Gupta Simmi, Prasad Ajay Shankar, Dixit Prashant Kumar, Padmakumari P, Gupta Salil, Abhisheka Kumar
Phd Scholar (Psychology), CHRIST (Deemed to be University), Bangalore, India.
Senior Advisor (Medicine & Gastroenterology), Command Hospital (Air Force), Bangalore, India.
Med J Armed Forces India. 2021 Jul;77(Suppl 2):S404-S412. doi: 10.1016/j.mjafi.2020.07.006. Epub 2020 Sep 1.
A prospective study was conducted during the second phase of the coronavirus disease 2019 (COVID-19) pandemic in India to assess the prevalence of anxiety and depressive symptoms among healthcare workers (HCWs) and factors that influence the outcome.
A self-administered questionnaire was completed by 1124 HCWs during the COVID-19 pandemic (March 30, 2020, to April 2, 2020). Demographic data, questions on COVID-19 and scores of the Hospital Anxiety and Depression Scale were analysed using the chi-square test (Bonferroni correction) and binary logistic regression.
The study consists of 1124 HCWs, including 749 doctors, 207 nurses, 135 paramedics, 23 administrators and ten supporting staff members. The prevalence of anxiety and depressive symptoms were reported as 37.2% and 31.4%, respectively. The risk factors for anxiety were female gender (30.6% vs 45.5%), age group (20-35 years) (50.4% vs 61.2%), unmarried (21.2% vs 30.6%) and job profile (nurse) (14.7% vs 26.4%). The protective factor was having service of more than 20 years (23.4% vs 14.8%). The risk factors for depression were age group (20-35 years) (51.3% vs 61.3%) and employed at a primary care hospital (16.2% vs 23.4%). The protective factors were job profile (doctor) (69.9% vs 59.6%) and having service of more than 20 years (22.3% vs 15.5%).
Approximately one-third of the HCWs reported anxiety and depressive symptoms. The risk factors for anxiety symptoms were female gender, younger age and job profile (nurse) and for depressive symptoms were younger age and working at a primary care hospital. Future research studies should identify strategies for providing a safer and supportive work environment for HCWs to face epidemics/pandemics.
在印度2019年冠状病毒病（COVID-19）大流行的第二阶段进行了一项前瞻性研究，以评估医护人员（HCWs）中焦虑和抑郁症状的患病率以及影响结果的因素。
在COVID-19大流行期间（2020年3月30日至2020年4月2日），1124名医护人员完成了一份自我管理的问卷。使用卡方检验（Bonferroni校正）和二元逻辑回归分析人口统计学数据、关于COVID-19的问题以及医院焦虑抑郁量表的得分。
该研究包括1124名医护人员，其中包括749名医生、207名护士、135名医护辅助人员、23名管理人员和10名支持人员。焦虑和抑郁症状的患病率分别报告为37.2%和31.4%。焦虑的危险因素为女性（30.6%对45.5%）、年龄组（20 - 35岁）（50.4%对61.2%）、未婚（21.2%对30.6%）和工作岗位（护士）（14.7%对26.4%）。保护因素是服务超过20年（23.4%对14.8%）。抑郁的危险因素为年龄组（20 - 35岁）（51.3%对61.3%）以及在基层医疗医院工作（16.2%对23.4%）。保护因素是工作岗位（医生）（69.9%对59.6%）和服务超过20年（22.3%对15.5%）。
大约三分之一的医护人员报告有焦虑和抑郁症状。焦虑症状的危险因素为女性、较年轻的年龄和工作岗位（护士），而抑郁症状的危险因素为较年轻的年龄和在基层医疗医院工作。未来的研究应确定为医护人员提供更安全和支持性工作环境以应对流行病/大流行的策略。
