Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia.
Federal Government Administrative Centre, Medical Practice Division, Ministry of Health, Level 7, Block E1, Parcel E, Putrajaya 62590, Malaysia.
Int J Environ Res Public Health. 2021 Aug 30;18(17):9157. doi: 10.3390/ijerph18179157.
COVID-19 has impacted people psychologically globally, including healthcare providers. Anxiety, depression, and stress are the most common impacts that have affected these people. Thus, this study was aimed to ascertain the estimated prevalence of psychological impacts among healthcare providers in the Asian region. A systematic search was performed in the MEDLINE, CINAHL, and Scopus databases for original research articles published between 2020 and April 2021. Only studies published in English were included. The quality of data was assessed using the Joanna Briggs Institute Meta-Analysis, and the analysis was performed using generic inverse variance with a random-effects model by Review Manager software. A total of 80 studies across 18 countries in Asia region were pooled to assess the data prevalence on anxiety (34.81% (95% CI: 30.80%, 38.83%)), depression (34.61% (95% CI: 30.87%, 38.36%)), stress (31.72% (95% CI: 21.25%, 42.18%)), insomnia (37.89% (95% CI: 25.43%, 50.35%)), and post-traumatic stress disorder (15.29% (95% CI: 11.43%, 19.15%)). Subgroup analyses were conducted across regions, type of healthcare providers, sex, and occupation. This review has identified a high prevalence of anxiety, depression, stress, and insomnia but a low prevalence of post-traumatic stress disorder among healthcare providers in Asia regions. Effective intervention support programs are urgently needed to improve psychological health of healthcare providers and maintaining the health system.
新型冠状病毒肺炎(COVID-19)在全球范围内对人们的心理产生了影响,包括医护人员。焦虑、抑郁和压力是影响这些人群的最常见影响。因此,本研究旨在确定亚洲地区医护人员心理影响的估计患病率。在 MEDLINE、CINAHL 和 Scopus 数据库中进行了系统检索,以查找 2020 年至 2021 年 4 月期间发表的原始研究文章。仅纳入以英文发表的研究。使用 Joanna Briggs 研究所 Meta 分析评估数据质量,并使用 Review Manager 软件通过通用倒数方差和随机效应模型进行分析。对来自亚洲 18 个国家的 80 项研究进行汇总,以评估焦虑(34.81%(95%CI:30.80%,38.83%))、抑郁(34.61%(95%CI:30.87%,38.36%))、压力(31.72%(95%CI:21.25%,42.18%))、失眠(37.89%(95%CI:25.43%,50.35%))和创伤后应激障碍(15.29%(95%CI:11.43%,19.15%))的患病率数据。在区域、医护人员类型、性别和职业方面进行了亚组分析。本综述发现,亚洲地区医护人员焦虑、抑郁、压力和失眠的患病率较高,但创伤后应激障碍的患病率较低。迫切需要有效的干预支持计划来改善医护人员的心理健康并维持卫生系统。