Zhu Zhou, Xu Shabei, Wang Hui, Liu Zheng, Wu Jianhong, Li Guo, Miao Jinfeng, Zhang Chenyan, Yang Yuan, Sun Wenzhe, Zhu Suiqiang, Fan Yebin, Chen Yuxi, Hu Junbo, Liu Jihong, Wang Wei
Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Qiaokou District, Wuhan 430030, Hubei, China.
Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
EClinicalMedicine. 2020 Jun 24;24:100443. doi: 10.1016/j.eclinm.2020.100443. eCollection 2020 Jul.
The outbreak of COVID-19 has laid unprecedented threats and challenges to health workers (HWs) in Wuhan, China. We aimed to assess the sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on HWs at Tongji Hospital in Wuhan during COVID-19 outbreak.
We conducted a single-center, cross-sectional survey of HWs via online questionnaires between February 8th and 10th, 2020. We evaluated stress, depression and anxiety by IES-R, PHQ-9, and GAD-7, respectively. We also designed a questionnaire to assess the perceptions of threat of COVID-19, and the satisfactions of the hospital's support measures. Multivariate logistic regressions were used to identify associated variables of acute stress, depression, and anxiety.
We received 5062 completed questionnaires (response rate, 77.1%). 29.8%, 13.5% and 24.1% HWs reported stress, depression and anxiety symptoms. Women (odds ratio [OR], 1.31; 95% CI, 0.47-0.97; = 0.032), years of working >10 years (OR, 2.02; 95% CI, 1.47-2.79; <0.001), concomitant chronic diseases (OR, 1.51; 95% CI, 1.27-1.80; <0.001), history of mental disorders (OR, 3.27; 95% CI, 1.77-6.05; <0.001), family members or relatives confirmed or suspected (OR, 1.23; 95% CI, 1.02-1.48; = 0.03), hospital-based and department-based care (OR, 0.76; 95% CI, 0.60-0.97; = 0.024) and full coverage of all departments for avoiding nosocomial infection (OR, 0.69; 95% CI, 0.53-0.89; = 0.004) were associated with stress.
Women and those who have more than 10 years of working, concomitant chronic diseases, history of mental disorders, and family members or relatives confirmed or suspected are susceptible to stress, depression and anxiety among HWs during the pandemic. In addition, since HWs often have a greater stigma against mental problems than the general public, it is worthwhile to address the needs of the HWs during this pandemic and to provide appropriate psychological supports for those people at high risk of mental problems.
新型冠状病毒肺炎（COVID-19）疫情给中国武汉的医护人员带来了前所未有的威胁和挑战。我们旨在评估COVID-19疫情期间，武汉同济医院医护人员的社会人口学特征以及与他们受到的直接心理影响相关的医院支持措施。
2020年2月8日至10日，我们通过在线问卷对医护人员进行了单中心横断面调查。我们分别采用事件影响量表修订版（IES-R）、患者健康问卷-9（PHQ-9）和广泛性焦虑障碍量表（GAD-7）评估压力、抑郁和焦虑情况。我们还设计了一份问卷来评估对COVID-19威胁的认知以及对医院支持措施的满意度。采用多因素logistic回归分析来确定急性压力、抑郁和焦虑的相关变量。
我们共收到5062份完整问卷（回复率为77.1%）。29.8%、13.5%和24.1%的医护人员报告有压力、抑郁和焦虑症状。女性（比值比[OR]为1.31；95%置信区间[CI]为0.47 - 0.97；P = 0.032）、工作年限>10年（OR为2.02；95% CI为1.47 - 2.79；P < 0.001）、伴有慢性病（OR为1.51；95% CI为1.27 - 1.80；P < 0.001）、有精神障碍病史（OR为3.27；95% CI为1.77 - 6.05；P < 0.001）、家庭成员或亲属确诊或疑似感染（OR为1.23；95% CI为1.02 - 1.48；P = 0.03）、医院层面和科室层面的关怀（OR为0.76；95% CI为0.60 - 0.97；P = 0.024）以及所有科室全面覆盖以避免医院感染（OR为0.69；95% CI为0.53 - 0.89；P = 0.004）与压力相关。
在疫情期间，女性、工作年限超过10年、伴有慢性病、有精神障碍病史以及家庭成员或亲属确诊或疑似感染的医护人员更容易出现压力、抑郁和焦虑。此外，由于医护人员对心理问题的污名化往往比普通公众更严重，在此次疫情期间关注医护人员的需求并为那些有高心理问题风险的人提供适当的心理支持是很有必要的。
