Wang Dongke, Chen Jie, Liu Xinghuang, Jin Yan, Ma Yanling, Xiang Xuelian, Yang Ling, Song Jun, Bai Tao, Hou Xiaohua
Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Psychol. 2022 Feb 22;13:813295. doi: 10.3389/fpsyg.2022.813295. eCollection 2022.
In the early days of COVID-19 outbreak, the normally orderly health system was severely challenged by large numbers of feverish patients and shortage of healthcare workers. The outbreak played a harmful role in the mental health of these healthcare workers.
We aim to assess the prevalence of moderate or severe anxiety and depression symptoms (ADSs) of healthcare workers in different regions during COVID-19 disaster and identify the potential risk factors.
We did a cross-sectional study on ADS of healthcare workers in epicenter-Hubei province and regions in lower epidemic-other provinces by questionnaire online. The data of ADS, the demographic characteristics, occupational exposure, physical condition, family situation, and coping styles were collected and analyzed.
A total of 24.68% of the respondents had experienced moderate or severe ADS. Moderate or severe ADSs were in a higher prevalence in Hubei (32.39%) than other provinces (18.22%). Suspicious symptoms on their own and in family members were independent risk factors of moderate or severe ADS of all health workers. Working on the frontline was the independent risk factor for participants in Hubei province, whereas quarantine was the independent risk factor for those in other provinces. Moreover, among all participants, those with negative coping style were more than four times more likely to have moderate or severe ADS than those with positive coping style.
Moderate or severe ADSs were in a higher prevalence in healthcare workers of Hubei province during COVID-19 outbreak. The coping style may have major impact on ADS in such situation.
在新冠疫情爆发初期，原本有序的医疗系统受到大量发热患者和医护人员短缺的严峻挑战。疫情对这些医护人员的心理健康产生了有害影响。
我们旨在评估新冠疫情期间不同地区医护人员中度或重度焦虑和抑郁症状（ADSs）的患病率，并确定潜在风险因素。
我们通过在线问卷对疫情中心湖北省和疫情较低地区其他省份的医护人员的ADSs进行了横断面研究。收集并分析了ADSs数据、人口统计学特征、职业暴露、身体状况、家庭情况和应对方式。
共有24.68%的受访者经历过中度或重度ADSs。湖北省中度或重度ADSs的患病率（32.39%）高于其他省份（18.22%）。自身及家庭成员出现可疑症状是所有医护人员中度或重度ADSs的独立风险因素。在湖北省，一线工作是参与者的独立风险因素，而在其他省份，隔离是独立风险因素。此外，在所有参与者中，采用消极应对方式的人出现中度或重度ADSs的可能性是采用积极应对方式的人的四倍多。
在新冠疫情爆发期间，湖北省医护人员中度或重度ADSs的患病率较高。在这种情况下，应对方式可能对ADSs有重大影响。
