Alhalaiqa Fadwa Naji, Khalifeh Anas H, Al Omari Omar, Yehia Dalal Bashier, Khalil Malek Mohammad Hassan
Psychiatric Mental Health, Faculty of Nursing, Philadelphia University, Amman, Jordan.
Department of Nursing, Hittien College, Amman, Jordan.
Front Psychol. 2021 Aug 26;12:679785. doi: 10.3389/fpsyg.2021.679785. eCollection 2021.
To explore the psychological problems (stress, depression, and anxiety) and the level of resilience among frontline healthcare workers (HCWs) who provide care for patients with coronavirus disease 2019 (COVID-19). Additionally, the current study identified the correlation among these problems, resilience, and demographics of participants. The study explored the main predictors of stress, depression, anxiety, and resilience. Both the descriptive cross-sectional correlational design and convenience sample technique were used to collect data from active Jordanian HCWs who directly deal with patients suspected or confirmed to be infected with COVID-19 and work at healthcare facilities in Jordan. Data were collected by using online questionnaires about the demographics, stress, anxiety, depression, and resilience of the participants. Data were collected from 225 HCWs. Their mean age was 31.17 years (SD = 6.8). All the participants perceived different levels of stress, with most perceiving exposure to a high level of stress (distress) (46.2% with low level and 53.8% with high level of stress); approximately half of them (52.9%; = 119) reported a high level of anxiety, and more than half (66.2%; = 149) had a high level of depression. Additionally, an increased anxiety and depression level was significantly associated with the decreased resilience and increased stress level. Increased age and experience of HCWs are significantly correlated with increased stress levels. The participants having personal protection equipment (PPE) reduced anxiety and depression and increased resilience ( > 0.05). The predictors of the main variables were varied in the study. Frontline HCWs involved in treating the patients with COVID-19 are liable to have a high level of stress that is associated with increased anxiety and depression levels. These high levels affect their mental well-being and resilience. Healthcare institutions in Jordan must tailor appropriate psychological interventions and support that are congruent with the needs of HCWs during and after caring for patients with COVID-19.
为探究为2019冠状病毒病（COVID-19）患者提供护理的一线医护人员的心理问题（压力、抑郁和焦虑）以及心理韧性水平。此外，本研究确定了这些问题、心理韧性与参与者人口统计学特征之间的相关性。该研究探讨了压力、抑郁、焦虑和心理韧性的主要预测因素。采用描述性横断面相关设计和便利抽样技术，从约旦积极参与直接诊治疑似或确诊感染COVID-19患者且在约旦医疗机构工作的医护人员中收集数据。通过在线问卷收集参与者的人口统计学特征、压力、焦虑、抑郁和心理韧性数据。共收集了225名医护人员的数据。他们的平均年龄为31.17岁（标准差 = 6.8）。所有参与者都感受到了不同程度的压力，大多数人认为暴露于高水平压力（困扰）之下（46.2%为低水平压力，53.8%为高水平压力）；其中约一半（52.9%；n = 119）报告有高水平焦虑，超过一半（66.2%；n = 149）有高水平抑郁。此外，焦虑和抑郁水平的升高与心理韧性的降低和压力水平的升高显著相关。医护人员年龄和经验的增加与压力水平的升高显著相关。拥有个人防护装备（PPE）的参与者焦虑和抑郁程度降低，心理韧性增强（p > 0.05）。本研究中主要变量的预测因素各不相同。参与治疗COVID-19患者的一线医护人员容易承受高水平压力，这与焦虑和抑郁水平的升高有关。这些高水平压力会影响他们的心理健康和心理韧性。约旦的医疗机构必须制定适合医护人员在护理COVID-19患者期间及之后需求的心理干预措施和支持。
