Stojanov Jelena, Malobabic Marina, Stanojevic Goran, Stevic Milos, Milosevic Vuk, Stojanov Aleksandar
Special Hospital for Psychiatric Disorders 'Gornja Toponica', Nis, Serbia.
Clinic of Neurology, Clinical Center Nis, Nis, Serbia.
Int J Soc Psychiatry. 2021 Mar;67(2):175-181. doi: 10.1177/0020764020942800. Epub 2020 Jul 16.
Health care professionals exposed to coronavirus disease 2019 (COVID-19) are facing high levels of stress.
The aim was to evaluate the quality of sleep (QoS) and health-related quality of life (HRQoL), among health care professionals treating patients with COVID-19, as well as quantifying the magnitude of symptoms of depression and levels of anxiety.
We included 201 health care professionals in a cross-sectional, web-based study by applying 7-item Generalized Anxiety Disorder (GAD-7) Scale, Zung Self-rating Depression Scale, 36-item Health Survey of the Medical Outcomes Study Short Form (SF36), Pittsburgh Sleep Quality Index (PSQI) and additional survey constructed for the purpose of the study.
Health care workers who treated COVID-19 patients were more afraid of becoming infected or of transmitting the infection to a family member with a significantly low self-assessment of their mental status. Poor QoS and HRQoL correlated with high health anxiety and severe depressive symptoms and several demographic characteristics. Multiple linear regression analysis showed that higher scores on GAD-7 (beta = .71, < .01) and lower scores on mental health (MH) subscale on SF36 questionnaire (beta = -.69; < .01) were independent predictors of the higher PSQI score (adjusted = .61, < .01 for overall model). Higher scores on GAD-7 (beta = .68, < .01) and worse self-perceived mental status (beta = .25; < .05) were independent predictors of the lower SF36 scores (adjusted = .73, < .01 for overall model).
The major MH burden of health care professionals treating infected patients during the COVID-19 pandemic indicates that they need psychological support.
接触2019冠状病毒病(COVID-19)的医护人员面临着高度压力。
旨在评估治疗COVID-19患者的医护人员的睡眠质量(QoS)和健康相关生活质量(HRQoL),并量化抑郁症状的严重程度和焦虑水平。
我们通过应用7项广泛性焦虑障碍(GAD-7)量表、zung自评抑郁量表、医学结局研究简表36项健康调查(SF36)、匹兹堡睡眠质量指数(PSQI)以及为该研究目的构建的附加调查问卷,对201名医护人员进行了一项基于网络的横断面研究。
治疗COVID-19患者的医护人员更害怕被感染或将感染传播给家庭成员,对自己的心理状态自我评价显著较低。睡眠质量差和健康相关生活质量差与高度的健康焦虑、严重的抑郁症状以及一些人口统计学特征相关。多元线性回归分析表明,GAD-7得分较高(β = 0.71,P < 0.01)和SF36问卷心理健康(MH)子量表得分较低(β = -0.69;P < 0.01)是PSQI得分较高的独立预测因素(总体模型调整R² = 0.61,P < 0.01)。GAD-7得分较高(β = 0.68,P < 0.01)和自我感知心理状态较差(β = 0.25;P < 0.05)是SF36得分较低的独立预测因素(总体模型调整R² = 0.73,P < 0.01)。
在COVID-19大流行期间,治疗感染患者的医护人员的主要心理健康负担表明他们需要心理支持。