Table_2_Characteristics of Hospital Workers Using a Wellbeing Center Implemented During the COVID-19 Pandemic to Prevent the Emotional Impacts of the Crisis.XLSX

IntroductionThe COVID-19 pandemic has posed an unprecedented challenge worldwide for healthcare workers (HCWs) and other hospital employees. Disruptions in work and personal life may have led to mental health problems. To prevent or limit the severity of such issues, a local initiative has been implemented in a French hospital: a dedicated lounge, also called “Bulle” (literally bubble and meaning safe space) has been created to provide a quiet caring environment and health support. Other similar wellbeing centers have been implemented in other countries, but very little data are available on their practical effectiveness. The purpose of our study was to assess what type of hospital workers have frequented the Bulle and to describe their psychological state in terms of anxiety, depression, and post-traumatic stress disorder (PTSD) just after the first wave, compared to those who had not come to the Bulle.
MethodsFrom 15 July to 1 October 2020, a cross-sectional survey was conducted among all workers, collecting demographic information, professional data (experience and satisfaction), emotional experience during the first wave of COVID-19, and psychological specificities, including a history of burnout or symptoms of anxiety, depression, and PTSD. We asked them if they had accessed the Bulle or not.
ResultsA total of 675 employees (out of 2,408; 28.0%) fully completed the survey. Approximately 199 respondents (29%) reported having accessed the Bulle during the first wave of the pandemic. Significant symptoms of anxiety, depression, and PTSD were reported by, respectively, 41, 20, and 14% of the participants. Logistic regression analysis showed no relationship between the use of the Bulle and the prevalence of later psychological symptoms. However, employees who benefit from the solicitation of the psychological support team in their hospital unit were secondarily more prone to come to the Bulle [odds ratio (OR), 2.24; 95% confidence interval (95% CI): 1.09; 4.59].
ConclusionAnxiety, depression, and PTSD were common after the first part of the COVID-19 pandemic, and the attendance in quiet and wellbeing spaces seemed easier with direct internal proactive intervention by psychological teams.

引言：新型冠状病毒肺炎（COVID-19）大流行给全球医护人员（healthcare workers, HCWs）及其他医院职员带来了前所未有的挑战。工作与个人生活秩序遭受冲击，可能引发各类心理健康问题。为此，法国某医院推出了一项本土举措：设立专属休息室，亦称“Bulle”（字面意为“气泡”，引申为安全空间），旨在为职员提供静谧贴心的环境与健康支持。目前全球已有多个国家开设了类似的福祉中心，但相关实践有效性的公开数据却极为匮乏。本研究旨在评估曾到访“Bulle”的医院职员群体特征，并对比未使用该空间的职员，描述新冠第一波疫情结束后，前者在焦虑、抑郁及创伤后应激障碍（post-traumatic stress disorder, PTSD）方面的心理状态。
方法：2020年7月15日至10月1日期间，研究团队针对全体医院职员开展了一项横断面调查，收集的信息涵盖人口统计学资料、职业相关数据（从业年限与工作满意度）、新冠第一波疫情期间的情绪体验，以及心理特质相关内容，包括职业倦怠史或焦虑、抑郁、创伤后应激障碍的相关症状。同时询问了受访者是否曾使用过“Bulle”空间。
结果：本次调查共回收675份有效问卷（总样本量2408，有效回收率28.0%）。约199名受访者（29%）表示曾在新冠第一波疫情期间到访“Bulle”。分别有41%、20%及14%的参与者报告存在显著的焦虑、抑郁及创伤后应激障碍症状。逻辑回归分析显示，“Bulle”的使用与后续出现的心理症状患病率并无显著关联。不过，所在医院科室已配备心理支持团队主动提供服务的职员，到访“Bulle”的概率显著更高[优势比（odds ratio, OR）=2.24；95%置信区间（95% CI）：1.09~4.59]。
结论：新冠疫情第一波结束后，焦虑、抑郁及创伤后应激障碍症状十分普遍；若心理团队能在院内主动提供前置干预服务，职员前往静谧福祉空间的意愿会显著提升。