Jain Ayushi, Singariya Geeta, Kamal Manoj, Kumar Mritunjay, Jain Ayush, Solanki Rajendra Kumar
Department of Anaesthesiology and Critical Care, Dr S N Medical College, Jodhpur, Rajasthan, India.
Departments of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Indian J Anaesth. 2020 Sep;64(9):774-783. doi: 10.4103/ija.IJA_697_20. Epub 2020 Sep 1.
The anaesthesiologists are at the highest risk of contracting infection of coronavirus disease 2019 (COVID-19) in emergency room, operation theatres and intensive care units. This overwhelming situation can make them prone for psychological stress leading to anxiety and insomnia.
We did an online self-administered questionnaire-based observational cross-sectional study amongst anaesthesiologists across India. The objectives were to find out the main causes for anxiety and insomnia in COVID-19 pandemic. Generalised Anxiety Disorder-7 (GAD-7) scale and Insomnia Severity Index (ISI) were used for assessing anxiety and insomnia.
Of 512 participants, 74.2% suffered from anxiety and 60.5% suffered from insomnia. The age <35 years, female sex, being married, resident doctors, fear of infection to self or family, fear of salary deductions, increase in working hours, loneliness due to isolation, food and accommodation issues and posting in COVID-19 duty were risk factors for anxiety. ISI scores ≥8 was observed in <35 years, unmarried, those with stress because of COVID-19, fear of loneliness, issues of food and accommodation, increased working hours and with GAD-7 score ≥5. Adjusted odd's ratio of insomnia in participants having GAD-7 score ≥5 was 10.499 (95% confidence interval 6.097-18.080; < 0.001).
The majority of anaesthesiologists on COVID-19 duty suffer from anxiety and insomnia. Addressing risk factors identified during this study with targeted interventions and psychosocial support will help them to cope better with the stress.
麻醉医生在急诊室、手术室和重症监护病房感染2019冠状病毒病（COVID-19）的风险最高。这种严峻的形势会使他们容易产生心理压力，导致焦虑和失眠。
我们在印度各地的麻醉医生中开展了一项基于在线自填问卷的观察性横断面研究。目的是找出COVID-19大流行期间焦虑和失眠的主要原因。采用广泛性焦虑障碍-7（GAD-7）量表和失眠严重程度指数（ISI）评估焦虑和失眠情况。
在512名参与者中，74.2%患有焦虑症，60.5%患有失眠症。年龄<35岁、女性、已婚、住院医生、担心自己或家人感染、担心工资扣除、工作时间增加、因隔离而孤独、饮食和住宿问题以及被安排在COVID-19岗位工作是焦虑的危险因素。在年龄<35岁、未婚、因COVID-19而有压力、担心孤独、饮食和住宿问题、工作时间增加且GAD-7评分≥5的人群中观察到ISI评分≥8。GAD-7评分≥5的参与者失眠的调整比值比为10.499（95%置信区间6.097-18.080；P<0.001）。
大多数参与COVID-19救治工作的麻醉医生患有焦虑和失眠症。通过有针对性的干预措施和心理社会支持来解决本研究中确定的危险因素，将有助于他们更好地应对压力。
