中国湖南省神经科医生和护士在新冠疫情初期的心理健康状况。
The mental health of neurological doctors and nurses in Hunan Province, China during the initial stages of the COVID-19 outbreak.
作者信息
Ning Xianjun, Yu Fang, Huang Qin, Li Xi, Luo Yunfang, Huang Qing, Chen Changqing
机构信息
Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, PR China.
Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, PR China.
出版信息
BMC Psychiatry. 2020 Sep 5;20(1):436. doi: 10.1186/s12888-020-02838-z.
BACKGROUND
Neurological symptoms are increasingly being noted among COVID-19 patients. Currently, there is little data on the mental health of neurological healthcare workers. The aim of this study was to identify the prevalence and influencing factors on anxiety and depression in neurological healthcare workers in Hunan Province, China during the early stage of the Coronavirus Disease 2019 (COVID-19) outbreak.
METHODS
An online cross-sectional study was conducted among neurological doctors and nurses in early February 2020 in Hunan Province. Symptoms of anxiety and depression were assessed by the Chinese version of the Self-Rating Anxiety Scale (SAS) (defined as a total score ≥ 50) and Self-Rating Depression Scale (SDS) (defined as a total score ≥ 53). The prevalences of probable anxiety and depression were compared between different groups, and multivariate logistic regression analysis was used to understand the independent influencing factors on anxiety and depression.
RESULTS
The prevalence of probable anxiety and depression in neurological nurses (20.3 and 30.2%, respectively) was higher than that in doctors (12.6 and 20.2%, respectively). Female healthcare workers (18.4%) had a higher proportion of anxiety than males (10.8%). Probable anxiety and depression were more prevalent among nurses, younger workers (≤ 40 years), and medical staff with junior titles. Logistic regression analysis showed that a shortage of protective equipment was independently associated with probable anxiety (OR = 1.980, 95% CI: 1.241-3.160, P = 0.004), while young age was a risk factor for probable depression (OR = 2.293, 95% CI: 1.137-4.623, P = 0.020) among neurological healthcare workers.
CONCLUSIONS
Probable anxiety and depression were more prevalent among neurological nurses than doctors in Hunan Province. The shortage of protective equipment led to probable anxiety, and young age led to probable depression in healthcare workers in neurology departments, which merits attention during the battle against COVID-19.
背景
新型冠状病毒肺炎（COVID-19）患者中出现神经症状的情况日益受到关注。目前，关于神经科医护人员心理健康的数据较少。本研究旨在确定2019年冠状病毒病（COVID-19）疫情初期中国湖南省神经科医护人员焦虑和抑郁的患病率及影响因素。
方法
2020年2月初在湖南省对神经科医生和护士进行了一项在线横断面研究。采用中文版自评焦虑量表（SAS）（总分≥50分为有焦虑症状）和自评抑郁量表（SDS）（总分≥53分为有抑郁症状）评估焦虑和抑郁症状。比较不同组间可能存在的焦虑和抑郁的患病率，并采用多因素logistic回归分析了解焦虑和抑郁的独立影响因素。
结果
神经科护士中可能存在焦虑和抑郁的患病率（分别为20.3%和30.2%）高于医生（分别为12.6%和20.2%）。女性医护人员（18.4%）的焦虑比例高于男性（10.8%）。可能存在的焦虑和抑郁在护士、年轻工作者（≤40岁）和初级职称医务人员中更为普遍。logistic回归分析显示，防护设备短缺与可能存在的焦虑独立相关（OR=1.980，95%CI：1.241-3.160，P=0.004），而年轻是神经科医护人员可能存在抑郁的危险因素（OR=2.293，95%CI：1.137-4.623，P=0.020）。
结论
湖南省神经科护士中可能存在的焦虑和抑郁比医生更为普遍。防护设备短缺导致医护人员可能出现焦虑，年轻导致神经科医护人员可能出现抑郁，这在抗击COVID-19的战斗中值得关注。
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