School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.
The Roslin Institute and The Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, United Kingdom.
PLoS One. 2021 Oct 14;16(10):e0258475. doi: 10.1371/journal.pone.0258475. eCollection 2021.
The spread of COVID-19 into a global pandemic has negatively affected the mental health of frontline healthcare-workers. This study is a multi-centre, cross-sectional epidemiological study that uses nationwide data to assess the prevalence of stress, anxiety, depression and burnout among health care workers managing COVID-19 patients in Cyprus. The study also investigates the mechanism behind the manifestation of these pathologies, as to allow for the design of more effective protective measures.
Data on the mental health status of the healthcare workers were collected from healthcare professionals from all over the nation, who worked directly with Covid patients. This was done via the use of 64-item, self-administered questionnaire, which was comprised of the DASS21 questionnaire, the Maslach Burnout Inventory and a number of original questions. Multivariable logistic regression models were used to investigate factors associated with each of the mental health measures.
The sample population was comprised of 381 healthcare professionals, out of which 72.7% were nursing staff, 12.9% were medical doctors and 14.4% belonged to other occupations. The prevalence of anxiety, stress and depression among the sample population were 28.6%, 18.11% and 15% respectively. The prevalence of burnout was 12.3%. This was in parallel with several changes in the lives of the healthcare professionals, including; working longer hours, spending time in isolation and being separated from family.
This study indicates that the mental health of a significant portion of the nation's workforce is compromised and, therefore, highlights the need for an urgent intervention particularly since many countries, including Cyprus, are suffering a second wave of the pandemic. The identified risk factors should offer guidance for employers aiming to protect their frontline healthcare workers from the negative effects of the COVID-19 pandemic.
COVID-19 全球大流行对一线医护人员的心理健康产生了负面影响。本研究是一项多中心、横断面的流行病学研究，利用全国范围内的数据评估了塞浦路斯管理 COVID-19 患者的医护人员的压力、焦虑、抑郁和倦怠患病率。该研究还探讨了这些病理表现背后的机制，以便设计更有效的保护措施。
通过使用包含 DASS21 问卷、马斯拉赫倦怠量表和一些原创问题的 64 项自我管理问卷，从全国各地直接与新冠患者合作的医护专业人员那里收集了他们的心理健康状况数据。使用多变量逻辑回归模型研究了与每种心理健康测量相关的因素。
样本人群由 381 名医护专业人员组成，其中 72.7%是护士，12.9%是医生，14.4%属于其他职业。样本人群中焦虑、压力和抑郁的患病率分别为 28.6%、18.11%和 15%。倦怠的患病率为 12.3%。这与医护人员生活中的一些变化是平行的，包括：工作时间延长、隔离和与家人分离。
本研究表明，该国相当一部分劳动力的心理健康受到了损害，因此，强调了迫切需要进行干预，特别是因为包括塞浦路斯在内的许多国家正在遭受第二波大流行的影响。确定的风险因素应该为雇主提供指导，旨在保护他们的一线医护人员免受 COVID-19 大流行的负面影响。
