Department of Family Medicine, University of Split School of Medicine, 21000 Split, Croatia.
Department of Family Medicine, Split-Dalmatia Health Center, 21000 Split, Croatia.
Int J Environ Res Public Health. 2021 Feb 21;18(4):2093. doi: 10.3390/ijerph18042093.
During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = -0.02, = 0.013) and personal risk of COVID‑19 (β = 1.05, < 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = -0.33, = 0.023) and anxiety (β = -0.31, = 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs' knowledge. Thus lowering anxiety and improving patient care.
在 2019 年冠状病毒病(COVID-19)疫情期间,家庭医生(FPs)是医疗保健系统的中坚力量,对普通民众有重大影响,他们的健康状况非常重要。本研究旨在评估 FPs 的心理健康状况,以及他们对大流行的知识、态度和实践(KAP),以及对向患者提供非传染性疾病(NCD)保健的看法。本研究采用横断面研究方法,对 613 名 FPs 进行了样本调查。使用医院焦虑抑郁量表(HADS)评估焦虑和抑郁水平,使用感知压力量表(PSS)评估主观感知压力,使用 COVID-19 事件影响量表(IES-COVID19)评估创伤相关症状。使用相应的问卷评估他们对大流行的 KAP 和对 NCD 患者的看法。结果表明,年龄(β=-0.02, =0.013)和 COVID-19 个人风险(β=1.05, <0.001)是知识得分的显著独立相关因素。共有 87.7%的 FPs 表示中度/高度感知压力,45.2%表示中度/严重创伤相关症状,60.4%表示边缘/异常焦虑水平,52.4%表示边缘/异常抑郁水平。知识得分是感知压力(β=-0.33, =0.023)和焦虑(β=-0.31, =0.006)水平的独立预测因素。受访者大多认为医疗服务的可及性有限,新诊断的 NCD 病例数量减少。由于 NCD 患者整体健康状况恶化,大流行对 FPs 的心理健康和公共卫生措施造成了相当大的压力。教育计划可能会缩小 FPs 知识差距。从而降低焦虑,改善患者护理。