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COVID-19大流行对埃塞俄比亚西北部医护人员心理健康的不良影响:一项多中心横断面研究

Mental Health Adverse Effects of COVID-19 Pandemic on Health Care Workers in North West Ethiopia: A Multicenter Cross-Sectional Study.

作者信息

Asnakew Sintayehu, Amha Haile, Kassew Tilahun

机构信息

Department of Psychiatry, School of Medicine, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.

Departments of Psychiatry, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.

出版信息

Neuropsychiatr Dis Treat. 2021 May 7;17:1375-1384. doi: 10.2147/NDT.S306300. eCollection 2021.

Abstract

BACKGROUND

The coronavirus has affected nearly every aspect of our lives. Most importantly the health-care workers (HCWs) are under insurmountable psychological pressures which lead them to various mental health problems, such as anxiety, stress, and depression.

OBJECTIVE

This study aimed to assess mental health adverse effects of COVID-19 pandemic on health-care workers in North West Ethiopia 2020.

MATERIALS AND METHODS

Institutional-based cross-sectional study was conducted. A simple random sampling technique was applied and 419 participants completed the questionnaire. Mental health adverse effects were measured using the depression, anxiety and stress scale (DASS-21). Data were entered into Epi data version 4.4.2 then exported to SPSS version 24 for analysis. Descriptive, bivariate, and multivariate binary logistic regressions with odds ratios and 95% confidence interval were employed. The level of significance of association was determined at a p-value < 0.05.

RESULTS

Prevalence of depression, anxiety, and stress in this study was 58.2%, 64.7%, and 63.7%, respectively Those who had a medical illness, and mental illness, contact with confirmed COVID-19 pts, and poor social support showed a statistically significant association with depression. Female sex, participants who had families with chronic illness, had contact with confirmed COVID-19 case and poor social support had statistically significant association with anxiety, whereas participants who had families with chronic illness had contact with confirmed COVID-19 cases, and those participants who had poor social support were predictors of stress during COVID-19 pandemic.

CONCLUSION

The magnitudes of mental health problems were higher and the concerned body should emphasize the continuous assessment of the mental health of health-care workers during this pandemic.

摘要

背景

冠状病毒已经影响了我们生活的几乎方方面面。最重要的是,医护人员承受着难以克服的心理压力,这导致他们出现各种心理健康问题,如焦虑、压力和抑郁。

目的

本研究旨在评估2020年新冠疫情对埃塞俄比亚西北部医护人员心理健康的不良影响。

材料与方法

开展了一项基于机构的横断面研究。采用简单随机抽样技术,419名参与者完成了问卷调查。使用抑郁、焦虑和压力量表(DASS-21)来测量心理健康不良影响。数据录入Epi数据4.4.2版本,然后导出到SPSS 24版本进行分析。采用描述性、双变量和多变量二元逻辑回归分析,并计算比值比和95%置信区间。关联显著性水平确定为p值<0.05。

结果

本研究中抑郁、焦虑和压力的患病率分别为58.2%、64.7%和63.7%。患有躯体疾病和精神疾病、接触确诊新冠患者以及社会支持差的人,与抑郁存在统计学显著关联。女性、家中有慢性病患者、接触确诊新冠病例以及社会支持差的参与者,与焦虑存在统计学显著关联,而家中有慢性病患者、接触确诊新冠病例以及社会支持差的参与者,是新冠疫情期间压力的预测因素。

结论

心理健康问题的程度较高,相关机构应在此次疫情期间重视对医护人员心理健康的持续评估。

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