Université de Bordeaux, Laboratoire de Psychologie EA4139, Bordeaux, France.
Université de Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR 1219, Bordeaux, France.
J Am Med Dir Assoc. 2022 Jul;23(7):1095-1100. doi: 10.1016/j.jamda.2022.04.001. Epub 2022 Apr 7.
The present study sought to examine mental health problems among nursing home workers in the context of the COVID-19 pandemic, to investigate COVID-19-related fears, and to identify prepandemic factors associated with current mental health issues.
A cross-sectional, online survey was used.
All employees among 6 nursing homes in southwestern France (N = 455) were solicited between November, 2020 and June, 2021.
The survey instrument was developed within the World Mental Health consortium to screen for COVID-related fears, probable generalized anxiety, panic attacks, depression, posttraumatic stress and substance use disorders in the past 30 days.
The survey was completed by 127 workers (89.0% female, mean age = 43.42 years, SD = 11.29), yielding a 28.5% response rate. Overall, 48.03% reported experiencing fear of infecting others at least most of the time. One in 8 (14.96%) indicated that close others feared being infected by them. One-third of the sample (34.65%) met criteria for at least 1 probable current mental disorder. Panic attacks (22.05%) were the most frequently reported mental health problem, followed by depression (16.54%). In multivariate analyses, the only factor associated with having a current probable mental disorder was the presence of any prepandemic mental health problem (adjusted odds ratio 4.76, 95% CI 2.08-10.89). Type of employment contract, full-time status, and medical vs nonmedical staff status were not significantly associated with mental health status.
The study reveals that one-third of nursing home workers in the sample report current probable mental disorders, and these were largely associated with prepandemic mental health status. Screening for common mental health problems and facilitating access to appropriate care should be prioritized in nursing homes.
本研究旨在探讨 COVID-19 大流行背景下养老院工作人员的心理健康问题，调查与 COVID-19 相关的恐惧，并确定与当前心理健康问题相关的大流行前因素。
使用横断面、在线调查。
2020 年 11 月至 2021 年 6 月，在法国西南部的 6 家养老院招募所有员工（N=455）。
调查工具是在世界心理健康联合会内开发的，用于筛查过去 30 天内与 COVID 相关的恐惧、可能的广泛性焦虑、惊恐发作、抑郁、创伤后应激障碍和物质使用障碍。
共有 127 名员工（89.0%为女性，平均年龄 43.42 岁，标准差 11.29）完成了调查，应答率为 28.5%。总体而言，48.03%的人报告至少大部分时间都担心感染他人。八分之一（14.96%）的人表示，亲近的人担心被他们感染。三分之一的样本（34.65%）符合至少一种当前可能的精神障碍标准。惊恐发作（22.05%）是最常报告的心理健康问题，其次是抑郁（16.54%）。在多变量分析中，唯一与当前可能存在精神障碍相关的因素是存在大流行前的任何心理健康问题（调整后的优势比 4.76，95%置信区间 2.08-10.89）。雇佣合同类型、全职工作状态以及医疗与非医疗工作人员状态与心理健康状况无显著相关性。
研究表明，样本中三分之一的养老院工作人员报告当前可能存在精神障碍，这些障碍主要与大流行前的心理健康状况相关。在养老院中，应优先筛查常见的心理健康问题，并为其提供适当的护理。
