经受风暴：新冠疫情对印度临床及非临床医护人员的心理影响
Weathering the Storm: Psychological Impact of COVID-19 Pandemic on Clinical and Nonclinical Healthcare Workers in India.
作者信息
Sunil Ravindranath, Bhatt Margiben T, Bhumika Tumkur Venkatesh, Thomas Nitha, Puranik Amitha, Chaudhuri Souvik, Shwethapriya Rao
机构信息
Department of Critical Care Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Health Informatics, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India.
出版信息
Indian J Crit Care Med. 2021 Jan;25(1):16-20. doi: 10.5005/jp-journals-10071-23702.
BACKGROUND
Coronavirus disease-2019 (COVID-19) pandemic has exposed healthcare workers (HCWs) to a unique set of challenges and stressors. Our frontline workers are under tremendous psychological pressure because of the ever-rising crisis. This study was done to assess the magnitude of the psychological impact of the COVID-19 pandemic on clinical and nonclinical HCWs in India.
MATERIALS AND METHODS
It was a cross-sectional, online survey that was done from June 1, 2020, to July 4, 2020. A total of 313 clinical and nonclinical HCWs, who were directly or indirectly involved in patient care, participated in the study. The psychological impact was assessed in terms of four variables: insomnia, anxiety, depression, and stress. Insomnia was assessed by the Insomnia Severity Index (ISI). Anxiety and depression were assessed via the Patient Health Questionnaire-4 (PHQ-4), which included a 2-item anxiety scale and a 2-item depression scale (PHQ-2). Stress was assessed via the Perceived Stress Scale (PSS). We also compared the psychological impact of this pandemic between clinical and nonclinical HCWs.
RESULTS
7.3% of HCWs were having moderate insomnia, 3.8% had severe insomnia, and 20.8% were having subthreshold insomnia. Severe anxiety and depression were found in 6.7% of respondents. 8.0 and 32.3% of the respondents had moderate and mild anxiety-depression, respectively. 6.4% had high perceived stress. 47.6 and 46.0% of the respondents had moderate and low stress, respectively. There was a statistically significant difference in severe insomnia between clinical and nonclinical HCWs, whereas no significant difference in anxiety, depression, and stress between clinical and nonclinical HCWs.
CONCLUSION
This study suggests that psychological morbidity is prevalent among both clinical and nonclinical HCWs and both males and females. Early intervention may be beneficial to prevent this issue.
HOW TO CITE THIS ARTICLE
Sunil R, Bhatt MT, Bhumika TV, Thomas N, Puranik A, Chaudhuri S, Weathering the Storm: Psychological Impact of COVID-19 Pandemic on Clinical and Nonclinical Healthcare Workers in India. Indian J Crit Care Med 2021;25(1):16-20.
背景
2019冠状病毒病（COVID-19）大流行使医护人员面临一系列独特的挑战和压力源。由于危机不断升级，我们的一线工作人员承受着巨大的心理压力。本研究旨在评估COVID-19大流行对印度临床和非临床医护人员心理影响的程度。
材料与方法
这是一项横断面在线调查，于2020年6月1日至2020年7月4日进行。共有313名直接或间接参与患者护理的临床和非临床医护人员参与了该研究。心理影响通过四个变量进行评估：失眠、焦虑、抑郁和压力。失眠通过失眠严重程度指数（ISI）进行评估。焦虑和抑郁通过患者健康问卷-4（PHQ-4）进行评估，该问卷包括一个2项焦虑量表和一个2项抑郁量表（PHQ-2）。压力通过感知压力量表（PSS）进行评估。我们还比较了临床和非临床医护人员在此次大流行中的心理影响。
结果
7.3%的医护人员有中度失眠，3.8%有重度失眠，20.8%有亚阈值失眠。6.7%的受访者有严重焦虑和抑郁。8.0%和32.3%的受访者分别有中度和轻度焦虑抑郁。6.4%有高感知压力。47.6%和46.0%的受访者分别有中度和低度压力。临床和非临床医护人员在严重失眠方面存在统计学显著差异，而临床和非临床医护人员在焦虑、抑郁和压力方面无显著差异。
结论
本研究表明，心理疾病在临床和非临床医护人员以及男性和女性中都很普遍。早期干预可能有助于预防这个问题。
如何引用本文
Sunil R, Bhatt MT, Bhumika TV, Thomas N, Puranik A, Chaudhuri S, 应对风暴：COVID-19大流行对印度临床和非临床医护人员的心理影响。《印度危重症医学杂志》2021年；25(1):16 - 20。
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