评估尼泊尔医护人员和受训者对 COVID-19 的恐惧、焦虑、困扰和功能障碍：一项横断面研究。

Assessment of fear, anxiety, obsession and functional impairment due to COVID-19 amongst health-care workers and trainees: A cross-sectional study in Nepal.

机构信息

Lumbini Medical College, Palpa, Lumbini, 32500, Nepal.

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, 34212, Saudi Arabia.

出版信息

F1000Res. 2022 Jan 31;11:119. doi: 10.12688/f1000research.76032.2. eCollection 2022.

DOI:10.12688/f1000research.76032.2

PMID:35529279

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9073267/

Abstract

BACKGROUND

The emergence of the COVID-19 epidemic threw the world into turmoil. The medical community bore the brunt of the pandemic's toll. Long work hours, and a lack of personal protective equipment (PPE) and social support all had an influence on mental health.

METHODS

This cross-sectional study was conducted among Lumbini Medical College Teaching Hospital students and employees in Palpa, Nepal. Data entailing their demographic details, pre-existing comorbidities, or death in the family due to COVID-19 was collected using a self-administered survey. In addition, the level of fear, anxiety, obsession, and functional impairment due to COVID-19 was recorded using previously validated respective scales.

RESULTS

In total, 403 health-care workers and trainees participated in our study. The mean age of the study participants was 23±4 years, and more than half of them (n=262, 65%) were females. A significant association was found between fear score with age (p-value=0.04), gender (p-value <0.01) and occupation (p-value<0.001). The participants suffering from chronic diseases (p-value=0.36), were not found to be significantly obsessed with COVID-19. Age (p-value=0.34), was not found to be significantly associated with higher anxiety levels. Nursing students suffered from a significantly greater functional impairment than other health-care professionals (mean rank score=269.15, p-value < 0.001). A moderately positive correlation was observed between fear, anxiety, obsession, and functional impairment scales.

CONCLUSION

This study revealed various socio-demographic characteristics as risk factors for psychological stress in the people related to the health-care profession of Nepal during the COVID-19 pandemic. A viable answer to this quandary might be adequate psychosocial intervention by health-care authorities, increased social support, and the introduction of better mental health management measures for the front-line health-care workers.

摘要

背景

新冠疫情的爆发使世界陷入混乱。医疗界首当其冲地承受了疫情的冲击。长时间工作、缺乏个人防护设备（PPE）和社会支持都对心理健康产生了影响。

方法

本横断面研究在尼泊尔帕尔帕的蓝毗尼医学院教学医院的学生和员工中进行。使用自我管理调查收集了他们的人口统计学细节、先前存在的合并症或因 COVID-19 而导致家庭死亡的数据。此外，还使用先前验证的相应量表记录了对 COVID-19 的恐惧、焦虑、痴迷和功能障碍程度。

结果

共有 403 名医护人员和受训人员参加了我们的研究。研究参与者的平均年龄为 23±4 岁，其中超过一半（n=262，65%）为女性。发现恐惧评分与年龄（p 值=0.04）、性别（p 值<0.01）和职业（p 值<0.001）之间存在显著关联。患有慢性疾病的参与者（p 值=0.36）并没有明显地对 COVID-19 痴迷。年龄（p 值=0.34）与较高的焦虑水平没有显著关联。与其他医护人员相比，护理学生的功能障碍程度明显更大（平均秩次得分=269.15，p 值<0.001）。恐惧、焦虑、痴迷和功能障碍量表之间观察到中度正相关。