Habtamu Yodit, Admasu Kalkidan, Tullu Mikiyas, Damene Woyenabeba, Birhanu Addis, Beyero Teferra, Tereda Addisu Birhanu
Department of Psychiatry, Eka Kotebe General Hospital, Addis Ababa, Ethiopia.
Psychosocial and Rehabilitation Services Department, Eka Kotebe General Hospital, Addis Ababa, Ethiopia.
Neuropsychiatr Dis Treat. 2021 Aug 28;17:2831-2840. doi: 10.2147/NDT.S311949. eCollection 2021.
The COVID-19 pandemic has resulted in many frontline health-care workers vulnerable to developing various mental health conditions. This study aimed to determine prevalence and associated factors of such conditions among frontline workers at Eka Kotebe National COVID-19 Treatment Center in Addis Ababa, Ethiopia.
This institution-based cross-sectional study was conducted between May and June 2020 on 280 frontline workers. Mental health outcomes (depression, anxiety, insomnia, and posttraumatic stress disorder) were assessed using the Patient Health Questionnaire9, Generalized Anxiety Disorder 7 questionnaire, PTSD Checklist - civilian version, and Pittsburgh Sleep Quality Index. Responses were coded, entered into EpiData 3.1 and analyzed using SPSS 20. Associations between outcomes and independent variables were identified using bivariate and multivariate logistic regressions, statistical significance set at <0.05.
A total of 238 subjects participated in the study, with a response rate of 85%. Estimated prevalence was 31.1% (95% CI 24.8%-37%) for anxiety, 27.3% (95% CI 21.8%-32.4%) for depression, 16% (95% CI 11.3%-21%) for PTSD, and 40.8% (95% CI 33.6%-47.5%) for insomnia. Female sex (AOR 2.99, 95% CI 1.49-5.97), being married, (AOR 13.2, 95% CI 3.42-50.7), being single (AOR 11.5, 95% CI 3.38-39.8), duration of exposure 1-2 hours (AOR 0.29, 95% CI 0.14-0.64), and assigned place of work (critical ward -AOR 2.26, 95% CI 1.03-4.97; ICU - AOR 4.44, 95% CI 1.51-13.05) were found to be significant predictors of depression.
We found a high estimated prevalence of mental health outcomes. Sex, marital status, duration of exposure, and assigned place of work were found to be associated with depression.
新冠疫情致使许多一线医护人员易患各种心理健康问题。本研究旨在确定埃塞俄比亚亚的斯亚贝巴埃卡科特贝国家新冠治疗中心一线工作人员中此类问题的患病率及相关因素。
这项基于机构的横断面研究于2020年5月至6月对280名一线工作人员开展。使用患者健康问卷9、广泛性焦虑障碍7问卷、创伤后应激障碍检查表（平民版）和匹兹堡睡眠质量指数评估心理健康结果（抑郁、焦虑、失眠和创伤后应激障碍）。对回答进行编码，录入EpiData 3.1并使用SPSS 20进行分析。使用二元和多元逻辑回归确定结果与自变量之间的关联，设定统计学显著性为<0.05。
共有238名受试者参与研究，应答率为85%。焦虑的估计患病率为31.1%（95%可信区间24.8%-37%），抑郁为27.3%（95%可信区间21.8%-32.4%），创伤后应激障碍为16%（95%可信区间11.3%-21%），失眠为40.8%（95%可信区间33.6%-47.5%）。女性（比值比2.99，95%可信区间1.49-5.97）、已婚（比值比13.2，95%可信区间3.42-50.7）、单身（比值比11.5，95%可信区间3.38-39.8）、暴露时长1至2小时（比值比0.29，95%可信区间0.14-0.64）以及指定工作地点（重症病房 - 比值比2.26，95%可信区间1.03-4.97；重症监护室 - 比值比4.44，95%可信区间1.51-13.05）被发现是抑郁的显著预测因素。
我们发现心理健康结果的估计患病率较高。性别、婚姻状况、暴露时长和指定工作地点被发现与抑郁有关。
