阿尔及利亚卫生工作者中 COVID-19 的心理社会影响。
Psychosocial impact of COVID-19 among health workers in Algeria.
出版信息
Tunis Med. 2021;99(11):1015-1029.
BACKGROUND
The current COVID-19 pandemic has put health care professionals in the face of increasing psychological distress, with a high risk of infection.
PURPOSE
To estimate the prevalence of anxiety-depressive disorders among health professionals in Algeria and determine their associated risk factors.
METHOD
A cross-sectional descriptive study was conducted from January 11 to March 09, 2021 and concerned healthcare professionals in Algeria, through an online self-assessment. The mental health rating scales used were GAD-7 (7 items) for Anxiety, and CES-D (20 items) for Depression. Resilience was estimated by the RISC-CD (10 items). An original questionnaire was used to assess three factors: fear of infection and death, isolation and stigmatization, as well as motivation and escape behaviour at work.
RESULTS
A total of 1005 health professionals were included in the study, of which 51.5% were doctors, 75.6% were women and 41.1% were at the first front of the fight against COVID-19. The prevalence of Anxiety and Depression was 23.8% and 44.6% respectively. Health professionals with a high resilience score were those who were in direct contact with COVID-19 3.75 [1.11-12.7] and those who feared contracting the disease 1.22 [1.14-1.31]. Among the study population, 508 employees (50.5%) were free from anxiety-depressive disorder: Good mental health of health personnel, has been determined by the male sex 1,55 [1,07, 2,24], without co-morbidity 0,57 [0,39, 0,83], without direct intervention in the fight against COVID-19 0.63 [0.45, 0.89], having a low score of Depression and Anxiety with respectively 0.43 [0.36- 0.50], 0.50 [0.41- 0.58] while denouncing a high Resilience score 1.03 [1.01- 1.05].
CONCLUSION
In Algeria, the fight against the COVID-19 pandemic has had an impact on the mental health of health professionals, hence the urgent need for intervention programs, for strengthening their mental health in a more sustainable and effective struggle.
背景
当前的 COVID-19 大流行使医护人员面临日益增加的心理困扰，感染风险高。
目的
评估阿尔及利亚卫生专业人员焦虑抑郁障碍的患病率，并确定其相关危险因素。
方法
2021 年 1 月 11 日至 3 月 09 日进行了一项横断面描述性研究，涉及阿尔及利亚的医疗保健专业人员，通过在线自我评估进行。使用的心理健康评定量表为 GAD-7（7 项）评估焦虑，CES-D（20 项）评估抑郁。使用 RISC-CD（10 项）评估韧性。使用原始问卷评估三个因素：对感染和死亡的恐惧、隔离和污名化，以及工作中的动机和逃避行为。
结果
共纳入 1005 名卫生专业人员，其中 51.5%为医生，75.6%为女性，41.1%处于抗击 COVID-19 的第一线。焦虑和抑郁的患病率分别为 23.8%和 44.6%。高韧性评分的卫生专业人员是与 COVID-19 直接接触的人员 3.75 [1.11-12.7]和担心感染疾病的人员 1.22 [1.14-1.31]。在研究人群中，508 名员工（50.5%）无焦虑抑郁障碍：男性卫生人员的良好心理健康，1 确定为 1.55 [1.07, 2.24]，无合并症 0.57 [0.39, 0.83]，无直接干预 COVID-19 治疗 0.63 [0.45, 0.89]，抑郁和焦虑评分分别为 0.43 [0.36-0.50]和 0.50 [0.41-0.58]，而韧性评分高的则为 1.03 [1.01-1.05]。
结论
在阿尔及利亚，抗击 COVID-19 大流行对卫生专业人员的心理健康产生了影响，因此迫切需要干预计划，以在更可持续和有效的斗争中加强他们的心理健康。
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