Duff Elsie, Pijl Em, Fehr Cindy, Gudi Sai Krishna
College of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada.
Nurse Practitioner Association of Manitoba, Winnipeg, Manitoba, Canada.
Can J Infect Dis Med Microbiol. 2025 Jul 22;2025:1790795. doi: 10.1155/cjid/1790795. eCollection 2025.
The main goal of this integrative scoping review was to address the knowledge gap and inform policy and research regarding the impact of post-COVID-19 conditions on frontline healthcare workers (HCWs). An integrative scoping review using Arksey and O'Malley's framework examined post-COVID-19 conditions in frontline HCWs. We searched CINAHL, EMBASE, APA PsycINFO, PubMed, Social Science Database, ProQuest, Social Science Journals, and Web of Science, including dissertations, conference proceedings, and government publications for gray literature. A preestablished data extraction tool was developed to capture relevant information about post-COVID-19 conditions in HCWs. Of the total 42 studies, the majority were cross-sectional in design (29) and conducted mainly in countries such as Italy (4), India (3), and Brazil (3). Study findings reveal that a substantial proportion of HCWs in various countries were diagnosed with post-COVID-19 condition, which included persistent symptoms affecting physical and mental well-being. Persistent symptoms, particularly fatigue and anxiety, were associated with a poorer quality of life, decreased work ability, and impaired health-related quality of life among HCWs. Fatigue was a frequently reported symptom in many studies, often accompanied by weakness, muscle pain, shortness of breath, anxiety, depression, and sleep disturbances. The evidence generated through this research examining post-COVID-19 conditions among HCWs is a foundation for informing policy in the healthcare workforce. These findings also address the gap in research on the broader impacts of the COVID-19 pandemic on employers and the healthcare workforce.
这项综合性范围综述的主要目标是填补知识空白,并为有关新冠后状况对一线医护人员影响的政策和研究提供信息。一项使用阿克西和奥马利框架的综合性范围综述研究了一线医护人员的新冠后状况。我们检索了护理学与健康领域数据库(CINAHL)、荷兰医学文摘数据库(EMBASE)、美国心理学会心理学文摘数据库(APA PsycINFO)、医学期刊数据库(PubMed)、社会科学数据库、ProQuest、社会科学期刊以及科学引文索引数据库(Web of Science),包括学位论文、会议论文集和政府出版物等灰色文献。开发了一个预先设定的数据提取工具,以获取有关医护人员新冠后状况的相关信息。在总共42项研究中,大多数研究设计为横断面研究(29项),主要在意大利(4项)、印度(3项)和巴西(3项)等国家进行。研究结果表明,各国相当一部分医护人员被诊断患有新冠后状况,其中包括影响身心健康的持续症状。持续症状,尤其是疲劳和焦虑,与医护人员生活质量较差、工作能力下降以及健康相关生活质量受损有关。疲劳是许多研究中经常报告的症状,常伴有虚弱、肌肉疼痛、呼吸急促、焦虑、抑郁和睡眠障碍。这项关于医护人员新冠后状况的研究所得出的证据是为医护人员队伍政策提供信息的基础。这些发现也填补了关于新冠疫情对雇主和医护人员队伍更广泛影响的研究空白。