Department of Medicine, Aga Khan University Hospital, Nairobi, Kenya.
Brain and Mind Institute, Aga Khan University, Nairobi, Kenya.
PLoS One. 2022 Apr 4;17(4):e0266570. doi: 10.1371/journal.pone.0266570. eCollection 2022.
Healthcare workers, including residents, are prone to various mental health disorders especially given the context of the COVID-19 pandemic. Residents, particularly, are already under undue stress due to their respective training program demands.
This cross-sectional, online survey-based study from August to November 2020 collected demographic and mental health measurements from all residents at the Aga Khan University Hospital, Nairobi. The questionnaire investigated demographic variables, information regarding direct care of COVID-19 patients, prior history of mental health and mental health outcomes using the Patient Health Questionnaire, Generalized Anxiety Disorder scale, Insomnia Severity Index, Impact of Event Scale-Revised Questionnaire and Stanford Professional Fulfillment Index Questionnaire.
A total of 100 residents completed the survey (participation rate 77.5%). Participants were about equal in gender (women [53%]), with a median age of 31.28 years, and majority were single (66.7%). A total of 66 participants (66%) were directly engaged in COVID-19 care. Depression: 64.3%, anxiety: 51.5%, insomnia: 40.5%, distress: 35.4%, and burnout: 51.0% were reported in all participants. Statistical significance was found in median depression, professional fulfillment and interpersonal disengagement when comparing frontline resident directly involved in care of COVID-19 patient versus second line residents.
Residents directly involved with caring for COVID-19 patients had statistically higher incidences of depression and interpersonal disengagement and lower professional fulfillment compared to second line residents. Keeping in mind the limited resources in sub-Saharan Africa, urgent and geographically specific strategies are needed to help combat mental health disorders in this specific population.
医疗工作者，包括住院医师，易患各种心理健康障碍，尤其是在 COVID-19 大流行的背景下。由于各自的培训计划要求，住院医师已经承受了不必要的压力。
本研究为 2020 年 8 月至 11 月期间进行的一项横断面、在线调查研究，从内罗毕 Aga Khan 大学医院采集了所有住院医师的人口统计学和心理健康测量数据。该问卷调查了人口统计学变量、直接护理 COVID-19 患者的信息、既往心理健康史以及使用患者健康问卷、广泛性焦虑症量表、失眠严重程度指数、事件影响量表修订版问卷和斯坦福职业满意度问卷来评估心理健康结果。
共有 100 名住院医师完成了调查（参与率为 77.5%）。参与者在性别方面大致相等（女性占 53%），中位年龄为 31.28 岁，大多数为单身（66.7%）。共有 66 名参与者（66%）直接参与了 COVID-19 护理。所有参与者报告的抑郁发生率为 64.3%、焦虑发生率为 51.5%、失眠发生率为 40.5%、困扰发生率为 35.4%、倦怠发生率为 51.0%。在直接参与 COVID-19 患者护理的一线住院医师与二线住院医师相比，中位抑郁程度、职业满意度和人际脱节方面存在统计学意义。
与二线住院医师相比，直接参与 COVID-19 患者护理的住院医师的抑郁和人际脱节发生率更高，职业满意度更低。考虑到撒哈拉以南非洲地区的资源有限，需要制定紧急和特定于地理位置的策略，以帮助解决这一特定人群的心理健康障碍。
