2019年冠状病毒病大流行期间面临不同风险的医护人员的心理健康差异
Mental Health Differences in Healthcare Workers Exposed to Different Risks During the Coronavirus Disease 2019 Pandemic.
作者信息
Zhang Yihui, Li Da, Ouyang Xuan, Bai Hanping, Zhao Linlin, Shi Yongyan, Tan Liwen
机构信息
Department of Psychiatry, National Clinical Research Center for Mental Disorders, China National Technology Institute on Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China.
Institute of Anthropology, East China Normal University, Shanghai, China.
出版信息
Front Psychiatry. 2022 Feb 24;13:827076. doi: 10.3389/fpsyt.2022.827076. eCollection 2022.
BACKGROUND
The coronavirus disease 2019 (COVID-19) pandemic has caused a significant impact on the physical and mental health of healthcare workers. This study assessed the psychological status of healthcare workers who were exposed to different risk-levels in China and explored the factors that affected their mental health.
METHODS
Demographic, occupational characteristics, and mental health measurements were collected from 810 workers in 41 hospitals in China, through online questionnaires from February 11 to March 3, 2020. The degree of symptoms for fatigue, anxiety, and insomnia were assessed using the Chinese versions of the Fatigue Severity Scale, 7-item Generalized Anxiety Disorder Scale, and Insomnia Severity Index, respectively. Binary logistic regression analysis was performed to identify factors associated with mental health symptoms.
RESULTS
All 810 participants completed the relevant questionnaires without missing data. The prevalence of fatigue, anxiety, and insomnia symptoms was 74.3, 73.7, and 61.7%, respectively. Nurses, women, and workers exposed to high-risk areas were more likely to report mental health problems ( < 0.05). After controlling for confounders, exposure to high-risk areas was independently associated with increased symptoms of fatigue, anxiety, and insomnia (fatigue among high-risk areas: OR, 3.87; 95% CI, 2.26-6.61; < 0.001; anxiety among high-risk areas: OR, 2.66; 95% CI, 1.58-4.51; < 0.001; insomnia among high-risk areas: OR, 2.83; 95% CI, 1.68-4.79, < 0.001).
CONCLUSION
The study demonstrated significant differences in psychological symptoms among healthcare workers exposed to different levels of risk, and those in high-risk areas were more vulnerable to experiencing mental health symptoms. These findings emphasize the importance of giving due attention to healthcare workers, especially women, nurses, and those working in high-risk settings during the COVID-19 pandemic.
背景
2019年冠状病毒病（COVID-19）大流行对医护人员的身心健康造成了重大影响。本研究评估了中国接触不同风险水平的医护人员的心理状况，并探讨了影响其心理健康的因素。
方法
2020年2月11日至3月3日，通过在线问卷收集了中国41家医院810名工作人员的人口统计学、职业特征和心理健康测量数据。分别使用中文版疲劳严重程度量表、7项广泛性焦虑障碍量表和失眠严重程度指数评估疲劳、焦虑和失眠症状的程度。进行二元逻辑回归分析以确定与心理健康症状相关的因素。
结果
所有810名参与者均完成了相关问卷，无数据缺失。疲劳、焦虑和失眠症状的患病率分别为74.3%、73.7%和61.7%。护士、女性以及接触高风险地区的工作人员更有可能报告心理健康问题（<0.05）。在控制混杂因素后，接触高风险地区与疲劳、焦虑和失眠症状增加独立相关（高风险地区的疲劳：比值比，3.87；95%置信区间，2.26 - 6.61；<0.001；高风险地区的焦虑：比值比，2.66；95%置信区间，1.58 - 4.51；<0.001；高风险地区的失眠：比值比, 2.83；95%置信区间，1.68 - 4.79，<0.001）。
结论
该研究表明，接触不同风险水平的医护人员在心理症状方面存在显著差异，高风险地区的医护人员更容易出现心理健康症状。这些发现强调了在COVID-19大流行期间给予医护人员，尤其是女性、护士和在高风险环境中工作的人员应有关注的重要性。
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