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综合性医院医学生 COVID-19 大流行期间的焦虑-抑郁状况:一项描述性横断面研究。

Composite Anxiety-depression among Medical Undergraduates during COVID-19 Pandemic in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.

机构信息

Department of Psychiatry, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.

Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2021 Sep 11;59(241):881-885. doi: 10.31729/jnma.6947.

Abstract

INTRODUCTION

Fear and anxiety is a natural response during crisis. From constant worry of getting infected, death of loved ones, transitioning of lifestyle to loss of social connection; there can be several psychological triggers. The effect on mental health on the general population could be greater than those affected by the infection itself during the pandemic. Among medical students, who already have several other psychological afflictions, these triggers might be detrimental. Hence, this study aims to find out the prevalence of composite anxiety-depression among medical undergraduates in a tertiary care hospital.

METHODS

A descriptive cross-sectional study was conducted among medical undergraduates in a tertiary care hospital from 20th December 2020 to 5th January 2021. Ethical approval was taken from the Institutional Review Committee. The sample size was calculated and convenient sampling was done. The data were entered in International Business Machines Statistical Package for Social Sciences version 20.0. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.

RESULTS

Out of 315 participants on the Patient Health Questionnaire-Anxiety and Depression Scale, severe composite anxiety-depression was seen in 10 (3.17%) at 95% Confidence Interval (1.23-5.1) participants, moderate in 35 (11.11%) at 95% Confidence Interval (7.63-14.58) and mild in 98 (31.11%) at 95% Confidence Interval (25.99-36.22). And 172 (54.6%) at 95% Confidence Interval (49.1-60) were normal.

CONCLUSIONS

The rapid rise of apprehension among people amidst infectious outbreaks can ensue and medical students are no exception. So, at this time of crisis, there is a need to protect their mental health and it should be emphasized and endorsed.

摘要

简介

在危机期间,恐惧和焦虑是一种自然反应。从不断担心感染、亲人死亡、生活方式转变到失去社交联系,可能会有几个心理触发因素。在大流行期间,普通人群的心理健康受到的影响可能比感染本身还要大。对于已经有其他几种心理疾病的医学生来说,这些诱因可能是有害的。因此,本研究旨在调查一家三级保健医院的医学生中复合性焦虑-抑郁的患病率。

方法

2020 年 12 月 20 日至 2021 年 1 月 5 日,在一家三级保健医院对医学生进行了一项描述性横断面研究。该研究获得了机构审查委员会的批准。计算了样本量并进行了方便抽样。数据输入到国际商业机器公司的社会科学统计软件包 20.0 版。计算了 95%置信区间的点估计值,并对二项数据进行了频率和比例计算。

结果

在接受 PHQ-焦虑和抑郁量表测试的 315 名参与者中,有 10 名(3.17%)在 95%置信区间(1.23-5.1)内有严重的复合性焦虑-抑郁,35 名(11.11%)在 95%置信区间(7.63-14.58)内有中度焦虑-抑郁,98 名(31.11%)在 95%置信区间(25.99-36.22)内有轻度焦虑-抑郁。而 172 名(54.6%)在 95%置信区间(49.1-60)内正常。

结论

在传染病爆发期间,人们的焦虑情绪迅速上升,医学生也不例外。因此,在这个危机时刻,需要保护他们的心理健康,这一点应该得到重视和支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a67/9107901/2cfe6b47642b/JNMA-59-241-881-g1.jpg

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