Rillera Marzo Roy, Villanueva Iii Emilio Quilatan, Chandra Udita, Htay Mila Nu Nu, Shrestha Rajeev, Shrestha Sunil
Department of Community Medicine, International Medical School, Management and Science University, Selangor, Malaysia; 2Department of Community Medicine, Faculty of Medicine, Asia Metropolitan University, Johor Bahru.
Department of Pathology, College of Medicine, University of the Philippines, Manila.
J Public Health Res. 2021 Dec 15;10(s2):jphr.2021.2604. doi: 10.4081/jphr.2021.2604.
COVID-19 pandemic has caused an extraordinary situation, especially for the healthcare workers (HCWs), leading to increased psychological stress. The aim of the study was to estimate the prevalence of different grades of anxiety and depression across different centers in the Philippines and identify demographic factors associated with them.
A cross-sectional, web-based, multi-center study was conducted among HCWs of Philippines from April 20- May 20, 2020. The study instruments used were the Generalized Anxiety Disorder (GAD-7) scale and Patient Health Questionnaire (PHQ-9). Risk perception scores were analyzed using Mann-Whitney and Kruskal-Wallis test. Logistic regression was done to identify factors significantly associated with symptoms of anxiety and depression determined.
A total of 516 HCWs were included in the study. Most of them have anxiety symptoms (70.74%), but only half of them have symptoms of depression (50.97%). In addition, gender, age, marital status, living status, occupation, work premises, and availability of mental health services were significantly associated with the participants' anxiety symptoms. In contrast, gender, marital status, occupation, and work premises were significantly associated with depression symptoms.
This study reiterates the fact and demonstrates that COVID-19 has disrupted the mental well-being of HCWs in the Philippines. Majority of HCW was psychologically affected by COVID-19. Therefore, there is a dire need to address mental illness amongst HCWs and frame guidelines based on proven algorithms to overcome these mental illnesses.
新冠疫情造成了一种特殊情况,尤其是对医护人员而言,导致心理压力增加。本研究的目的是评估菲律宾不同中心不同程度焦虑和抑郁的患病率,并确定与之相关的人口统计学因素。
2020年4月20日至5月20日,在菲律宾的医护人员中开展了一项基于网络的多中心横断面研究。使用的研究工具为广泛性焦虑障碍量表(GAD - 7)和患者健康问卷(PHQ - 9)。采用曼 - 惠特尼检验和克鲁斯卡尔 - 沃利斯检验分析风险感知得分。进行逻辑回归以确定与所确定的焦虑和抑郁症状显著相关的因素。
共有516名医护人员纳入研究。他们中大多数有焦虑症状(70.74%),但只有一半有抑郁症状(50.97%)。此外,性别、年龄、婚姻状况、居住状况、职业、工作场所和心理健康服务的可获得性与参与者的焦虑症状显著相关。相比之下,性别、婚姻状况、职业和工作场所与抑郁症状显著相关。
本研究重申并证明了新冠疫情扰乱了菲律宾医护人员的心理健康。大多数医护人员受到新冠疫情的心理影响。因此,迫切需要解决医护人员中的精神疾病问题,并根据经过验证的算法制定指导方针以克服这些精神疾病。