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尼泊尔 COVID-19 大流行期间卫生服务提供者的心理困扰。

Psychological distress among health service providers during COVID-19 pandemic in Nepal.

机构信息

Department of Psychiatry, Chitwan Medical College Teaching Hospital (CMCTH), Chitwan, Nepal.

Mangalbare Hospital, Morang, Nepal.

出版信息

PLoS One. 2021 Feb 10;16(2):e0246784. doi: 10.1371/journal.pone.0246784. eCollection 2021.

DOI:10.1371/journal.pone.0246784
PMID:33566863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7875377/
Abstract

BACKGROUND

COVID-19 pandemic has provoked a wide variety of psychological problems such as anxiety, depression, and panic disorders, especially among health service providers. Due to a greater risk of exposure to the virus, increased working hours, and fear of infecting their families, health service providers are more vulnerable to emotional distress than the general population during this pandemic. This online survey attempts to assess the psychological impact of COVID-19 and its associated variables among healthcare workers in Nepal.

MATERIALS AND METHODS

For data collection purposes, Covid-19 Peritraumatic Distress Index (CPDI) Questionnaire, was used whose content validity was verified by Shanghai mental health center. Data for the survey were collected from 11 to 24 October 2020 which was extracted to Microsoft Excel-13 and analyzed.

RESULTS

A total of 254 health care workers from different provinces of the country participated in this study with a mean age of 26.01(± 4.46) years. A majority 46.9% (n = 119) of the participants were not distressed (score ≤28) while 46.5% (n = 118) were mild to moderately distressed (score >28 to ≤51) and 6.7% (n = 17) were severely distressed (score ≥52) due to the current COVID-19 pandemic. Female participants (p = 0.004) and participants who were doctors by profession (p = 0.001) experienced significantly more distress.

CONCLUSIONS

COVID-19 pandemic has heightened the psychological distress amongst health care service providers. The findings from the present study may highlight the need for constructing and implementing appropriate plans and policies by relevant stakeholders that will help to mitigate the distress among health service providers in the current pandemic so that we can have an efficient frontline health workforce to tackle this worse situation.

摘要

背景

COVID-19 大流行引发了各种心理问题,如焦虑、抑郁和恐慌症,尤其是在卫生服务提供者中。由于接触病毒的风险更大、工作时间增加以及担心感染家人,卫生服务提供者在这场大流行期间比一般人群更容易受到情绪困扰。本在线调查旨在评估 COVID-19 及其相关变量对尼泊尔卫生保健工作者的心理影响。

材料和方法

为了收集数据,使用了 COVID-19 创伤后应激障碍指数(CPDI)问卷,其内容效度已由上海精神卫生中心验证。该调查的数据于 2020 年 10 月 11 日至 24 日收集,提取到 Microsoft Excel-13 中进行分析。

结果

共有来自该国不同省份的 254 名卫生保健工作者参加了这项研究,平均年龄为 26.01(±4.46)岁。大多数 46.9%(n=119)的参与者没有感到困扰(得分≤28),46.5%(n=118)为轻度至中度困扰(得分>28 至≤51),6.7%(n=17)为重度困扰(得分≥52)。女性参与者(p=0.004)和职业为医生的参与者(p=0.001)的困扰程度显著更高。

结论

COVID-19 大流行加剧了卫生保健服务提供者的心理困扰。本研究的结果可能突出了相关利益相关者制定和实施适当计划和政策的必要性,这将有助于减轻当前大流行期间卫生服务提供者的困扰,以便我们能够拥有一支高效的一线卫生劳动力来应对这种更糟糕的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/7875377/30daf08667e1/pone.0246784.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/7875377/30daf08667e1/pone.0246784.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/7875377/30daf08667e1/pone.0246784.g001.jpg

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