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医护人员在新冠疫情期间的精神压力、焦虑和抑郁症状与白细胞介素-6 水平。

Mental Stress, Anxiety and Depressive Symptoms and Interleuken-6 Level among Healthcare Workers during the COVID-19 Pandemic.

机构信息

Department of Public health, Occupational and Environmental Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Department of Neurology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

出版信息

J Prim Care Community Health. 2021 Jan-Dec;12:21501327211027432. doi: 10.1177/21501327211027432.

Abstract

OBJECTIVES

This study aimed to evaluate the interleukin-6 (IL-6) levels and its relationship to stress, anxiety, and depressive symptoms among healthcare workers (HCWs) compared to controls during the COVID-19 pandemic.

METHODS

A total of 80 HCWs in Suez Canal University Hospital in Ismailia, Egypt, and 80 controls were analyzed during the COVID-19 pandemic. The Depression, Anxiety and Stress Scale (DASS 21) questionnaire was used, and serum IL-6 level was determined in both groups.

RESULTS

IL-6 levels were high in 81.2% (65) of HCWs compared to 36% (45) of controls ( < .05). The DASS score was higher in participants with high IL-6 levels (>3 ng/mL) than in those with mild to moderate levels ( < .05). The regression model revealed that the type of work as a healthcare staff, irregular or night shift, and stress were predictors of increased IL-6 levels among the studied sample ( < .05) (odds ratio = 20.30, 2.44, and 2.04, respectively).

CONCLUSION

The IL-6 level and DASS score were higher in HCWs compared to those in controls during the COVID-19 pandemic. The type of work as a healthcare staff, stress, and irregular or night shift were predictors of increased IL-6 levels.

摘要

目的

本研究旨在评估白细胞介素 6(IL-6)水平及其与压力、焦虑和抑郁症状在 COVID-19 大流行期间医护人员(HCWs)与对照组之间的关系。

方法

在 COVID-19 大流行期间,对埃及伊斯梅里亚苏伊士运河大学医院的 80 名 HCWs 和 80 名对照组进行了分析。使用抑郁、焦虑和压力量表(DASS 21)问卷,并确定了两组的血清 IL-6 水平。

结果

与对照组的 36%(45 名)相比,81.2%(65 名)的 HCWs 的 IL-6 水平较高(<0.05)。与 IL-6 水平轻度至中度(<0.05)相比,IL-6 水平较高(>3ng/mL)的参与者的 DASS 评分更高。回归模型显示,作为医护人员的工作类型、不规律或夜班以及压力是研究样本中 IL-6 水平升高的预测因素(<0.05)(比值比分别为 20.30、2.44 和 2.04)。

结论

与 COVID-19 大流行期间的对照组相比,HCWs 的 IL-6 水平和 DASS 评分更高。作为医护人员的工作类型、压力和不规律或夜班是 IL-6 水平升高的预测因素。

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