Department of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, China.
Department of Urology, Zhongnan Hospital, Wuhan University, Wuhan, China.
Front Public Health. 2021 Mar 5;9:603273. doi: 10.3389/fpubh.2021.603273. eCollection 2021.
Since the coronavirus disease-2019 (COVID-19) outbreak, intensive care unit (ICU) healthcare workers were responsible for the critical infected patients. However, few studies focused on the mental health of ICU healthcare workers. This study aimed to investigate the psychological impact of COVID-19 on ICU healthcare workers in China. We distributed the nine-item Patient Health Questionnaire (PHQ-9) and seven-item General Anxiety Disorder questionnaire (GAD-7) online to ICU healthcare workers in China. Respondents were divided into frontline and second-line according to whether they have contact with COVID-19 patients. Depressive and anxiety symptoms of all respondents were evaluated based on their questionnaire scores. There were 731 ICU healthcare workers finally enrolled in our study, including 303 (41.5%) male, 383 (52.4%) doctors, and 617 (84.4%) aged 26-45 years. All in all, 482 (65.9%) ICU healthcare workers reported symptoms of depression, while 429 (58.7%) reported anxiety. There was no significant difference between frontline ( = 325) and second-line ( = 406) respondents in depression ( = 0.15) and anxiety severity ( = 0.56). Logistic regression analysis showed that being female, ICU work time >5 years, and night duty number ≥10 were risk factors of developing depressive and anxiety symptoms. Income reduction was separately identified as risk of anxiety. Additionally, ICU work time >5 years was also identified as risk of developing moderate-severe depressive and anxiety symptoms. Frontline ICU work was not associated with higher risk of depressive and anxiety symptoms during COVID-19 pandemic remission period in China. Actions like controlling night duty number, ensuring vacation, and increasing income should be taken to relieve mental health problem. Furthermore, we should pay close attention to those who had worked long years in ICU.
自 2019 年冠状病毒病（COVID-19）爆发以来，重症监护病房（ICU）医护人员负责救治重症感染患者。然而，很少有研究关注 ICU 医护人员的心理健康。本研究旨在调查 COVID-19 对中国 ICU 医护人员的心理影响。
我们通过在线向中国 ICU 医护人员发放了 9 项患者健康问卷（PHQ-9）和 7 项广泛性焦虑症问卷（GAD-7）。根据医护人员是否接触 COVID-19 患者，将他们分为一线和二线医护人员。根据问卷得分评估所有医护人员的抑郁和焦虑症状。
最终，共有 731 名 ICU 医护人员参与了我们的研究，其中 303 名（41.5%）为男性，383 名（52.4%）为医生，617 名（84.4%）年龄在 26-45 岁之间。总的来说，482 名（65.9%）ICU 医护人员报告有抑郁症状，而 429 名（58.7%）报告有焦虑症状。一线（ = 325）和二线（ = 406）医护人员的抑郁严重程度（ = 0.15）和焦虑严重程度（ = 0.56）无显著差异。Logistic 回归分析显示，女性、ICU 工作时间 >5 年、夜班次数≥10 是发生抑郁和焦虑症状的危险因素。收入减少被单独确定为焦虑的危险因素。此外，ICU 工作时间 >5 年也是发生中重度抑郁和焦虑症状的危险因素。
在中国 COVID-19 大流行缓解期间，一线 ICU 工作与较高的抑郁和焦虑风险无关。应采取控制夜班次数、确保休假和增加收入等措施来缓解心理健康问题。此外，我们应密切关注那些在 ICU 工作多年的医护人员。
