Klimkiewicz Anna, Schmalenberg Adrianna, Klimkiewicz Jakub, Jasińska Agata, Jasionowska Joanna, Machura Weronika, Wojnar Marcin
Department of Psychiatry, Medical University of Warsaw, Nowowiejska Str. 27, 00-665 Warsaw, Poland.
Psychomedic Clinic, Jastrzębowskiego Str. 24, 02-783 Warsaw, Poland.
J Clin Med. 2021 Mar 19;10(6):1280. doi: 10.3390/jcm10061280.
During the pandemic, many healthcare professionals (HCPs) are overburdened by work and stress. The aim of the study was to examine alcohol intake, sleep disorders, and depressive symptoms of HCPs during the pandemic in comparison with the pre-pandemic period. Another goal was to indicate risk factors for mental state deterioration and an increase in alcohol use. A cross-sectional survey study was conducted from 1 April to 15 May 2020. HCPs ( = 158) completed questionnaires that probed for symptoms during and prior to the pandemic, including the Beck depression inventory (BDI), Social Support Scale (MOS-SSS), Athens insomnia scale (AIS), and Alcohol Timeline Followback (TLFB) calendar of alcohol consumption. Gender, age, education, marital status, work situation, income, participants' and relatives' COVID-19 diagnosis as correlates were analyzed. Depressive symptoms and insomnia became more severe during the pandemic among HCPs, while social support increased. The increase in depressive symptoms was even higher among women (OR 2.78, 95% CI 1.05-7.36; = 0.04) and was also positively correlated with work reduction ( = 0.02); the presence of sleep disorders was correlated with female gender. Alcohol consumption increased during the pandemic, and was correlated with both more time spent at work and income increase. HCPs involved in the treatment of COVID-19 need support and attention due to the excessive stress load during pandemics, resulting in depression, insomnia, and increased alcohol intake.
在疫情期间，许多医护人员工作负担过重且压力巨大。本研究的目的是比较疫情期间与疫情前医护人员的酒精摄入量、睡眠障碍和抑郁症状。另一个目标是指出精神状态恶化和酒精使用增加的风险因素。2020年4月1日至5月15日进行了一项横断面调查研究。158名医护人员完成了问卷，这些问卷询问了疫情期间及之前的症状，包括贝克抑郁量表（BDI）、社会支持量表（MOS - SSS）、雅典失眠量表（AIS）以及酒精摄入时间线回溯（TLFB）日历。分析了性别、年龄、教育程度、婚姻状况、工作情况、收入、参与者及其亲属的新冠病毒诊断情况作为相关因素。疫情期间，医护人员的抑郁症状和失眠情况变得更加严重，而社会支持增加。女性的抑郁症状增加更为明显（比值比2.78，95%置信区间1.05 - 7.36；P = 0.04），并且与工作减少也呈正相关（P = 0.02）；睡眠障碍的存在与女性性别相关。疫情期间酒精消费量增加，并且与工作时间增加和收入增加均相关。由于疫情期间压力过大，参与新冠病毒治疗的医护人员需要支持和关注，这导致了抑郁、失眠以及酒精摄入量增加。
