Department of Geriatrics, Jilin Academy of Chinese Medicine Sciences, Changchun, Jilin, China.
Center of Preventive Treatment of Diseases, the Affiliated Hospital to Changchun University of Chinese Medicine, Changchun, Jilin, China.
Braz J Med Biol Res. 2021 Jun 14;54(9):e10602. doi: 10.1590/1414-431X2020e10602. eCollection 2021.
The outbreak of the 2019 novel coronavirus disease (COVID-19) has impacted the mental health of healthcare providers at the frontline. Therefore, we conducted this study to estimate the prevalence rate of anxiety and insomnia and identify associated risk factors among healthcare workers in Jilin, China, during the period from January 25 to February 25, 2020. Zung's Self-Reported Anxiety Scale (SAS) and the Insomnia Severity Index (ISI) scale were used to diagnose anxiety and insomnia, respectively. Associated risk factors were identified through a multivariate logistic regression model. A total of 300 healthcare workers were invited and 236 completed the study. Of them, 234 (99.15%) were medical workers, 197 (83.47%) were working at frontline departments, and 159 (67.37%) were fighting against COVID-19. Fifty-seven respondents (24.15%) had anxiety (SAS index score ≥45) and 94 (39.83%) had insomnia (ISI score ≥8). Based on the multivariate analysis, contact with people from Hubei province during work (no vs not clear) [OR=0.25, 95%CI: 0.10-0.61] and personal protective equipment (PPE) (not in place vs in place) [OR=6.22, 95%CI: 2.23-17.40] were significantly correlated with anxiety. PPE (not in place vs in place) was the only significant risk factor of insomnia [OR=10.56, 95%CI: 4.00-27.87]. The prevalence of anxiety and insomnia was high in our study, reflecting the psychological impact of COVID-19 on healthcare workers. The unavailability of PPE in place was a significant risk factor of both anxiety and insomnia.
2019 年新型冠状病毒病(COVID-19)的爆发对一线医护人员的心理健康产生了影响。因此,我们于 2020 年 1 月 25 日至 2 月 25 日期间在中国吉林对医护人员进行了这项研究,旨在评估焦虑和失眠的发生率,并确定相关危险因素。采用 Zung 焦虑自评量表(SAS)和失眠严重指数(ISI)量表分别诊断焦虑和失眠。通过多变量 logistic 回归模型确定相关危险因素。共邀请了 300 名医护人员,其中 236 名完成了研究。他们中 234 名(99.15%)是医务人员,197 名(83.47%)在一线部门工作,159 名(67.37%)在抗击 COVID-19。57 名受访者(24.15%)有焦虑(SAS 指数得分≥45),94 名(39.83%)有失眠(ISI 得分≥8)。多变量分析显示,工作期间接触过湖北人(否与不清楚)[OR=0.25,95%CI:0.10-0.61]和个人防护设备(PPE)(未到位与到位)[OR=6.22,95%CI:2.23-17.40]与焦虑显著相关。PPE(未到位与到位)是失眠的唯一显著危险因素[OR=10.56,95%CI:4.00-27.87]。我们的研究中焦虑和失眠的发生率较高,反映了 COVID-19 对医护人员的心理影响。PPE 不到位是焦虑和失眠的显著危险因素。
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