Vadi Sonali, Shah Sagar, Bajpe Sumiran, George Nimmi, Santhosh Arya, Sanwalka Neha, Ramakrishnan Aparna
Department of Intensive Care Medicine, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India.
Accident and Emergency Department, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India.
Indian J Crit Care Med. 2022 Jan;26(1):100-107. doi: 10.5005/jp-journals-10071-24081.
The contagious coronavirus disease-2019 (COVID-19) pandemic has had a significant psychological impact on healthcare workers. Intensive care unit (ICU) and emergency room (ER) providers have functioned in an environment of fear for their health as well as their family well-being.
The aim and objective of the article was to study mental health disorders (anxiety, depression, stress, post-traumatic stress disorder (PTSD), and sleep quality) in frontliners and to identify factors affecting mental health indices.
A survey of 153 doctors and nurses working in ICU and ER was conducted from December 2020 to January 2021 using questionnaire with clinically validated scales: Acute Stress Disorder Scale, Perceived Stress Scale, Beck's Depression Inventory (BDI), Zung Self-rating Anxiety Scale (SAS), Global Pittsburgh Sleep Quality Index (PSQI), Multidimensional Scale of Perceived Social Support (MSPS), and New General Self-efficacy (NGSE) Scale. Analysis was performed to identify of gender, age, place of work, self-efficacy, and social support using logistic regression.
Of the 153 participants, 21.6% had PTSD, 88.6% had moderate to high stress, 16.3% had anxiety, and 59.5% had poor sleep. Of these, the majority were females and those aged ≤30 years. Males had lesser depression, anxiety, and poor sleep compared to females ( <0.05). Participants working in ER reported higher stress as compared to those working in ICU ( <0.05). PTSD, perceived stress, depression, anxiety, and poor sleep were higher in participants with low-to-moderate perceived self-efficacy as compared to participants with high self-efficacy ( <0.05).
This study reveals significant psychological distress among ER and ICU frontliners during severe acute respiratory syndrome (SARS-CoV-2) pandemic, a typical high-acuity environment during the nonpandemic times.
Vadi S, Shah S, Bajpe S, George N, Santhosh A, Sanwalka N, Mental Health Indices of Intensive Care Unit and Emergency Room Frontliners during the Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic in India. Indian J Crit Care Med 2022;26(1):100-107.
2019年冠状病毒病（COVID-19）大流行对医护人员产生了重大心理影响。重症监护病房（ICU）和急诊室（ER）的医护人员在担心自身健康以及家人幸福的环境中工作。
本文的目的是研究一线医护人员的心理健康障碍（焦虑、抑郁、压力、创伤后应激障碍（PTSD）和睡眠质量），并确定影响心理健康指标的因素。
2020年12月至2021年1月，使用具有临床验证量表的问卷对153名在ICU和ER工作的医生和护士进行了调查：急性应激障碍量表、感知压力量表、贝克抑郁量表（BDI）、zung自评焦虑量表（SAS）、全球匹兹堡睡眠质量指数（PSQI）、多维感知社会支持量表（MSPS）和新一般自我效能感（NGSE）量表。使用逻辑回归分析来确定性别、年龄、工作地点、自我效能感和社会支持情况。
在153名参与者中，21.6%患有创伤后应激障碍，88.6%有中度至高度压力，16.3%有焦虑，59.5%睡眠质量差。其中，大多数是女性和年龄≤30岁的人。与女性相比，男性的抑郁、焦虑和睡眠质量差的情况较少（<0.05）。与在ICU工作的人员相比，在ER工作的参与者报告的压力更高（<0.05）。与自我效能感高的参与者相比，自我效能感低至中度的参与者的创伤后应激障碍、感知压力、抑郁、焦虑和睡眠质量差的情况更严重（<0.05）。
本研究揭示了在严重急性呼吸综合征（SARS-CoV-2）大流行期间，ER和ICU一线医护人员存在显著的心理困扰，在非大流行时期这是一个典型的高急症环境。
Vadi S, Shah S, Bajpe S, George N, Santhosh A, Sanwalka N, 印度严重急性呼吸综合征冠状病毒2大流行期间重症监护病房和急诊室一线医护人员的心理健康指标。《印度重症监护医学杂志》2022；26(1):100-107。
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