Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland.
Int J Environ Res Public Health. 2020 Aug 12;17(16):5849. doi: 10.3390/ijerph17165849.
It seems that the medical personnel in contact with patients infected with SARS-CoV-2 are at an especially high risk of adverse psychological effects. Therefore, the aim of this study was to assess the mental health factors among healthcare workers by quantifying the severity of anxiety, depression, and sleep disorders during the current SARS-CoV-2 pandemic, while taking into account coexisting diseases. The study involved 441 healthcare professionals including 206 healthcare workers at emergency wards, infectious wards, and intensive care units. The control group consisted of 235 healthcare workers working in wards other than those where individuals from the study group worked. Regression adjusted by age, gender, the occurrence of hypertension, diabetes mellitus, dyslipidemia, asthma, autoimmune diseases, and cigarette smoking showed the elevated risk of anxiety on the Generalized Anxiety Disorder (GAD-7) scale (OR = 1.934; < 0.001), depression on the Patient Health Questionnaire (PHQ-9) scale (OR = 2.623; < 0.001), and sleep disorders on the Insomnia Severity Index (ISI) scale (OR = 3.078; < 0.001). Our study showed that healthcare workers who are exposed to SARS-CoV-2-infected patients at emergency wards, infectious wards, and intensive care units are at a much higher risk of showing symptoms of anxiety, depression, and sleep disorders than healthcare workers working in other wards.
似乎接触 SARS-CoV-2 感染患者的医务人员面临着特别高的不良心理影响风险。因此,本研究旨在通过量化当前 SARS-CoV-2 大流行期间医护人员的焦虑、抑郁和睡眠障碍严重程度,同时考虑共存疾病,评估医护人员的心理健康因素。该研究涉及 441 名医护人员,包括 206 名在急诊病房、传染病病房和重症监护病房工作的医护人员。对照组由 235 名在研究组工作地点以外的病房工作的医护人员组成。通过年龄、性别、高血压、糖尿病、血脂异常、哮喘、自身免疫性疾病和吸烟发生情况进行回归调整后,显示出一般焦虑障碍 (GAD-7) 量表上焦虑风险升高 (OR = 1.934; < 0.001)、患者健康问卷 (PHQ-9) 量表上抑郁 (OR = 2.623; < 0.001) 和失眠严重程度指数 (ISI) 量表上睡眠障碍 (OR = 3.078; < 0.001)。我们的研究表明,与在其他病房工作的医护人员相比,在急诊病房、传染病病房和重症监护病房接触 SARS-CoV-2 感染患者的医护人员出现焦虑、抑郁和睡眠障碍症状的风险更高。