泰国 COVID-19 大流行期间医护人员的心理健康。
Mental health among healthcare workers during COVID-19 pandemic in Thailand.
机构信息
Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.
出版信息
PLoS One. 2022 May 20;17(5):e0268704. doi: 10.1371/journal.pone.0268704. eCollection 2022.
OBJECTIVES
This study aimed to measure the prevalence of burnout syndrome, anxiety, depression, and post-traumatic disorders (PTSD), as well as examine their associated factors among Thai healthcare workers (HCWs) during COVID-19 outbreak.
METHOD
We employed a multiple-method design at a tertiary-care hospital in Bangkok between May 22, 2021 and June 30, 2021 by using an online survey. The information included demographic characteristics, work details, perceived support, PTSD symptoms, Maslach Burnout Inventory: General Survey (MBI-GS), General Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire (PHQ-2 and PHQ-9), and narrative response to an open-ended question. The associated factors of mental health problems were analysed by multiple logistic regression analyses. The qualitative data were analysed by the content analysis method.
RESULTS
A total of 986 HCWs (89.1% female; mean age = 34.89 ± 11.05 years) responded to the survey. 16.3%,16%, and 53.5% of respondents had a high level of emotional exhaustion, depersonalisation, and diminished personal achievement, respectively. 33.1%, 13.8%, and 2.3% of respondents had anxiety, depression, and PTSD. Risk factors of emotional exhaustion were male sex (ORadj = 2.29), nurses (ORadj = 3.04), doctors (ORadj = 4.29), working at COVID-19 inpatient unit (ORadj = 2.97), and working at COVID-19 intensive care unit (ORadj = 3.00). Additionally, preexisting mental illness was associated with anxiety (ORadj = 2.89), depression (ORadj = 3.47), and PTSD (ORadj = 4.06). From qualitative analysis, participants reported that these factors would improve their mental health: supportive and respectful colleagues, appropriate financial compensation, reduced workload, clarity of policy and communication channel, and adequate personal protective equipment.
CONCLUSIONS
Thai HCWs experienced negative mental health outcomes during the COVID-19 pandemic substantially. This issue needs attention and actions should be implemented to support them.
目的
本研究旨在测量泰国医护人员（HCWs）在 COVID-19 爆发期间的倦怠综合征、焦虑、抑郁和创伤后障碍（PTSD）的流行率，并探讨其相关因素。
方法
我们于 2021 年 5 月 22 日至 6 月 30 日在曼谷的一家三级保健医院采用多方法设计，使用在线调查。信息包括人口统计学特征、工作细节、感知支持、PTSD 症状、马斯拉赫倦怠量表：一般调查（MBI-GS）、一般焦虑症-7（GAD-7）、患者健康问卷（PHQ-2 和 PHQ-9）和对开放式问题的叙述性回答。采用多因素逻辑回归分析方法分析心理健康问题的相关因素。对定性数据采用内容分析法进行分析。
结果
共有 986 名 HCWs（89.1%为女性；平均年龄=34.89±11.05 岁）对调查做出回应。分别有 16.3%、16%和 53.5%的受访者情绪衰竭、去人格化和个人成就感降低程度较高。分别有 33.1%、13.8%和 2.3%的受访者有焦虑、抑郁和 PTSD。情绪衰竭的危险因素为男性（ORadj=2.29）、护士（ORadj=3.04）、医生（ORadj=4.29）、在 COVID-19 住院病房工作（ORadj=2.97）和在 COVID-19 重症监护病房工作（ORadj=3.00）。此外，先前存在的精神疾病与焦虑（ORadj=2.89）、抑郁（ORadj=3.47）和 PTSD（ORadj=4.06）相关。从定性分析来看，参与者报告称，这些因素将改善他们的心理健康：支持和尊重的同事、适当的经济补偿、减少工作量、政策和沟通渠道的明确性以及充足的个人防护设备。
结论
泰国 HCWs 在 COVID-19 大流行期间经历了严重的负面心理健康结果。这个问题需要引起关注，并应采取行动予以支持。
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