Lugito Nata Pratama Hardjo, Kurniawan Andree, Lorens Jane Olivia, Sieto Novia Lauren
Department of Internal Medicine, Faculty of Medicine, Pelita Harapan University, Indonesia.
Faculty of Medicine, Pelita Harapan University, Indonesia.
J Affect Disord Rep. 2021 Dec;6:100283. doi: 10.1016/j.jadr.2021.100283. Epub 2021 Nov 29.
All new graduate medical doctors in Indonesia will work in government healthcare facilities for one year as internship doctors. Problems such as the shortage of PPE, no specific treatment guidelines, and inadequate support from authorities, contributed to mental health problems. This study aimed to determine mental health problems and associated demographics and concerns of Indonesian internship doctors in the COVID-19 pandemic era.
This cross-sectional study was performed from 1-31 Januari 2021 via Google Form questionnaire to collect data. Logistic regression analysis was used to identify the association between demographic data, concerns in internship doctors' working place, and mental health using Depression Anxiety Stress Scale 21.
Depression, anxiety, and stress in internship doctors were 32.6, 44.1, and 19.5% consecutively. Multivariate analysis showed that the only demographic factor associated with depression was female sex. Concerns of internship doctors were the most factors associated with mental health. Working in triage was associated with depression and stress. Donning and doffing training of PPE, difficulty to practice physical distancing and hesitancy to attend patients were associated with depression and anxiety. Difficulty to practice physical distancing in hospital w associated with anxiety and stress.
Firstly, some difficulties in data collection. Secondly, the self-reported tools of mental health are not always aligned with the psychiatric assessment. Lastly, possibility of recall biases from each batch.
To minimize mental health problems of internship doctors, their concerns must be tackled. Medical schools have an important role to manage concerns of these internship doctors.
印度尼西亚所有新毕业的医学博士都将在政府医疗机构担任实习医生工作一年。诸如个人防护装备短缺、没有具体治疗指南以及当局支持不足等问题，导致了心理健康问题。本研究旨在确定新冠疫情时代印度尼西亚实习医生的心理健康问题、相关人口统计学特征及担忧因素。
本横断面研究于2021年1月1日至31日通过谷歌表单问卷进行数据收集。使用抑郁焦虑压力量表21，通过逻辑回归分析来确定人口统计学数据、实习医生工作场所的担忧因素与心理健康之间的关联。
实习医生的抑郁、焦虑和压力发生率分别为32.6%、44.1%和19.5%。多变量分析显示，与抑郁相关的唯一人口统计学因素是女性。实习医生的担忧是与心理健康最相关的因素。在分诊处工作与抑郁和压力相关。个人防护装备的穿脱培训、难以保持社交距离以及不愿接诊患者与抑郁和焦虑相关。在医院难以保持社交距离与焦虑和压力相关。
首先，数据收集存在一些困难。其次，心理健康的自我报告工具并不总是与精神科评估一致。最后，每一批次都有可能存在回忆偏差。
为尽量减少实习医生的心理健康问题，必须解决他们的担忧。医学院校在管理这些实习医生的担忧方面发挥着重要作用。
