Oncology Clinic, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
Clinic of Oncology, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Med Sci Monit. 2021 Apr 19;27:e930812. doi: 10.12659/MSM.930812.
BACKGROUND Providing oncology services during a pandemic can contribute to mental health challenges among healthcare workers. The present study aimed to evaluate the levels of depression, anxiety, and stress in healthcare and administrative staff in 5 oncology institutions in Bosnia and Herzegovina (BiH) in 2020 during the coronavirus disease 2019 (COVID-19) pandemic using the Depression, Anxiety and Stress Scale (DASS-21) questionnaire. MATERIAL AND METHODS A cross-sectional observational study enrolled 175 healthcare and administrative workers from 5 oncology institutions in BiH during December 2020. Data were collected using a questionnaire that captured general information about the participants and a DASS-21 questionnaire. RESULTS Statistical analysis revealed a statistically significant difference in the levels of depression, anxiety, and stress (P=0.003, P=0.011, and P=0.022, respectively) among participants with comorbidities connected with increased risk of severe illness caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) compared with participants without comorbidities. There was also a statistically significant difference in the levels of stress among participants from different cities (P=0.031). Supplement intake and educational level were significantly related (P=0.012). High levels of stress and anxiety were accompanied by high levels of depression among participants (P<0.01). CONCLUSIONS The findings from the present study showed that the COVID-19 pandemic has had an effect on depression, anxiety, and stress levels in oncology staff in BiH. Monitoring these levels and providing interventions and support to oncology staff are increasingly important for their wellbeing and retention at a time of global crisis in healthcare.
在大流行期间提供肿瘤学服务可能会给医疗保健工作者的心理健康带来挑战。本研究旨在使用抑郁、焦虑和压力量表（DASS-21）问卷评估 2020 年 COVID-19 大流行期间，波黑 5 家肿瘤学机构的医护和行政人员的抑郁、焦虑和压力水平。
这是一项在 2020 年 12 月期间在波黑 5 家肿瘤学机构中进行的横断面观察性研究，共纳入 175 名医护和行政人员。使用问卷收集参与者的一般信息和 DASS-21 问卷收集数据。
统计分析显示，患有与严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）引起的严重疾病风险增加相关的合并症的参与者的抑郁、焦虑和压力水平与无合并症的参与者存在统计学差异（P=0.003，P=0.011，P=0.022）。来自不同城市的参与者的压力水平也存在统计学差异（P=0.031）。补充剂的摄入和教育水平显著相关（P=0.012）。压力水平高的参与者焦虑和抑郁水平也较高（P<0.01）。
本研究结果表明，COVID-19 大流行对波黑肿瘤学工作人员的抑郁、焦虑和压力水平产生了影响。在全球医疗保健危机时期，监测这些水平并为肿瘤学工作人员提供干预和支持对于他们的福祉和留任至关重要。
