新型 SARS-CoV-2 冠状病毒大流期间，马斯喀特省初级保健工作者的抑郁症状。
Depressive symptoms among primary healthcare workers during the novel SARS-CoV-2 coronavirus pandemic in the Muscat governorate.
机构信息
Directorate General of Health Services, Muscat Governorate, Ministry of Health, Muscat, Oman.
Department of Family Medicine & Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman.
出版信息
Prim Health Care Res Dev. 2021 Nov 3;22:e62. doi: 10.1017/S1463423621000335.
BACKGROUND
With the unprecedented spread of the novel SARS-CoV-2 coronavirus, primary healthcare workers (PHCWs) are having to shoulder the increasing weight of this ongoing pandemic.
AIMS
This study explored the rate and covariates of depressive symptoms among PHCWs in the Muscat governorate.
METHODS
A cross-sectional online survey was conducted from 10 May to 10 June 2020 among PHCWs working in all primary healthcares across the Muscat governorate. Data on sociodemographic and risk factors of having at least one underlying physical health condition, a psychiatric history, family history of psychiatric disorders, and direct involvement with COVID-19 positive patients were sought. The Patient Health Questionnaire (PHQ-9) was then used to solicit the presence of depressive symptoms. Those with a cutoff point ≥10 were considered as showing depressive symptoms. Logistic regression was used to determine risk factors associated with depressive symptoms in PHCWs after adjusting for all sociodemographic factors.
FINDINGS
A total of 432 (72%) out of 600 PHCWs with an average age of 39.2 years (SD = 7.8 years) ranging between 25.0 and 75.0 years responded to the survey. There were more females (n = 281, 65.3%) than males, and more than 45% (n = 195) of them were physicians. Additionally, more than 78% (n = 338) had been in contact with COVID-19 patients. There was a significant association between different age groups and profession (P < .001), having at least one underlying physical health condition (P = 0.001) and depressive symptom status (P = 0.038). A total of 78 out of the 423 subjects (18.1%) were considered to have depressive symptoms. After adjusting for all factors, the logistic regression model showed that an age of 34 years or below (OR = 2.079, P = 0.021) and having at least one underlying physical health condition (OR = 2.216, P = 0.007) were factors contributing significantly to depressive symptoms among the PHCWs.
背景
随着新型 SARS-CoV-2 冠状病毒的空前传播，初级保健工作者（PHCWs）不得不承担这一持续大流行的日益加重的负担。
目的
本研究探讨了马斯喀特省 PHCW 中抑郁症状的发生率和相关因素。
方法
2020 年 5 月 10 日至 6 月 10 日，对马斯喀特省所有初级保健中心工作的 PHCW 进行了横断面在线调查。收集了与至少一种潜在的身体健康状况、精神病史、精神障碍家族史以及直接接触 COVID-19 阳性患者有关的社会人口学和危险因素的数据。然后使用患者健康问卷（PHQ-9）来确定抑郁症状的存在。得分≥10 的人被认为存在抑郁症状。在调整所有社会人口学因素后，使用逻辑回归来确定与 PHCW 抑郁症状相关的危险因素。
结果
在 600 名 PHCW 中，共有 432 名（72%）平均年龄为 39.2 岁（SD = 7.8 岁），年龄在 25.0 至 75.0 岁之间。女性（n = 281，65.3%）多于男性，其中超过 45%（n = 195）为医生。此外，超过 78%（n = 338）与 COVID-19 患者有过接触。不同年龄组和职业（P<.001）、至少有一种潜在的身体健康状况（P = 0.001）和抑郁症状状态（P = 0.038）之间存在显著关联。在 423 名受试者中，共有 78 名（18.1%）被认为患有抑郁症状。在调整所有因素后，逻辑回归模型显示，34 岁或以下的年龄（OR = 2.079，P = 0.021）和至少有一种潜在的身体健康状况（OR = 2.216，P = 0.007）是 PHCW 抑郁症状的显著相关因素。
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