Universidade Federal de Pelotas. Faculdade de Enfermagem. Departamento de Saúde Coletiva. Pelotas, RS, Brasil.
Universidade de Campinas. Departamento de Saúde Coletiva. Escola de Ciências Médicas. Campinas, SP, Brasil.
Rev Saude Publica. 2022 Mar 14;56:8. doi: 10.11606/s1518-8787.2022056004122. eCollection 2022.
To identify the prevalence of and factors associated with: (1) major depressive episodes; (2) minor psychiatric disorders (MPDs); and (3) suicidal ideation among nursing professionals from a municipality in southern Brazil.
Using a cross-sectional design, we recruited 890 nursing professionals linked to 50 Primary Care units, 2 walk-in clinics, 2 hospital services, 1 emergency room service, 1 mobile emergency care service, and 1 teleconsultation service, in addition to the municipal epidemiological surveillance service and the vacancy regulation center between June and July 2020. We used the Patient Health Questionnaire-9 and the Self-Reporting Questionnaire to evaluate the studied outcomes. Associations between the outcomes and variables related to sociodemographic profile, work, health conditions, and daily life were explored using Poisson regression models with robust variance estimators.
The observed prevalence of depression, MPDs, and suicidal ideation were 36.6%, 44%, and 7.4%, respectively. MPDs were associated with the assessment of support received by the service as 'regular' (PR: 1.48; 95% CI: 1.19-1.85) or 'poor' (PR: 1.54; 95% CI: 1.23-1.94), with a reported moderate (PR: 1.63; 95% CI: 1.29-2.07), or heavy (PR: 2.54; 95% CI: 2.05-3.15) workload, and with suspected COVID-19 infection (PR: 1.44; 95% CI: 1.25-1.66). Major depressive episodes were associated with a reported lack of personal protective equipment (PR: 1.20; 95% CI: 1.01-1.42), whereas suicidal ideation was inversely related to per capita income > 3 minimum monthly wages (PR: 0.28; 95% CI: 0.11-0.68), and positively related to the use of psychotropic drugs (PR: 3.14; 95% CI: 1.87-5.26).
Our results suggest that nursing professionals' working conditions are associated with their mental health status. The need to improve working conditions through adequate dimensioning, support and proper biosafety measures is only heightened in the context of the COVID-19 pandemic.
确定巴西南部一个城市的护理专业人员中：（1）重度抑郁发作；（2）轻度精神障碍（MPD）；和（3）自杀意念的患病率及相关因素。
我们采用横断面设计，于 2020 年 6 月至 7 月间招募了 890 名与 50 个初级保健单位、2 个门诊诊所、2 个医院服务部门、1 个急诊服务部门、1 个移动急救护理服务部门以及 1 个远程咨询服务部门，以及市流行病学监测服务和空缺调控中心相关联的护理专业人员。我们使用患者健康问卷-9 和自我报告问卷来评估研究结果。使用泊松回归模型和稳健方差估计器，探索研究结果与社会人口统计学特征、工作、健康状况和日常生活相关的变量之间的关联。
观察到的抑郁、MPD 和自杀意念的患病率分别为 36.6%、44%和 7.4%。MPD 与服务评估为“常规”（PR：1.48；95%CI：1.19-1.85）或“差”（PR：1.54；95%CI：1.23-1.94）有关，报告工作量为中等（PR：1.63；95%CI：1.29-2.07）或重（PR：2.54；95%CI：2.05-3.15），且疑似 COVID-19 感染（PR：1.44；95%CI：1.25-1.66）。重度抑郁发作与缺乏个人防护设备有关（PR：1.20；95%CI：1.01-1.42），而自杀意念与人均收入>3 倍最低工资呈负相关（PR：0.28；95%CI：0.11-0.68），与使用精神药物呈正相关（PR：3.14；95%CI：1.87-5.26）。
我们的结果表明，护理人员的工作条件与他们的心理健康状况有关。在 COVID-19 大流行的背景下，需要通过适当的规模调整、支持和适当的生物安全措施来改善工作条件。
