, VIC., Kasza J; Monash University, Melbourne, VIC., Kelsall H; Monash University, Melbourne, VIC., Kirkman M; Monash University, Melbourne, VIC., Russell GM; Monash University, Melbourne, VIC., Russo PL; Monash University, Melbourne, VIC.; Cabrini Health, Melbourne, VIC., Sim MR; Monash University, Melbourne, VIC., Singh K; The Peter Doherty Institute for Infection and Immunity, Melbourne, VIC.; Peninsula Health, Melbourne, VIC., Skouteris H; Monash Centre for Health Research and Implementation, Monash University, Melbourne, VIC., Smith K; Monash University, Melbourne, VIC.; Ambulance Service of Victoria, Melbourne, VIC., Stuart RL; Monash University, Melbourne, VIC.; Monash Health, Melbourne, VIC., Trauer JM; Monash University, Melbourne, VIC., Udy A; Alfred Health, Melbourne, VIC.; Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC., Zoungas S; Monash University, Melbourne, VIC., Leder K; Monash University, Melbourne, VIC.; Royal Melbourne Hospital, Melbourne, VIC.
Jazyk: angličtina
Zdroj: The Medical journal of Australia [Med J Aust] 2023 May 01; Vol. 218 (8), pp. 361-367. Date of Electronic Publication: 2023 Apr 09.
DOI: 10.5694/mja2.51918
Abstrakt: Objectives: To assess the mental health and wellbeing of health and aged care workers in Australia during the second and third years of the coronavirus disease 2019 (COVID-19) pandemic, overall and by occupation group.
Design, Setting, Participants: Longitudinal cohort study of health and aged care workers (ambulance, hospitals, primary care, residential aged care) in Victoria: May-July 2021 (survey 1), October-December 2021 (survey 2), and May-June 2022 (survey 3).
Main Outcome Measures: Proportions of respondents (adjusted for age, gender, socio-economic status) reporting moderate to severe symptoms of depression (Patient Health Questionnaire-9, PHQ-9), anxiety (Generalized Anxiety Disorder scale, GAD-7), or post-traumatic stress (Impact of Event Scale-6, IES-6), burnout (abbreviated Maslach Burnout Inventory, aMBI), or high optimism (10-point visual analogue scale); mean scores (adjusted for age, gender, socio-economic status) for wellbeing (Personal Wellbeing Index-Adult, PWI-A) and resilience (Connor Davidson Resilience Scale 2, CD-RISC-2).
Results: A total of 1667 people responded to at least one survey (survey 1, 989; survey 2, 1153; survey 3, 993; response rate, 3.3%). Overall, 1211 survey responses were from women (72.6%); most respondents were hospital workers (1289, 77.3%) or ambulance staff (315, 18.9%). The adjusted proportions of respondents who reported moderate to severe symptoms of depression (survey 1, 16.4%; survey 2, 22.6%; survey 3, 19.2%), anxiety (survey 1, 8.8%; survey 2, 16.0%; survey 3, 11.0%), or post-traumatic stress (survey 1, 14.6%; survey 2, 35.1%; survey 3, 14.9%) were each largest for survey 2. The adjusted proportions of participants who reported moderate to severe symptoms of burnout were higher in surveys 2 and 3 than in survey 1, and the proportions who reported high optimism were smaller in surveys 2 and 3 than in survey 1. Adjusted mean scores for wellbeing and resilience were similar at surveys 2 and 3 and lower than at survey 1. The magnitude but not the patterns of change differed by occupation group.
Conclusion: Burnout was more frequently reported and mean wellbeing and resilience scores were lower in mid-2022 than in mid-2021 for Victorian health and aged care workers who participated in our study. Evidence-based mental health and wellbeing programs for workers in health care organisations are needed.
Trial Registration: Australian New Zealand Clinical Trials Registry: ACTRN12621000533897 (observational study; retrospective).
(© 2023 The Authors. Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd.)
Databáze: MEDLINE
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