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湖北省抗击 2019 年冠状病毒病(COVID-19)的耳鼻喉科医护人员焦虑的危险因素。

Risk factors for anxiety of otolaryngology healthcare workers in Hubei province fighting coronavirus disease 2019 (COVID-19).

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.

Sleep Medicine Centre, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2021 Jan;56(1):39-45. doi: 10.1007/s00127-020-01928-3. Epub 2020 Aug 12.

Abstract

PURPOSE

To ensure the mental health of the otolaryngology healthcare workers in the fight against coronavirus disease 2019 (COVID-19), it is important to know their mental status and to identify possible risk factors. In this study, we investigated the risk factors for the anxiety in the otolaryngology healthcare workers in Hubei province under the COVID-19 epidemic.

METHODS

The otolaryngology healthcare workers in Hubei Province were surveyed using an online questionnaire in which anxiety was measured against the Zung Self-rating Anxiety Scale. Univariate and multivariate logistic regression analyses were used to evaluate the risk factors of anxiety.

RESULTS

A total of 449 otolaryngology healthcare workers participated in the study. Of all the participants, 131 (29.18%) had anxiety symptoms. Compared with doctors, nurses were at a higher risk for anxiety (OR = 2.162, 95% CI 1.311-3.566). Participants who often suspected self-infection (OR = 4.239, 95% CI 1.647-10.909) or family member infection by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (OR = 4.485, 95% CI 1.511-13.313) were more likely to develop anxiety than those who never. The subjects who had colleagues diagnosed with COVID-19 were more vulnerable to anxiety (OR = 2.014, 95% CI 1.205-3.366). Respondents working in infectious isolation wards had a 3.522-fold increased risk of anxiety compared to those on leave (OR = 3.522, 95% CI 1.634-7.593).

CONCLUSION

Some otolaryngology healthcare workers in Hubei province experienced anxiety during the epidemic, but most of them did not receive treatment. The healthcare providers themselves should be informed about and aware of their own mental health, and should be given support as appropriate.

TRIAL REGISTRATION NUMBER AND DATE OF REGISTRATION

Chinese Clinical Trial Registry: ChiCTR2000030768, 2020/3/14.

摘要

目的

在抗击 2019 年冠状病毒病(COVID-19)的过程中,确保耳鼻喉科医护人员的心理健康至关重要,了解他们的精神状态并确定可能的危险因素是十分必要的。本研究旨在调查 COVID-19 疫情期间湖北省耳鼻喉科医护人员焦虑的危险因素。

方法

采用在线问卷对湖北省耳鼻喉科医护人员进行调查,采用zung 自评焦虑量表评估焦虑状况。采用单因素和多因素 logistic 回归分析评估焦虑的危险因素。

结果

共有 449 名耳鼻喉科医护人员参与了本研究。所有参与者中,有 131 人(29.18%)存在焦虑症状。与医生相比,护士发生焦虑的风险更高(OR=2.162,95%CI 1.311-3.566)。经常怀疑自己感染(OR=4.239,95%CI 1.647-10.909)或家庭成员感染严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)(OR=4.485,95%CI 1.511-13.313)的参与者比从不怀疑自己感染的参与者更容易出现焦虑。有同事被诊断为 COVID-19 的参与者更容易出现焦虑(OR=2.014,95%CI 1.205-3.366)。与休假相比,在感染隔离病房工作的受访者发生焦虑的风险增加 3.522 倍(OR=3.522,95%CI 1.634-7.593)。

结论

COVID-19 疫情期间,湖北省部分耳鼻喉科医护人员出现焦虑,但大多数人未接受治疗。医护人员自身应了解并关注自身心理健康,并酌情给予支持。

临床试验注册号及日期

中国临床试验注册中心:ChiCTR2000030768,2020/3/14。

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