Ike Ikenna David, Durand-Hill Matthieu, Elmusharaf Eiman, Asemota Nicole, Silva Elizabeth, White Elliott, Awad Wael I
Department of Cardiothoracic Surgery, St Bartholomew's Hospital, London, UK.
Gen Psychiatr. 2021 Mar 19;34(2):e100368. doi: 10.1136/gpsych-2020-100368. eCollection 2021.
Experiencing a pandemic can be very unsettling and may have a negative impact on the mental health of frontline healthcare workers (HCWs). This may have serious consequences for the overall well-being of HCWs, which in turn may adversely affect patient safety and the productivity of the institution.
We designed a study to assess the prevalence of generalised anxiety disorder (GAD), depression and work-related stress experienced by the National Health Service staff in a large tertiary London hospital treating patients with COVID-19 during the current active phase of the COVID-19 era.
An anonymous survey was designed with demographic data and three questionnaires. The Generalised Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 were used to assess anxiety and depression, respectively. The Health and Safety Executive Management Standards Indicator Tool was used to assess work-related stress. Staff from multiple specialties embracing cardiothoracic surgery, cardiology, respiratory medicine, endocrinology, oncology, imaging, anaesthesia and intensive care at our hospital were asked to complete the questionnaire between 25 May and 15 June 2020.
A total of 302 staff members (106 males and 196 females) completed the survey. The overall prevalence of GAD and depression was 41.4% and 42.7%, respectively. The prevalence of GAD and depression was significantly higher in females than in males and was statistically significant. Nurses were four times more likely to report moderate to severe levels of anxiety and depression as compared with doctors. Work-related stress was also observed to be prevalent in our surveyed population with the following standards: relationships, role, control and change showing a need for improvement.
Our study presents early evidence suggestive of a high prevalence of GAD, depression and work-related stress in HCWs. It is imperative that coherent strategies are implemented to improve the healthcare work environment during this pandemic and mitigate further injury to the mental health status of the healthcare population.
经历一场大流行病可能会让人非常不安，并可能对一线医护人员的心理健康产生负面影响。这可能会对医护人员的整体幸福感产生严重后果，进而可能对患者安全和机构的生产力产生不利影响。
我们设计了一项研究，以评估在新冠疫情当前活跃阶段，伦敦一家大型三级医院中，国民医疗服务体系（NHS）工作人员中广泛性焦虑障碍（GAD）、抑郁症及工作相关压力的患病率。
设计了一项包含人口统计学数据和三份问卷的匿名调查。分别使用广泛性焦虑障碍量表（GAD-7）和患者健康问卷-9来评估焦虑和抑郁情况。使用健康与安全执行管理标准指标工具来评估工作相关压力。我们医院心胸外科、心脏病学、呼吸医学、内分泌学、肿瘤学、影像学、麻醉学和重症监护等多个专科的工作人员被要求在2020年5月25日至6月15日期间完成问卷。
共有302名工作人员（106名男性和196名女性）完成了调查。广泛性焦虑障碍和抑郁症的总体患病率分别为41.4%和42.7%。女性中广泛性焦虑障碍和抑郁症的患病率显著高于男性，且具有统计学意义。与医生相比，护士报告中度至重度焦虑和抑郁水平的可能性高出四倍。在我们的调查人群中，工作相关压力也很普遍，在人际关系、角色、控制和变革等方面显示出需要改进。
我们的研究提供了早期证据，表明医护人员中广泛性焦虑障碍、抑郁症和工作相关压力的患病率很高。在这场大流行期间，必须实施连贯的策略来改善医疗工作环境，并减轻对医护人员心理健康状况的进一步伤害。
