Jemal Kemal, Deriba Berhanu Senbeta, Geleta Tinsae Abeya
Department of Nursing, College of Health Sciences, Salale University, Fitche, Ethiopia.
Department of Public Health, College of Health Sciences, Salale University, Fitche, Ethiopia.
Front Psychiatry. 2021 May 13;12:628898. doi: 10.3389/fpsyt.2021.628898. eCollection 2021.
The coronavirus disease 2019 (COVID-19) pandemic has had a significant psychological impact on health care workers (HCWs). Therefore, this study inspects the mental health status, behavioral response, and perception among HCWs (nurses, physicians, and medical laboratory workers) during the COVID-19 pandemic in public health care facilities. A facilities-based cross-sectional study was conducted in July 2020. A simple random sampling technique was used to select study participants. Data were collected by self-report administered questionnaires using Patient Health Questionnaire-9 (PHQ-9) for depression, General Anxiety Disorder-7 (GAD-7) for anxiety, Insomnia Severity Index (ISI) for insomnia, Impact of Event Scale-Revised (IES-R) for psychological distress, Perceived Threat Scale for perception, and Behavioral Response Inquiry for the behavioral response. Moreover, bivariable and multivariable logistic regressions analysis was used to identify the association between dependent and independent variables at -value <0.05. A total of 417 (98.6%) HCWs responded to a self-administered questionnaire. The proportion of HCWs who had moderate to severe symptoms of psychological distress, depression, anxiety, and insomnia during the COVID-19 pandemic were 58, 16.3, 30.7, and 15.9%, respectively. Three-fifth of the nurses, medical laboratory professionals (62.2%), and physicians (59.2%) had reported good behavioral responses toward the COVID-19 pandemic. More than three-fifths of the nurses had reported poor perception toward the COVID-19 pandemic. Conversely, 61.2% of physicians and three-fourths (75.5%) of medical laboratory professionals had reported good perception toward the COVID-19 pandemic. Female and married participants, those working in the emergency unit, those with poor behavioral responses, and those with poor perception toward the COVID-19 pandemic were significantly associated with symptoms of psychological distress, depression, anxiety, and insomnia. Psychological impacts among physicians, nurses, and medical laboratory professionals are high during the COVID-19 pandemic. The Ethiopian Federal Ministry of Health should aim to protect all HCWs' psychological well-being during the COVID-19 pandemic with appropriate interventions and accurate information response.
2019年冠状病毒病（COVID-19）大流行对医护人员产生了重大的心理影响。因此，本研究调查了公共卫生保健机构中COVID-19大流行期间医护人员（护士、医生和医学检验人员）的心理健康状况、行为反应和认知情况。2020年7月进行了一项基于机构的横断面研究。采用简单随机抽样技术选取研究参与者。通过自我报告问卷收集数据，使用患者健康问卷-9（PHQ-9）评估抑郁，广泛性焦虑障碍量表-7（GAD-7）评估焦虑，失眠严重程度指数（ISI）评估失眠，事件影响量表修订版（IES-R）评估心理困扰，感知威胁量表评估认知情况，行为反应调查问卷评估行为反应。此外，采用双变量和多变量逻辑回归分析确定因变量和自变量之间在P值<0.05时的关联。共有417名（98.6%）医护人员对自我管理问卷做出了回应。在COVID-19大流行期间，有中度至重度心理困扰、抑郁、焦虑和失眠症状的医护人员比例分别为58%、16.3%、30.7%和15.9%。五分之三的护士、医学检验专业人员（62.2%）和医生（59.2%）报告对COVID-19大流行有良好的行为反应。超过五分之三的护士报告对COVID-19大流行的认知较差。相反，61.2%的医生和四分之三（75.5%）的医学检验专业人员报告对COVID-19大流行有良好的认知。女性和已婚参与者、在急诊科工作的人员、行为反应较差的人员以及对COVID-19大流行认知较差的人员与心理困扰、抑郁、焦虑和失眠症状显著相关。在COVID-19大流行期间，医生、护士和医学检验专业人员的心理影响程度较高。埃塞俄比亚联邦卫生部应旨在通过适当的干预措施和准确的信息回应，在COVID-19大流行期间保护所有医护人员的心理健康。
