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埃塞俄比亚医护人员在新冠疫情期间自我报告的抑郁、焦虑和压力症状:一项横断面研究

Self-Reported Symptoms of Depression, Anxiety, and Stress Among Healthcare Workers in Ethiopia During the COVID-19 Pandemic: A Cross-Sectional Study.

作者信息

Jemal Kemal, Deriba Berhanu Senbeta, Geleta Tinsae Abeya, Tesema Mengistu, Awol Mukemil, Mengistu Endeshaw, Annous Youssef

机构信息

Salale University, College of Health Sciences, Department of Nursing, Fitche, Ethiopia.

Salale University, College of Sciences, Department of Public Health, Fitche, Ethiopia.

出版信息

Neuropsychiatr Dis Treat. 2021 May 6;17:1363-1373. doi: 10.2147/NDT.S306240. eCollection 2021.

Abstract

BACKGROUND

The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency that has affected many world nations, including Ethiopia. Aside from its implications on the community as a whole, COVID-19 has also been associated with a variety of mental health problems among healthcare workers (HCWs). In this study, we aim to assess the prevalence of self-reported symptoms of depression, anxiety, and stress during the COVID-19 pandemic among HCWs in central Ethiopia.

METHODS

An institutional-based cross-sectional study was conducted using an online survey from June 25, 2020, to July 25, 2020, in Ethiopia. Data were collected using a self-reported Depression, Anxiety, and Stress Scale (DASS-21). Data were cleaned, coded, and analysed using SPSS Version 23. A multivariable logistic regression analysis was done to identify the associated factors for mental health outcomes at a p-value of less than 0.05.

RESULTS

A total of 816 HCWs completed the self-report questionnaire. The percentage of HCWs who had moderate to extremely severe symptoms of depression, anxiety, and stress were 60.3%, 78%, and 33.8%, respectively. Female participants, HCWs in the Oromiya Special Zone, medical laboratory professionals, and HCWs working in the COVID-19 treatment isolation centers were significantly more likely to have symptoms of depression, anxiety, and stress.

CONCLUSION

In this study, HCWs reported a high prevalence of depression, anxiety, and stress symptoms. Female participants, HCWs in the Oromiya Special Zone, medical laboratory professionals, and HCWs working in the COVID-19 treatment isolation centers were significantly more likely to have symptoms of depression, anxiety, and stress. It is imperative that the Ethiopian Federal Ministry of Health should develop psychological interventions to address the specific needs of HCWs who have been impacted by the COVID-19 pandemic.

摘要

背景

2019年冠状病毒病(COVID-19)大流行是一场影响了包括埃塞俄比亚在内的许多世界国家的公共卫生紧急事件。除了对整个社区产生影响外,COVID-19还与医护人员(HCW)中的各种心理健康问题有关。在本研究中,我们旨在评估埃塞俄比亚中部医护人员在COVID-19大流行期间自我报告的抑郁、焦虑和压力症状的患病率。

方法

2020年6月25日至2020年7月25日在埃塞俄比亚进行了一项基于机构的横断面研究,采用在线调查。使用自我报告的抑郁、焦虑和压力量表(DASS-21)收集数据。使用SPSS 23版对数据进行清理、编码和分析。进行多变量逻辑回归分析以确定心理健康结果的相关因素,p值小于0.05。

结果

共有816名医护人员完成了自我报告问卷。有中度至极其严重抑郁、焦虑和压力症状的医护人员百分比分别为60.3%、78%和33.8%。女性参与者、奥罗米亚特别区的医护人员、医学实验室专业人员以及在COVID-19治疗隔离中心工作的医护人员出现抑郁、焦虑和压力症状的可能性显著更高。

结论

在本研究中,医护人员报告的抑郁、焦虑和压力症状患病率很高。女性参与者、奥罗米亚特别区的医护人员、医学实验室专业人员以及在COVID-19治疗隔离中心工作的医护人员出现抑郁、焦虑和压力症状的可能性显著更高。埃塞俄比亚联邦卫生部必须制定心理干预措施,以满足受COVID-19大流行影响的医护人员的特殊需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17ce/8110274/3e547a33e2dd/NDT-17-1363-g0001.jpg

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