Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima 15033, Peru.
Departamento de Salud Mental, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima 15072, Peru.
Int J Environ Res Public Health. 2022 Apr 28;19(9):5346. doi: 10.3390/ijerph19095346.
We investigated some of the factors associated with depression, perceived stress, and anxiety in clinical and nonclinical healthcare workers of two hospitals.
A mixed-methods approach was used. The sample included clinical (physicians, nurses, and others) and nonclinical (security and cleaning staff) healthcare workers of two tertiary hospitals in Peru. Participants completed an online self-survey. In the qualitative analysis, data were subjected to thematic analysis.
We analyzed data from 613 participants, of which 8.6%, 9.0%, and 78.2% had moderate-to-severe anxiety, depression, and perceived stress, respectively. Having a previous mental health problem, being concerned about losing one's job, having at least two COVID-19 symptoms in the preceding two weeks, and being afraid of infecting family members increased the prevalence of experiencing moderate-to-severe depression and anxiety. The qualitative analysis allowed us to identify five recurring factors that caused a negative impact on workers' lives during the pandemic: emotional distress linked to hospital experiences of suffering and death, modification of routines, fear of COVID-19, exacerbation of mental disorders, and physical problems associated with emotional distress.
Clinical and nonclinical healthcare workers in Peru have experienced depression, anxiety, and stress during the COVID-19 pandemic. Future research and interventions are necessary to improve psychological support for hospital workers.
我们调查了秘鲁两家医院的临床和非临床医护人员中与抑郁、感知压力和焦虑相关的一些因素。
采用混合方法。样本包括秘鲁两家三级医院的临床（医生、护士和其他人员）和非临床（保安和清洁人员）医护人员。参与者完成了在线自我调查。在定性分析中，对数据进行了主题分析。
我们分析了来自 613 名参与者的数据，其中 8.6%、9.0%和 78.2%分别有中度至重度焦虑、抑郁和感知压力。有以前的心理健康问题、担心失业、在过去两周内至少有两种 COVID-19 症状以及担心感染家庭成员会增加经历中度至重度抑郁和焦虑的流行率。定性分析使我们能够确定在大流行期间对工作人员生活产生负面影响的五个反复出现的因素：与医院的痛苦和死亡经历有关的情绪困扰、日常生活的改变、对 COVID-19 的恐惧、精神障碍的恶化以及与情绪困扰相关的身体问题。
秘鲁的临床和非临床医护人员在 COVID-19 大流行期间经历了抑郁、焦虑和压力。有必要进行未来的研究和干预，以改善对医院工作人员的心理支持。
