Faculty of Nursing, Laval University, Quebec City, QC, Canada.
Faculty of Medicine, Laval University, Quebec City, QC, Canada.
Work. 2021;70(3):701-712. doi: 10.3233/WOR-210525.
The coronavirus disease 2019 (COVID-19) pandemic may cause significant anxiety among healthcare professionals (HCPs). COVID-19-related psychological impacts on HCPs in Western countries have received relatively little attention.
This study aims to assess the levels of anxiety in HCPs working in the province of Quebec (Canada) during the first wave of the COVID-19 pandemic and identify factors associated with changes in anxiety scores.
An exploratory online cross-sectional survey was conducted among Quebec HCPs from April to July 2020. The Spielberger's State-Trait Anxiety Inventory (STAI) was used to measure state anxiety among HCPs. Descriptive and multivariate analyses were performed.
A total of 426 HCPs completed the survey. Anxiety scores ranged from 20 to 75 points, with 80 being the highest possible value on the STAI scale. Being a female HCP [B = 5.89, 95% confidence interval (CI): 2.49-9.3] and declaring having the intention to avoid caring for patients with COVID-19 (B = 3.75, 95% CI: 1.29-6.22) were associated with increased anxiety scores. Having more years of experience was associated with decreased anxiety scores [B = -0.2, 95% CI: -0.32-(-0.08)].
Organizational strategies aimed at preventing and relieving anxiety should target junior female HCPs who express the intention to avoid caring for patients with COVID-19. Seniority could become an important criterion in selecting frontline HCPs during pandemics. Further studies are needed to comprehensively examine the impacts of the COVID-19 pandemic on Canadian HCPs and identify evidence-based coping strategies.
2019 年冠状病毒病（COVID-19）大流行可能会给医护人员（HCPs）带来严重的焦虑。西方国家针对 COVID-19 对 HCPs 的心理影响关注较少。
本研究旨在评估魁北克省（加拿大）在 COVID-19 大流行第一波期间工作的 HCPs 的焦虑水平，并确定与焦虑评分变化相关的因素。
2020 年 4 月至 7 月期间，对魁北克 HCPs 进行了一项探索性的在线横断面调查。使用 Spielberger 的状态-特质焦虑量表（STAI）来衡量 HCPs 的状态焦虑。进行了描述性和多变量分析。
共有 426 名 HCPs 完成了调查。焦虑评分范围为 20 至 75 分，STAI 量表的最高值为 80。女性 HCP [B=5.89，95%置信区间（CI）：2.49-9.3]和表示有意避免照顾 COVID-19 患者[B=3.75，95%CI：1.29-6.22]与焦虑评分增加相关。经验较多与焦虑评分降低相关[B=-0.2，95%CI：-0.32-（-0.08）]。
旨在预防和缓解焦虑的组织策略应针对表达避免照顾 COVID-19 患者意愿的年轻女性 HCPs。在大流行期间，资历可能成为选择一线 HCPs 的重要标准。需要进一步研究以全面检查 COVID-19 大流行对加拿大 HCPs 的影响，并确定基于证据的应对策略。
