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新冠疫情期间医护人员的焦虑与抑郁:一项横断面研究。

Anxiety and depression among healthcare workers during COVID-19 pandemic: A cross-sectional study.

作者信息

Motahedi Saeideh, Aghdam Nasrin Fadaee, Khajeh Mahboobeh, Baha Robabe, Aliyari Roqayeh, Bagheri Hossein, Mardani Abbas

机构信息

Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

出版信息

Heliyon. 2021 Dec;7(12):e08570. doi: 10.1016/j.heliyon.2021.e08570. Epub 2021 Dec 8.

Abstract

INTRODUCTION

During a pandemic, healthcare workers (HCWs) are exposed to many stresses that predispose them to psychological disorders. This study aimed to evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the anxiety and depression level of HCWs and determine the relationship between them in terms of their demographic characteristics.

MATERIAL AND METHODS

This study used a cross-sectional design. The participants consisted of clinical, administrative, and cleaning staff who were working in a referral COVID-19 hospital in an urban area of Iran. The census sampling method was used for recruiting the participants from May to August 2020. The Generalized Anxiety Disorder-7 (GAD-7) questionnaire and the Center for Epidemiologic Studies Depression (CES-D) Scale were employed to collect data. Then, data were analyzed using multivariable linear regression analysis.

RESULTS

One hundred forty HCWs participated in this study. The mean scores of anxiety and depression were 6.64 (4.86) and 18.21 (10.59), respectively. There was a significant direct association between anxiety and depression (P < 0.001). In addition, female gender (P = 0.01) and having a history of infection with COVID-19 (P = 0.001) were associated with a higher level of anxiety. Moreover, having a history of being quarantined due to COVID-19 was associated with a higher level of depression (P = 0.03).

CONCLUSION

According to the findings of the present study, considering the mental health of HCWs during the generalized anxiety outbreak of COVID-19 should be a priority, and appropriate interventions should be planned to improve their psychological condition.

摘要

引言

在大流行期间,医护人员面临许多压力,这些压力使他们易患心理障碍。本研究旨在评估2019年冠状病毒病(COVID-19)大流行对医护人员焦虑和抑郁水平的影响,并根据他们的人口统计学特征确定两者之间的关系。

材料与方法

本研究采用横断面设计。参与者包括在伊朗一个城市地区的一家COVID-19转诊医院工作的临床、行政和清洁人员。采用普查抽样方法于2020年5月至8月招募参与者。使用广泛性焦虑障碍-7(GAD-7)问卷和流行病学研究中心抑郁量表(CES-D)收集数据。然后,使用多变量线性回归分析对数据进行分析。

结果

140名医护人员参与了本研究。焦虑和抑郁的平均得分分别为6.64(4.86)和18.21(10.59)。焦虑与抑郁之间存在显著的直接关联(P < 0.001)。此外,女性(P = 0.01)和有COVID-19感染史(P = 0.001)与较高水平的焦虑有关。此外,因COVID-19被隔离的历史与较高水平的抑郁有关(P = 0.03)。

结论

根据本研究的结果,在COVID-19广泛性焦虑爆发期间,考虑医护人员的心理健康应是优先事项,并应计划适当的干预措施以改善他们的心理状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b5/8689081/032e50fb319a/gr1.jpg

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