肯尼亚新冠疫情早期医护人员的精神障碍；一项在线描述性调查的结果
Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey.
作者信息
Kwobah Edith Kamaru, Mwangi Ann, Patel Kirtika, Mwogi Thomas, Kiptoo Robert, Atwoli Lukoye
机构信息
Department of Mental Health, Moi Teaching and Referral Hospital, Eldoret, Kenya.
Department of Mathematics, Physics and Computing, Moi University, Eldoret, Kenya.
出版信息
Front Psychiatry. 2021 Jul 22;12:665611. doi: 10.3389/fpsyt.2021.665611. eCollection 2021.
Healthcare workers responding to the Corona Virus Pandemic (COVID-19) are at risk of mental illness. Data is scanty on the burden of mental disorders among Kenyan healthcare workers responding to the pandemic that can inform mental health and psychosocial support. The purpose of this study was to establish the frequency and associated factors of worry, generalized anxiety disorder, depression, posttraumatic stress disorder and poor quality of sleep among Kenyan health care workers at the beginning of COVID-19 pandemic. We conducted an online survey among 1,259 health care workers in Kenya. A researcher developed social demographic questionnaire and several standardized tools were used for data collection. Standardized tools were programmed into Redcap, (Research Electronic Data Capture) and data analysis was performed using R Core Team. In all analysis a -value < 0.05 was considered significant. 66% of the participants reported experiencing worry related to COVID-19. 32.1% had depression, 36% had generalized anxiety, 24.2% had insomnia and 64.7% scored positively for probable Post Traumatic Stress Disorder (PTSD). Depression was higher among females compared to men (36.5 vs. 26.9%, = 0.003), workers <35 years old compared to older ones (38.1 vs. 26.4%, < 0.001), and those who were not married compared to those who were married (40.6 vs. 27.6%, < 0.001). Generalized anxiety was commoner among workers aged <35 years (43.5 vs. 29.3%, < 0.001), females (41.7 vs. 29.2%, < 0.001), those who mere not married compared to the married (45.2 vs. 31.2%, < 0.001) and those with <10 years working experience (41.6 to 20.5%, < 0.001). Younger health care professional had a higher proportion of insomnia compared to the older ones (30.3 vs. 18.6%, < 0.001). Insomnia was higher among those with <10 years' experience compared to those with more than 20 years' experience(27.3 vs. 17.6%, = 0.043) Many Kenyan healthcare workers in the early phase of COVID-19 pandemic suffered from various common mental disorders with young, female professionals who are not married bearing the bigger burden. This data is useful in informing interventions to promote mental and psychosocial wellbeing among Kenyan healthcare workers responding to the pandemic.
应对新冠疫情（COVID-19）的医护人员面临患精神疾病的风险。关于肯尼亚应对该疫情的医护人员精神障碍负担的数据很少，而这些数据可为心理健康和社会心理支持提供参考。本研究的目的是确定在COVID-19大流行初期肯尼亚医护人员中担忧、广泛性焦虑障碍、抑郁症、创伤后应激障碍和睡眠质量差的发生率及相关因素。我们对肯尼亚的1259名医护人员进行了在线调查。研究人员编制了社会人口学问卷，并使用了几种标准化工具进行数据收集。标准化工具被编入Redcap（研究电子数据采集），并使用R核心团队进行数据分析。在所有分析中，P值<0.05被认为具有统计学意义。66%的参与者报告经历了与COVID-19相关的担忧。32.1%的人患有抑郁症，36%的人患有广泛性焦虑症，24.2%的人患有失眠症，64.7%的人在可能的创伤后应激障碍（PTSD）测试中呈阳性。女性的抑郁症患病率高于男性（36.5%对26.9%，P = 0.003），35岁以下的工作人员高于年长的工作人员（38.1%对26.4%，P < 0.001），未婚者高于已婚者（40.6%对27.6%，P < 0.001）。广泛性焦虑症在35岁以下的工作人员中更为常见（43.5%对29.3%，P < 0.001），女性（41.7%对29.2%，P < 0.001），未婚者高于已婚者（45.2%对31.2%，P < 0.001）以及工作经验少于10年的人（41.6%对20.5%，P < 0.001）。年轻的医护人员失眠的比例高于年长的医护人员（30.3%对18.6%，P < 0.001）。工作经验少于10年的人失眠率高于工作经验超过20年的人（27.3%对17.6%，P = 0.043）。在COVID-19大流行早期，许多肯尼亚医护人员患有各种常见的精神障碍，未婚的年轻女性专业人员负担更重。这些数据有助于为促进肯尼亚应对该疫情的医护人员的心理健康和社会心理福祉的干预措施提供参考。
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