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评估 COVID-19 大流行期间伊朗医护人员的心理健康状况:一项基于网络的横断面研究。

Assessing mental health status among Iranian healthcare workers in times of the COVID-19 pandemic: A web-based cross-sectional study.

机构信息

Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Brain Behav. 2021 Aug;11(8):e2304. doi: 10.1002/brb3.2304. Epub 2021 Aug 1.

Abstract

OBJECTIVES

The present study was conducted to assess 3(HCWs) during the COVID-19 pandemic.

METHODS

A total number of 7626 HCWs were included in this web-based cross-sectional study, via the convenience sampling technique. To collect the required data, the sociodemographic characteristics information form, the Depression Anxiety Stress Scale-21 (DASS-21), and the Corona Disease Anxiety Scale (CDAS) were also employed. In addition, data analysis was performed using the SPSS Statistics software (ver. 24), as well as descriptive statistics, Chi-square test (χ ), and univariate/multivariate logistic regression models.

RESULTS

The CDAS results revealed that 47.9% and 70.5% of the HCWs had experienced moderate levels of physical and psychological anxiety, respectively. Based on the DASS results, 44.8%, 43%, and 34.8% of the HCWs had been subjected to depression, anxiety, and stress symptoms during the COVID-19 pandemic, respectively. The logistic regression models correspondingly showed that depression among the HCWs was significantly correlated with risk factors, such as the age groups of 20-30 years (p = .001), 31-40 years (p = .006), female HCWs (p> .001), history of physical illnesses (p = .004), and history of psychiatric disorders (p> .001). Moreover, factors including the age groups of 20-30 years (p < .001), 31-40 years (p < .001), 41-50 years (p < .001), female HCWs (p> .001), history of physical illnesses (p < .001), and history of psychiatric disorders (p>.001) were assumed as significant predictors of anxiety in these individuals. Besides, factors such as the age groups of 20-30 years (p = .002), 31-40 years (p = .004), female HCWs (p>.001), occupation (p = .016), history of physical illnesses (p < .001), and history of psychiatric disorders (p> .001) could significantly predict the prevalence rate of stress in the HCWs in times of this crisis.

CONCLUSION

Given the importance of mental health status among HCWs during the COVID-19 pandemic, health administrators and policymakers of the Ministry of Health and Medical Education in Iran are suggested to provide psychological screening and supportive care programs for HCWs with the aim of enhancing their mental health and successful coping with critical circumstances.

摘要

目的

本研究旨在评估 COVID-19 大流行期间的 3 名(HCWs)。

方法

本横断面研究共纳入 7626 名 HCWs,采用便利抽样技术。为了收集所需数据,还使用了社会人口统计学特征信息表、抑郁焦虑压力量表-21(DASS-21)和新冠疾病焦虑量表(CDAS)。此外,使用 SPSS Statistics 软件(版本 24)进行数据分析,包括描述性统计、卡方检验(χ )和单变量/多变量逻辑回归模型。

结果

CDAS 结果显示,47.9%和 70.5%的 HCWs 经历了中度的身体和心理焦虑。根据 DASS 结果,44.8%、43%和 34.8%的 HCWs 在 COVID-19 大流行期间分别出现抑郁、焦虑和压力症状。逻辑回归模型相应表明,HCWs 中的抑郁与年龄在 20-30 岁(p=.001)、31-40 岁(p=.006)、女性 HCWs(p>.001)、既往躯体疾病史(p=.004)和既往精神疾病史(p>.001)等风险因素显著相关。此外,年龄在 20-30 岁(p<.001)、31-40 岁(p<.001)、41-50 岁(p<.001)、女性 HCWs(p>.001)、既往躯体疾病史(p<.001)和既往精神疾病史(p>.001)等因素被认为是这些个体焦虑的显著预测因素。此外,年龄在 20-30 岁(p=.002)、31-40 岁(p=.004)、女性 HCWs(p>.001)、职业(p=.016)、既往躯体疾病史(p<.001)和既往精神疾病史(p>.001)等因素可显著预测 HCWs 在这一危机时期的压力发生率。

结论

鉴于 COVID-19 大流行期间 HCWs 心理健康状况的重要性,建议伊朗卫生部和医疗教育部的卫生行政人员和政策制定者为 HCWs 提供心理筛查和支持性护理计划,以增强他们的心理健康并成功应对危急情况。

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