Trauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Hearing Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Adv Exp Med Biol. 2021;1321:237-243. doi: 10.1007/978-3-030-59261-5_20.
The outbreak of COVID-19 has laid unprecedented psychological stress on healthcare workers (HCWs). We aimed to assess the immediate psychological impact of COVID-19 epidemic on the HCWs at Baqiyatallah Hospital in Tehran, Iran.
We conducted a cross-sectional survey of HCWs using questionnaires in February and March 2020 in Baqiyatallah Hospital, Tehran. We evaluated depression, stress, and anxiety levels using the DASS-21 questionnaire. Participants were selected by using census sampling. All statistical analyses were performed using R version 3.5.1.
The study population included 217 HCWs (111 male, 116 female) and the mean age of the study group was 39.6 years old. Approximately two-thirds of the HCWs stayed in the hospital for 2-3 weeks. The mean scores of depression and stress were at a "severe" level, while anxiety scores were at an "extremely severe" level. The prevalence of severe scores was 38.71%, 2.30%, and 48.97% for depression, anxiety, and stress, and the prevalence of extremely severe scores was 46.54%, 97.24%, and 4.98% depression, anxiety, and stress, respectively. In stress subscale, moderate stress was 47.46%. Female HCWs reported higher levels of depression compared with males.
In this study, HCWs reported experiencing severe and extremely severe psychological burdens. Timely interventions to promote mental health in HCWs exposed to patients with COVID-19 need to be immediately implemented, with female nurses requiring particular attention. This process could be facilitated via tests for molecular biomarkers in accessible body fluids, such as saliva, plasma, and serum.
COVID-19 的爆发给医护人员（HCWs）带来了前所未有的心理压力。本研究旨在评估 COVID-19 疫情对伊朗德黑兰巴奇亚塔赫拉医院 HCWs 的即时心理影响。
我们于 2020 年 2 月和 3 月在德黑兰巴奇亚塔赫拉医院使用问卷对 HCWs 进行了横断面调查。我们使用 DASS-21 问卷评估抑郁、压力和焦虑水平。采用整群抽样选择参与者。所有统计分析均使用 R 版本 3.5.1 进行。
研究人群包括 217 名 HCWs（111 名男性，116 名女性），研究组的平均年龄为 39.6 岁。大约三分之二的 HCWs 在医院停留了 2-3 周。抑郁和压力的平均得分处于“严重”水平，而焦虑得分处于“极度严重”水平。严重得分的患病率分别为 38.71%、2.30%和 48.97%，极度严重得分的患病率分别为 46.54%、97.24%和 4.98%。在压力子量表中，中度压力为 47.46%。与男性相比，女性 HCWs 报告的抑郁水平更高。
在这项研究中，HCWs 报告经历了严重和极度严重的心理负担。需要立即对接触 COVID-19 患者的 HCWs 进行心理健康促进的干预措施，特别需要关注女护士。这一过程可以通过对唾液、血浆和血清等可及体液中的分子生物标志物进行测试来促进。
