COVID-19 大流行对中国一线急诊牙科医护人员的心理影响。
Psychological Impact of the COVID-19 Pandemic on Emergency Dental Care Providers on the Front Lines in China.
机构信息
Department of General Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology, Shanghai, China.
Department of Geriatric Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Alzheimer's Disease and Related Disorders Center, Shanghai Jiao Tong University, Shanghai, China.
出版信息
Int Dent J. 2021 Jun;71(3):197-205. doi: 10.1016/j.identj.2020.12.001. Epub 2020 Dec 9.
Coronavirus disease 2019 (COVID-19) is an infectious disease that emerged at the end of 2019. On 30 January 2020, the World Health Organization (WHO) classified it as a pandemic. To examine the psychological effects on dental care providers in China in the midst of the COVID-19 outbreak and factors closely associated with those effects, we conducted a cross-sectional study online with 4 widely used self-administered questionnaires: the Patient Health Questionnaire-9, the General Anxiety Disorder-7, the Perceived Stress Scale-10, and the Acute Stress Disorder Scale. Univariate and multivariate analyses were performed to evaluate the variables that potentially affected the mental health of emergency dental care providers. As a result, 969 out of 1035 questionnaires were included in the analysis, with 642 respondents reporting more than 1 symptom (66.3%). The symptom of perceived stress was reported by the largest proportion of the respondents (66.2%, n = 641), and anxiety the least (7.1%, n = 69). After adjustment for confounders, it was found that dental practitioners with preexisting physical health conditions were at higher risk of depression (odds ratio [OR], 1.972; 95% CI, 1.128-3.448; P = .017), and perceived stress (odds ratio, 2.397 95% CI, 1.283-4.478; P = .006). Additionally, feelings of fear, helplessness, or terror resulting from the possibility of contracting COVID-19 were significantly associated with the prevalence of all the 4 psychological symptoms observed (P < .05). In the present study, we found that dental care providers suffered psychological depression, stress, anxiety, and posttraumatic stress disorder (PTSD) during COVID-19, which indicates the importance of psychological support at times of major epidemic outbreaks. Chinese Clinical Trial Registry number: ChiCTR2000031538.
新型冠状病毒病(COVID-19)是一种传染病,于 2019 年底出现。2020 年 1 月 30 日,世界卫生组织(WHO)将其归类为大流行。为了研究 COVID-19 爆发期间中国牙科医护人员的心理影响及其密切相关因素,我们使用四种广泛使用的自我管理问卷进行了横断面在线研究:患者健康问卷-9、广泛性焦虑症-7、感知压力量表-10 和急性应激障碍量表。进行单变量和多变量分析以评估可能影响急诊牙科医护人员心理健康的变量。结果,在 1035 份问卷中,有 969 份被纳入分析,其中 642 名报告了超过 1 种症状(66.3%)。最大比例的受访者报告了感知压力的症状(66.2%,n=641),而焦虑的比例最小(7.1%,n=69)。调整混杂因素后发现,有既往身体健康状况的牙科医生患抑郁症的风险更高(优势比 [OR],1.972;95%可信区间,1.128-3.448;P=0.017)和感知压力(优势比,2.397;95%可信区间,1.283-4.478;P=0.006)。此外,因可能感染 COVID-19 而感到恐惧、无助或恐惧的感觉与观察到的所有 4 种心理症状的患病率显著相关(P<.05)。在本研究中,我们发现 COVID-19 期间牙科医护人员遭受心理抑郁、压力、焦虑和创伤后应激障碍(PTSD),这表明在重大疫情爆发时提供心理支持的重要性。中国临床试验注册中心编号:ChiCTR2000031538。