Teshome Abinet, Shegaze Mulugeta, Glagn Mustefa, Getie Asmare, Tekabe Beemnet, Getahun Dinkalem, Kanko Tesfaye, Getachew Tamiru, Yenesew Nuhamin, Meskele Simeon, Tolosie Kabtamu, Temtem Zebene, Yirgu Teshome
Department of Biomedical Science, Arba Minch University, Arba Minch, Ethiopia.
School of Public Health, Arba Minch University, Arba Minch, Ethiopia.
PLoS One. 2021 Jun 10;16(6):e0252809. doi: 10.1371/journal.pone.0252809. eCollection 2021.
Health care professionals are at higher risk of developing stress-related problems during outbreaks, due to the overwhelming clinical workload, fear of contagion, and inadequate protective gears. So, in order to monitoring mental health issues and to understand the factors evidence-based interventions is important. Therefore, this study was aimed to assess perceived stress and associated factors among health care professionals working in the context of COVID-19, Southern Ethiopia.
Institution based cross-sectional study was conducted among 798 health care professionals from the 1st May to 1st June 2020. The study participants were selected using simple random sampling technique after allocating a proportion to each health institute based on the size of health care professionals. A pre-tested and structured interviewer-administered questionnaire using KOBO collect survey tool was used to collect data. A total score of >20 points was considered as the cut off for experiencing perceived stress based on perceived stress scale. Both bivariable and multivariable logistic regression analysis were performed to identify associated factors. The level of statistical significance was set at a p-value of less than 0.05 in multivariable logistic regression.
Nearly two-thirds 61.8% (95% CI: 58.4%, 65.2%) of HCPs had perceived stress. Not having COVID-19 updated information (AOR = 2.41, 95% CI: 1.31, 4.43), not at all confident on coping with stress (AOR = 9.94, 95% CI:3.74, 26.41), somewhat confident in coping with stress (AOR = 4.69, 95% CI:2.81, 7.84), moderately confident on coping with stress (AOR = 2.36, 95% CI: 1.46, 3.82), and not getting along well with people (AOR = 4.88, 95% CI: 1.42, 16.72) were positively association with perceived stress. However, feeling overwhelmed by the demand of everyday life (AOR = 0.52 95% CI: 0.35, 0.77) and worrying about what other people think about them (AOR = 0.48, 95% CI: 0.24, 0.81) were negatively associated with perceived stress.
COVID-19 update, confidence in coping with stress, getting along with people, worrying about what other people think about them, and feeling overwhelmed by the demand of everyday life were factors significantly associated with perceived stress. The provision of COVID-19 update to HCPs along with wider strategies to support their psychological wellbeing is vital.
在疫情爆发期间，医护人员面临着更高的与压力相关问题的风险，这是由于临床工作量巨大、对感染的恐惧以及防护装备不足。因此，为了监测心理健康问题并了解基于证据的干预措施的影响因素非常重要。所以，本研究旨在评估埃塞俄比亚南部在新冠疫情背景下工作的医护人员的感知压力及相关因素。
2020年5月1日至6月1日，对798名医护人员进行了基于机构的横断面研究。根据医护人员数量按比例分配到各医疗机构后，采用简单随机抽样技术选取研究参与者。使用KOBO收集调查工具，通过预先测试和结构化的访谈问卷收集数据。根据感知压力量表，总分>20分被视为经历感知压力的临界值。进行了双变量和多变量逻辑回归分析以确定相关因素。多变量逻辑回归中，统计学显著性水平设定为p值小于0.05。
近三分之二（61.8%，95%可信区间：58.4%，65.2%）的医护人员有感知压力。没有新冠疫情最新信息（调整后比值比[AOR]=2.41，95%可信区间：1.31，4.43）、对应对压力完全没有信心（AOR=9.94，95%可信区间：3.74，26.41）、对应对压力有些信心（AOR=4.69，95%可信区间：2.81，7.84）、对应对压力有中等信心（AOR=2.36，95%可信区间：1.46，3.82）以及与他人相处不融洽（AOR=4.88，95%可信区间：1.42，16.72）与感知压力呈正相关。然而，因日常生活需求而感到不堪重负（AOR=0.52，95%可信区间：0.35，0.77）以及担心他人对自己的看法（AOR=0.48，95%可信区间：0.24，0.81）与感知压力呈负相关。
新冠疫情信息更新、应对压力的信心、与他人相处、担心他人对自己的看法以及因日常生活需求而感到不堪重负是与感知压力显著相关的因素。向医护人员提供新冠疫情信息更新以及更广泛的支持其心理健康的策略至关重要。
